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a � v ,�. ��v�c��,��r�� i �-�w_�� �s �'�.,v _ c��� <br /> � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROPER7YTAXN P R <br /> SITEADDRESS: I�''� �V� (ee� wy '.�BU�����UV ���OV � — <br /> � <br /> LEGAL lor new constmction�. Short PlaVsu�division Lot No._ (attach r_oDY of long legal description) <br /> OWNER�`-'�"� l O„�T �I�"2� LLC' P�oneiE�mail o <br /> Aadress �1VG E�Iiµ S�� �� �"�F�r CitylState/Zip rQ ��1Tir w � ` `vV�� <br /> APPLICANT:_Owner OwneYSAgent �Contractor ContracrofsAgent _Tenantlm�sio���akne�mcrosemrtommew+�mao�.onmmasoarel <br /> CONTRACTOR e e �� h� J� 'S� L 8 I Lic.# e �S�403 E-COE Bus.Lic.# <br /> �/ qCy �u,���.`.. w�.,� �Y24-�32So,llewe.�s.r-5 N.� <br /> Atldress�CpU `�j W l \ �V VI fc �"�3 PhonelEmai <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT D�(1 YY� <br /> � _ �( 60- 42'1- 13 zs � v�ne�S" �n.cow <br /> PhonelE-mail �� � � <br /> BUILDINGPERMITAPPLICATION CON7RAC7PRICEOFwoRK <br /> Existing Use of Building C u�^VE������ 5 (e HEAT SOURCE: <br /> ProposedUseofBuilding �v~J������ $ je Gas_ Electric_ Other_ <br /> Buildingtype: _SingleFamily _Duplex_Townhouse _Multi-Family �Commercial <br /> T pe of pro'ect: New Addition Remodel Repair T.I. Si n Spri��kler Demolition Chan e of Use <br /> DESCRIPTION OF W ORK(adaaronai space pmvided on me bacx): <br /> i�S,�,µ�,� 1MUHJw-tiw� Sl t{� U J�X'�J\ ��U� <br /> V <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypaofProJuct: _Now_Addn _Alteallon_Repalr TypoofProJect: _New_Addn _Alteratlon_Repair <br /> Show Num6er(M1 of flxl�res Show Num6er(Ml o!ilxfures <br /> AIC-air hantlling unils Toilet <br /> Forced air s stems Bathtub <br /> Gas pipin Lavato {wash basin) <br /> Waler heater Shower <br /> Gas fireplace Kilchen sink 8 disposal <br /> Gas ran e Dishwasher <br /> Clothes dryer Clothes washer <br /> Ran e hood Water heater <br /> Exhaust tan Sink(service/b+idmop/etc.1 <br /> Heat pump BackFlow preventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refrigeralion Floor drain <br /> Woodstove Grease trap <br /> Duclin Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM ,Ooo''� Olher: �' y w-.c� 'O"� <br /> Number of Heads Other: <br /> I hereEy ceni/y Ihal l have rea0 en0 ezammeE tM1is epplkalron on0 know Ne sume to be lme and corteG.All pmvisions ol lavrs entl omnances goveming this rype a1woA vn�be comF��eE <br /> vn�h vA�cl�cr speuGeJ herein w not The prentin8 0l a pertnil Eoes not D�esume lo Bive oul�oMy lo vioWte or cuncel Ihe provisbn ol any m�er slale or local law repuWting consWcl�on <br /> Tn;+t I mm�ul�onxeC Gy Ne ovmer oltti propeM�o pedorm Ihe work lor wTicO applicalron la maCe antl I compry�l�t�u Stale ConUacton Law 1827 RCW ontl 296.200H YVAC. <br /> �(?�`� �►- G- � � <br /> OwnerlAuthoAzedAgontSi naWre Date (Revisetl6R0f2) <br />