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PERMIT APPLICATION <br /> BUII_DING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., [veretl, WA 98201 -425-257-8810- FAX 425-257-8857-�^n'nv.everettv✓a crg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROPEftNTA%d PERF11TdO O�� <br /> s��aicas�� ll'H �V�• oc5 �oo yova�3 - 2 1 ' <br /> LEGALIornovcons�mdian'. ShodPlatlsubdr:is�cn — <br /> Lol No._ (atlach ccFY o�long�c3al descl�ption) <br /> OWNER � l,ii( '� '� L Pno�.��e�m3�i L—"7T��� 3 I � F1' � COWI <br /> ��,5 �5 � �i . RI'Z�fJl� v�6YJ c�iY,s�ai�a�P �tJt�zl.l r1" W lh � � ?��C' <br /> CONTRACTOR (� G O S • L&I Lia N <br /> Phonel[mail <br /> ,i��..ess ��� ���� <br /> TENANT BUSINESS NAM[ CONTACT FOR PERMIT 2� <br /> �Y�� KC% `�J�Vl�rtN � a•-• <br /> 1� S ��5� Phonci6mail 1'� � G�wL� qG�✓L �CG � <br /> �/ <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK — <br /> �_�-O � � � H[ATSOURCE�. <br /> Existing Use ot 13wlding�/ — 1I � <br /> pwposed Use ot E3uilding ✓��V Gas_ Eieanc_ otncr_N�'� <br /> Bwidingtype: _Singlefamily _Duplex_Townhouse _M�!ulti-Family �. Commercial <br /> Type of projecl: _New _Addition _Remodel ,_Repairp T.I._Sign_Sprinkler_Demolition_Change of Use <br /> _ � <br /> DeScripli0n of WO�k(addifional spare pravided oo Ihe tacd)'. �:i ` ��, �` `�` <br /> r <br /> Have you slarted working H�i�hout a permil7 _YES ,�,NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolPro�ecC _New_Addn _Alleration_Repair TypeolPmJecC _New_Adtln _..Alteration_Repair <br /> Shaw Number(kf ol Adures <br /> ShowNumbcr(#�ol!lxtures � Todel <br /> � NC-air handiing imits � Dathlub <br /> - _ � FurceA air systems � Lavafory(�vash basin) <br /> ( Gas piping � Shower <br /> � Waler heater <br /> � Gas fireplace Kitchen sink 8 disposal <br /> Gas range I <br /> Oishv+asher <br /> . Clolhes dryer Clothes washer <br /> �� Range hood � Water heater <br /> � Exhaustfan � Slnk(servlceibadmop�eta) <br /> Heat pump I 8ackflo�a p�evenler <br /> Unit heater � Urinal <br /> 6oiler Drinking Fountain <br /> � Floor drain <br /> i � Refrigeration � Grea=_e Irap <br /> � V✓oodslovc Roof drains <br /> Dudinq Medical Gas <br /> � Other <br /> SPRINKLER / SUPPRESSION SYSTEM I Other. <br /> i I Olher: <br /> � Numher ol Heads <br /> ��-meSy cerbry i�'at I ham reatl antl examined Ih�s a0plical�oa an�know Ihe same Io be Ime and wrrect.All pmvisions ol laws and oiC'naacee 9c•�eming <br /> •,n�s rype of work wdl be wmplicd vnth wh�lhcr speufied herein or not.The granling ol a permd tloes ncl presume to givc aulho��,ly to nolatc or caneei <br /> p�a nrovislon ol any other slale or local iax regulating construction or Ihe pertormance cJ conswction.Thal l am authoiized t:�me c:.ner c't'�s pr.pei;y <br /> ;o pe�d/orm Ue vror or w�kh application i;made and I compry wi1 �he SI le CoNraclors Law 1J27 RCW ana 290100 b9°C <br /> �/���_ � lO /� (Fe�:sedlih;f�� ' <br /> OwnerlAulhr,ri�ed hgnd Siynalura <br /> L`atc <br />