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�c 8(o r o <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANIC�LIPLUMBiNGISIGNISPRINKLERIDEMO^�LITION <br /> CITY OF EVERETT PFRMIT SERVICES c7 - o�-� ` % �/ <br /> 3200 Cedar St., 6verett, WA 98201 425-257�6810 FAX 425-257-8857 �nnvw ey�rettv/a.org Q <br /> Y `i 0 <br /> SITE ADD ESS i'ROPCRTV TA%n RMIT# <br /> LEGAL for new consirucimn�. S�ort PlaUsuCarv�sian Lot No__ (ailach ceoy ol long Iegal descnp6on) <br /> O W N ER PhonelfE�mail <br /> �ddre;s GtylStalc2ip <br /> APPLICANT:__Owner _OwnersAgent (,oNraetor Carnrac;er'sngem Tenanlw�u��e��ce,v�rao�:an.-.i-n,no�.�e�•.rn.a+.�,�.�+.wa� <br /> CONTRACTOR r �� c Lic � U – Z,C�ty �us L�c li N GC� S <br /> Adaiess yQ,r�„J �i,. P�.,,r.e/Em3�l <br /> TENANT BUSINES NAME CONTACT F;iR PERMIT <br /> .�. .�- PnoneiE�mai <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK • °�— <br /> Eaist:ng Use ol F3uiiding HFAT SOURCE <br /> Preposed Use ot Ovilding_ Gas__ Eranc_ Cihcr <br /> Bu�ldmg type _Single Fam�ly _Duplea_Ta�+�nnous^ _fdultrFamdy _Ccmmercial <br /> Tyee ot pro�ect New AdC�hon Remodel Reoa�r_TJ. _Sign_Spnnkier_Demolihon_Change al Use <br /> DESCRIPTIONOFWORK��:�.:�r�ona�s,^sceFrm-deeon;neeare) � <br /> �^ -- �/L �-- l!!� l.J <br /> � �o cJ� �-� E,� : S -� �'� lrr',��, <br /> +' n <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol PwjocC _New_AdAn _Altemtion_qapair Typo of Projncl: _Now_Addn _Alleration_Repair <br /> Show Numbcr(a)o/�xfures Show Numbcr(q)o!!ir(ures <br /> � A/C–au handhng uni�s Toilet <br /> � Forced air systems I Q��ht�b <br /> � Gas pipinp I I-avatory(wash basin) <br /> Waler heater � Shower <br /> ! Gas Lreplace I H�tchen sink 8 dispesal <br /> Gas ran9e I Dishwasher <br /> � Clothr_s Aryer � Cloihes washer <br /> Ranye hood W.dci hcatcr <br /> F�hausl fan S�nk(5ervicelbadmoplelc) <br /> Heai pump � Uadllow prevenler <br /> Umt heater Urinal <br /> 6oiler I Dnnking i�ounlain <br /> � Rcingaation Floor drain <br /> � 1Noods!ove � Grcase lrap <br /> Ducling � Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM o�her <br /> Number ol Heaas � Olher. <br /> I�erc0y cen"y t�a�I e iea]anE e.ammed i��s apphauun an�Vnow�Ae same lo Ce Ime and cnrtecl P7 C�o�slene d laws anC ar�.nances goveming i�'.s IyD'ol wuih++��^compVeC <br /> wfM1wiiclperspe J�c�cino�noi ThegranlingalapermAOoesretpesurmlogrveauIDonlylo��olalcorwncelNepiovisronolanyolPcrslatearlo��llaw�egulalingmn:avn�e� <br /> TTaI�am auN 4�y Ric mmc�al Nrs pmpetl o qRo�m Ne wer1.icr x*�rti appi� n rs ma0c anA I<ampry wr�Ne Slatc Cor••aCpn�aw Itl P RCW a:ia�SG 7 Wn Y.'AC <br /> �L {/��� <br /> Owncr/ , onzed A enl5i �re D..e (Revised320�7) <br />