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PERMIT APPLICATION <br /> BUILDI NGIMECHANICALIPLUMBING/SIGNlSPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES (�—/D �/Z <br /> 3200 Cedar St., Everett, WA 98201 42�•257-8810 FAX 425•257-8657 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Z�O"� <br /> PROPERTYiAXp P RMITN <br /> SITE AQDRESS:7 � ., <br /> � � - <br /> LEGAL lor new wnsWction: Short PlaVtubdivision Let No._ (atlach copy ol long lepal Oescri0��) <br /> OWNER �'jC,�. - .i� Ph�nelE-mail <br /> Atldress Ciry/Slate/Zip <br /> APPLICANT:_Owner OwneYsAqent Z(Coniractor ConlrattorsAgent Tenant�-��.iv�o,ae.eoe�oicr.emnone.wwnioaowmm�..o.:e� <br /> CONTRACTGR . , t " L&I Llc.# �A(IC�'� ' Y� COE Bus.Lic.M <br /> �ti� . �/3�-5`l�- <br /> � (�(!6E Vti��ai�- <br /> Address � .�' �v� �. ��� � �� N .F'���Phone/Email-y_ ��� ' � '^ n I.lq:,. <br /> TENANT BUSINE S NAN�e CONTACT FOR PERMIT '" " <br /> � (�. f 1���/:f��.l).`. <br /> (�(�. Q�� " ���•�. PhonolE-mail � �� . ct _�'��( <br /> BUILDING PERMIT APPLICATION CONirincr PRICE oF WORK <br /> Existing Use of Buiiding HEAt SOURCE: <br /> P�oposed Use of Bwltling Gas Eiedric Other <br /> Ovilding type: _Single Pamily _ Duplex Townhouse _Muitl-Family _Commercial <br /> T e ot ro ed: New Addilion Remodel Re alr T.L SI n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(�/orfional spece p�ay�deaon tne bacx)!� U,�, ��� �nt�`,C� .9JLt�jm �f� [' <br /> I.�l�(����.L'lif� L(/-(21�!a.. ///QA(L�F�l�in�i {� � .q <br /> ' � JJ.�ny_n���.b;,, c� � ���.�,�h-o�.C�v��.' ..�-�-�^-!y � <br /> .�r,, -B �, - ,r�SA�_ ,_,�,n n.r_. " ��.��4�- -p—�, <br /> � . <br /> � r /Y`�.i. .T�� �.�� _IL�fY�"r <br /> fi.�, �' ii�•,9!� � I_/1C�� i� !!l �.�; � <br /> ' MECHANICAL PERMIT APPL'ICATION PLUM81N6 PERMIT APPLICATION <br /> Typeo�ProJecl: _New_AdAn _Alleratlon_Repair TypaofProJecL• _New_Atldn ,�AltereNon_ Repalr <br /> Show Num6er(N)o/llatures Show Ncmber(NJ el llrfwea <br /> A�C-�air handling units Toilet <br /> forced air s stems Bathtub <br /> Gas pipin Lavato (wash basin <br /> Water heater Shower <br /> Gas fire lace � Kdchen sink 8 disposa� <br /> Gasran e Uishw25her <br /> Ciothes tlryer � Slothes wasner . <br /> 3anqe hood Water heaW_r <br /> Exhausifan S�nk tserv�,celbar/mop/etc.) <br /> Heal pump Backflow prevenler <br /> Unit heater Urinal <br /> 6oiler Drink.mr Founiain <br /> f xfngeralion Pioor Grain <br /> WooAslove Grease Irap <br /> Dudin Roof drains <br /> I Other Metlical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number c'Heads 7lher: <br /> I I�errpy cetlifylhet I�evo reaG anC exemined I�ie nFFlwalnn end Ancx ne sema 10 be N�e entl wr,M.M provisbm o�b+�eno oNinencn B%'emhp Nb type Mrrnk vd�be compfed <br /> v�n�whethtt apedbC Oereln or nol.T�e gre^linp ol a Oermit ticea nol prccume l0 0���Y�o Maleta m cencel Ihe p�oN�lbn ol eny otl�er atete w local lew rcpubtinp conatrudion <br /> 1 hat I em suMorlte0 Cy ihe owMr al lhle pmpeRy lo Dertmm Ne work fa whkh eDD����meEe ena l compy wl��Ne Slnte Contraqon Law 1B.Y7 RCW anE 388.200A M�,iC. <br /> � /t ' j �' �� �� 1� <br /> � 11 ` � � <br /> �/4 � L1 l �//��I'lc �lil�L � a l� <br /> OwnerlAuthotlzeC ABenl Signalure �ate (Revise0 W207Z1 <br />