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�ERMIT APPLICATIO� <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SER�ICES <br /> 3200 Cedar St., Everett, WA 98201 425<57-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '`1�,�L7�- /2 <br /> SITEAJ�RE55: PROPEHTYTAXN P MIT <br /> �!� E(/C—�612C�N w� Gvfs� 1 "� <br /> LEGAL for new construc�ion: Shorl PlaUsu6division Lot No._ (atiach copy ol long legal descriplion) <br /> OWNER AC L�S 7O�TAS— rLJaH 1 �lP��uf} PhonelE-mail <br /> Address ��� � EEt�1 �fJA - E+/�( wh`Fd2a ily/SlalelZip <br /> APPLiCANT: Ovmer (��•mefSA�eni �CCoNractor Con�reclor'sAgenl TCf1dn��musipmviaaolonorcicansemwmmoownormCowoAinmospaco) <br /> CONTRACTOR � w/'�1 7Z= �7 ✓� L 8 I Lic. # W I I TG UI 9�6C S COE Bus. Lic.# <br /> nddress / 51�� U,J �Jcl .S�i7'E IQ L NNwooD�wH �7$08 phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> �"�IAyCC) f��7r1'It�N <br /> �-c►� �a-s i��r�s C425�4�1-n93 /'� <br /> PhonelE-mail ZVIfO:YCt�'UTIVOS—ASOG. dOS �CON <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ' Z <br /> Ezisting Use o(6uilding HEAT SOURCE: <br /> Proposed Use of Ewlding ' Gas_ Electric_ Other_ <br /> Building lype: _Single Family _Duplex_Townhouse _Mulli-Famil/y� Commercial <br /> Type of projecC' _New _Addition _Re'model Repair_T.I. v Sign_Sprinkler_Demolilion_Change of Use <br /> DESCRIPTIONOFWORK(�ddrtionaispaceprowtledoalheback): - � � ' • <br /> �� S ��(� L`= � — �I�h �'J�C� lZV Lt� TIIuM.iJJ �-�-1cM <br /> MECHANICAL PERMIT APPLiCl�T6�JN PLUMBING PERMIT APPLiCAT10N <br /> Typoof ProfecU _New_Addn �Al�eralion_Repair TypoolProjecL• _New_Addn _Allora�ion_Repalr <br /> Show Numbcr/N)o/lixfures Show N�mber(#)oI lixtures <br /> A/C—air handling untls Toilel <br /> Forced air systems ; Bathtub <br /> Gas piping � Lavatory(wash basin) <br /> Water healer Showcr <br /> Gas fireplace � Kitchen sink 8 disposal <br /> Gas rangc Dishwasher <br /> Clothes drger I Clolhes washer <br /> Ranqn hood Waler healer <br /> Exhaust (an Sink (service/bar/mop/etc.) <br /> Heat pwnp Dackflow prevenler <br /> � Umt healer I Urinal <br /> �oilcr Drinking Fountain <br /> � Refrigeralion � Floor dram <br /> � Woodstove Grease trap <br /> Ducting I Roof tlrains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Olher: <br /> I hereby cetldy i�al I have read xnd esamined ihis nppticalion antl know ihe same to be�me anrl coirect All pmvisiore c��ow,antl ar�inances 9ovemin9 tliis lype ol work w,il 0e romphctl <br /> wilh wh�'her spcalied hcrein or nal.T�e giaMing ol a pemnl docs nol p/esume to give aulnordy�o violale or G�nccl Ine pmnsion ot any ollier stdle ar Iocal law mgulating conslruction <br /> That I ai aW onzetl by Iho oxner ol Ibie pmperly lo pMorm I�e wcik lor wMch apPlicalion u matlo antl I comply wAh Ihe Slale CoNrnclor,Low 10 27 i7CW and 2AG 100l.WAC <br /> / <br /> � w - O� � 2o�i`Z <br /> OwnudAulhorized A9eN Siynalare Dalr. (Rev�sn.A62017J <br />