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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Fverett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa,org <br /> SITE ADDRESS: PROPERTY TN(N P MIT R <br /> 3 � -s ��-e - <br /> LEGAL Im new canslruction-. Short PlaUsubAivision Lo�No. (altach copy ol lonc�Wgal descnplion� <br /> OWNER..J�� 3 �' L .�.. .� • PhonME�mail yz„S— S `Z — 3� <br /> Adaress,7�3 Qa� Cily151a1c/Zip � (gZ� <br /> APPLICANT:�bwner _Owner'sAgent Coniractor ConlraclorsAgenl TCOBnl�amio�onaealmxro'ccnsormm�meo«nn��oaowoM�or�,o,=o� <br /> CONTRACTOR V�1 � Stale Lic. N �— Cit Bus Lic ft `� <br /> Atld. �;; � PhOnelEmail � <br /> TENANT BUSINESS NAME S��W��p CONTACT FOR PERMIT <br /> �o�Ps+, C,ts�.u�o� Sr�+.wiaw � (<..�,b �LIL. Utin3 13e-�`^- <br /> Phonc�6mail �(� — —��Z.9 <br /> BUILDING 1'ERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Bvilding �'-��� C 'L— HEAT SOURCE. <br /> Proposed Use of�i���di�ig Gas__ Eleclnc Other <br /> Building rype�. _, Smgle Famdy _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: New ___Addition Remodel Repair_T.I. Sign_Sprinkler_Demolition__Chan9e of Use <br /> DESC RIPTION OF W OR K(addd:onel space pmvitled on Ine back): + 1 n <br /> � X � � b�int55 Siq►1 i✓1 '�YUn� . Si'q✓L iS M�-�� <br /> U � <br /> aM�. �,,.rvz..9d bL a-vi �-Ix�f`5 �s�� ,h � <br /> MECHANIGAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa ol Pro�ect: _New_Addn _Alto�allon_Repalr Type of ProJect: _New�Addn _Alteration_Repalr <br /> Show Number(p)ol lixfures Show Numbcr(M)o/lixfures <br /> NC—air handling unds Todet <br /> �orccd air systems Oalhlub <br /> Gas ipm Lavalory(wash basin) <br /> � Water healer Shower <br /> Gas fueplace Kiichen sink&disposal <br /> I Gas range i Dishwasher <br /> I Clolhes dryer Clothes washer <br /> Range hood Watcn c�ater <br /> Fxhaust lan Sink(servicelbadmov�etc.) <br /> � Hcat pump � Backllow preventcr <br /> Unil hcaler � Unnal <br /> � f3atler Unnkmg Founlain <br /> � Refrigeretion i rioor a«�� <br /> Woodslove � Giease Irap <br /> Ductmg Rool tlrams <br /> Other Med�cal Gas <br /> SPRINKLER / SUPPRESSION SYSTEM j Othcr <br /> Number ol Heads � Othcr <br /> I�cicEy cetlRy Itial llinvc maA anC ciaminetl tlus app5u�lion antl know I�c samc lo lw Iruc an�wiwct All piovis�on,oi lows nn0 ord��ances govcrning Inis lypc ol wuih x+9�c camp6ttl <br /> w�n�Nn�mcr s •rar crci T�c qranbng ol a Ocrmn tlocs not p�ezumc to gnv,uf�onry lo violaic o��mccl mc D�ovis�on ol any a'bcr slnlo o�bcv law icgvl:ninq conslrudion <br /> T�at I a Tome Pq e awne� 1��5 p�op 1y lo peiiorm Ilie k Io�whv7i appbcalion¢matle:m�I compty wn�t�o Slale Conlractms Law IB 17 ftCW an0 796 d00A WAC + I <br /> Z <br /> r/Au�horizedAgonlSlgnaWro Daic ��•� (Rev�sed.'t/t013) <br />