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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evere�a.�o�g '2 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX N PERMIT/ <br /> 140� /�E�JiIT A�r'. 043 I y0110 J � 3 ' � <br /> LEGAL lor new conslruclion: Short PlnUsuDOivision Lol No.__ (a�taGi copy ol long legal desulption� <br /> OWNER 90 t TT ASJ�C/Q � Ll Phone�E-mail 2 '• 0 6 <br /> Aadress j�p 3olc 222810 CilylStale2ip �prTt� yVr4 9g�LZ <br /> APPLICANT:_Owner Owner'sAgent I+ Contractor ContiactofsAgent _Tenanli�.ipo.ase�enaoiar���nnanu+eo.oerioaowan�cbeo�l <br /> CONTRACTOR APOCL� rl L 8I Lic.# AP LLNI- -O COE Bus. Lic.#O <br /> ndaress 48d0 I.��R.30J �f.• �GiJ�v V�h 9L�2 PhonelEmail �2S 3 - 50y <br /> I NAM CONTACT POR PERMIT ,7A�I CC. /20�� <br /> NOaTrIk�EST GIp�D�iRNO W�r/F_ <br /> Pnona�e-mai� NLS- 349-SO�I'a ��rNAAN1on�Eo�•� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK GD <br /> Ezisling Use of Building LIQl.f7� ST'U��' HEAT SOURCE: <br /> Proposed Use of Building ���(/0� s�'� Gas Elecinc Other <br /> Building rype: _Single Family _Duplex_Townhouse _Multi�Family �Commercial <br /> T of ro'ect: New Addition Remodel Re air T.I. Si n 5 rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK�addit�ona�specc provided on me beck): <br /> /NSr�cL (/) W4t� S�Ga/ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ot ProJect: �New_Aadn _Alteratlon_Repalr Type ot ProJect: _New_Addn _Alteretlon_Repslr <br /> Show Number(M)of lixtures Show Number(M)ol lixture� <br /> A/C-air handiin units Toilel <br /> Forced air s stems � 8athtub <br /> � Gas i in Lavator (wash basin) <br /> — Water heater Shower <br /> Gas fire lace Kitchen sink 8 dis osal <br /> Gas ranqe Dishwasher <br /> Clothes d er � Clolhes washer <br /> Ran e hood ' Waler heater <br /> Exhausl fan ' Sink servicelbarlmo /etc.) <br /> Heat pump ' BackBow reventer <br /> Unit heater Urinal <br /> Boiler ' Drinkin Fountain <br /> Refn eralion Floor drain <br /> Woodstove Grease ira <br /> Ductin Roof drains <br /> Other I Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> ' Number ol Heads Other: <br /> I hereby cenAy t�at 1�em mad and eaammetl t�is eppircntbn nntl know t�e same to M Irue eM correct.Atl Oronsans W la.vs and oN�nanxe Boveming t�a type ol wark witl be compAeG <br /> wnh xhether epeafi¢tl hernn or not.The qranling ol a pemin Coes not pmsumo lo qrve eut�omy to���e ot caocel ttro provisan ol any otAer slale or local law repulatinp conswctron <br /> Tnat I em aulAor@e �e amer ol Ihis propeny to petlortn tAe wo�k�or xhic�apM�rntan is mnde anC I compN��Ihe State Coniradors Low 18 Y7 RCW antl 49b YOOA WAC <br /> /-//-�3 �/� <br /> Owno uthorzodAgonl5lgnalure Date 1Revised6/I07�J _ <br />