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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA �J8201 -425-257-8810—FAX 425-257-8857—www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM 6 —'d� `I � <br /> � �� - - -oio3 �/ - <br /> . <br /> LE6AL lor new canslruclion: Short PlaVsubdlvlslon Lol No._ (allach copy ol long IeBel deacApllon) <br /> OWNER�� C � O Phane/E�mail <br /> Address �� � � .�r CirylStele2ip <br /> � L 8 I Lic 8 <br /> CONTRACTOR � D I/ �w �/�f�—2� <br /> AdEresa /+� Phone/Emeil 7/�7 .�/ ���� � <br /> � • <br /> TENANT BUSINESS NAME CO FOR <br /> �-i' O .0/� <br /> /�iwT 0 -�I� /, P e/�-mail �� �/Z�N��� �: <br /> UILDING PERMIT APPLICATI <br /> C RACIPRICE OF WORK_ - - � � <br /> � HEATSOURCE: <br /> Exisling Use of Building <br /> Proposed Use o1 Building Gas Eiectr�c Other <br /> Building type: _Single Family _Duplex Townhause _Multl-Fsmily _Commercial <br /> Type o�projecl: _New _Addlllon _Remodal _Repeir�T.I._Slgn__Sprl�klar_Demo�itlon Chan e o1 Use <br /> Destription f Work(eAdrtionol soace mvided on Iha DeckJ�./�F�YE 0 � �l • <br /> � <br /> 6 i NN�N/ Y�SJ��°»+'�� , , � , o �fj� �w /�-' <br /> � ��,/,V��� a � <br /> ve you e arte working wl hout!(�er� t YES _NO�� � � � . • <br /> MECHANICAL PERMIT APPLICATION PLUM ING PERMIT APPLICATION <br /> Type of Pro�ect: _New_AAdn _Alleretlon_Repelr Typo ol Pro;a�l: New_Addn _Altenllon_Repilr <br /> ShowNam6ar(MJolllxfurea owNumbcr(M)olllrturei � <br /> A/C-air handlin umis Todet <br /> Forced air s stems BathWb <br /> — Gas p�pin <br /> Lavator (wash basin <br /> Water heater Shower <br /> Gas Gre lace Kilchen sink&dis osel <br /> Gas ran e Dishwasher <br /> Clolhes dr er Clothes washer <br /> Ran e hood " Water heater <br /> Ezhausl fan Sink(service/bar/mo /etc � <br /> Heat pum Backflow reventer <br /> Und heater Urinal <br /> �� Boiler Drinkin Foun�ain <br /> Relri eration Floor drain <br /> Woodstove Grease ira <br /> Ductm Roof drains <br /> Other _ Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM _ Other <br /> Numbcr ol Hends <br /> I hereby ceillty Ihat I have read and exemineA this epplicalion end know Ihe same lo be Ime end correct.All provislons ol lpws entl ordirances poveminq <br /> Ihis typa oi work wtll bo complied wllh whelher spenfed hereln or noL The grenling ol e pormil does not presume to giva eulhority to vlolale or cancel <br /> the pwvision al any olher slele or local law regulating rnnstmction or Ihe peAormance ol conslruction.Thal I am eulhodied by the owner ollhis pmpedy <br /> �p work lor whlcn appliwlion Is made and I comply wdh Ihe Slale Conlreclors Lnw 1B 27 RCW end 298.Y00 WAC <br /> '/ ��� ��— v� /� (Revisetl/2iP01J) � <br /> awnerlAuthorizad nl Sip uro ate / <br /> ✓/ � <br />