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PERMIT APPLI�ATION F�zo l - oaZ <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 -425-257-8810—Fp�(425-257-P,857—www.evere�wa.org � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� 1�O�- GL''� -"� <br /> SITEADDRESS: ?���(o SMITN' A�1E PROPERTVTA7(p MIT1' <br /> "�; o0 7�o�o2S00003 � <br /> LEGAL for new consWclion: Shoh al/su6division Lot No._ (atlach copy of long legal descriplion) <br /> OWNER Yli�, PN�t,1P Phone/E-mail <}2S• 2•.5D2.(o E r' IQj3 o n � <br /> Address''P Q•� j City/Stalc2ip F`�G 7� �./{} qpL�=� <br /> CONTRACTOR-y� tll[ S ��„$ DqV�. OMI,I L&ILic.# - NO�D��-'�r �c`I� tXH - , <br /> Addiess �(� ( /�Iind�ts.E � ^' lU. 5�,� G✓{�a� �0 3 PhonelEmail yoC��5u •'►S7o <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT N� �i•�ni� ? C-.- .��H <br /> i:�, � t•/rn-�l i, . u. , . i„ �c � <br /> l0 {dJv�SE t_S PhonelEmail 1t0- l.�i -{,a � .�„L_. 1 ��. �..� � {,-�l. y <br /> BUILDING PERMIT APPLICATION CON7RACr PRICE OF WORK '�2s0 cb,� <br /> i <br /> Existing Use of Building S�tO�V+cF C5—I ) HEAT SOURCE: <br /> Proposed Use of Building S+�d.F �—\ � Gas_ Electnc� Other <br /> Building�ype: _Single Family _Duplex_Townhouse _Idulli-Family �Commercial <br /> Type of project: _New _Addition _Remodel L Repair_T.I._Sign_Sprinkler_Demolition_Change o(Use � <br /> DeScriplionof�Vork(adtlitionalspocaprovidedontheback): �: i �. .,.`�,. � y�� �.. �,, .-„�, �� � , .. �„ c�!it � �t ��.':'i <br /> , , . . . , i. .� .� ii �i i .. ,-•�t �1 , �i �i. . .;. it�i:.,,t .�. _ � .:�. ,cr i�.. ii �., . t,�. •.� � :I1 <br /> �1 .�l �1 �"l ti> � . �.1 .i .'_i .� 4'1 , ir _ �i, f',t . . ri� � � i� — � i ., .., � , ;/ � � t <br /> Il��,.. .—� ..�� i L�..,�.i. : t�� Pt � . � : .t� i( . , �� �' , e � `.1 . ) <br /> Have you started working withuula permil7 _YES �NO i t „ , � � ,� ; ,��, , _ y <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoolProJoct: _Now_Addn _Al�cratlon_Repalr TypeotProjoct: _New_Atldn _Altoratlon_Repelr <br /> Show Nunrbcr(�Y)ollixturas Show Namber(p/of Ifxfures <br /> A/C-air handling units Toilet � <br /> Forced air s stems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Wa!er heater Shower <br /> Gas fire lace Kilchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Ciothes d er Clolhes w;isher � <br /> Ran e hood Water heal�r <br /> Exhaust lan Sink(service/badmop/elc.) <br /> Heat Fump Backflow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eralion Floor drain <br /> Woodslove Grease trap <br /> Ducting Roof drains <br /> � Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Olher: <br /> � <br /> �umber of Heads Othec <br /> �`ereby cenih,�Ihal I have rea0 and examined Ihis applicalion and know the same lo be Ime and correcl.All pwvisions of laws and ordinance:goveming <br /> ;lype ol worh will be complied with whether specifed herein or nol.Tho granting of a permii does not presume to 9ive authonty lo violate or cancel <br /> �ne pmvision ol any other stale or local law regulaling construction or the pedormance of consti.ction.That I am aulhonzed hy Ihe oxmer ol lhis property <br /> lo pertorm ihe work for which appliCation Is made and 1 tomply�iilh Ihe Sla�e Conlraclors Law 1827 RCW and 296200 WAC <br /> � �_ <br /> ��� 2�.�/� 1 ; <br /> OwnodAuthodzodAgont5lgneturo �ale (Revised7l10ttl �I� <br /> I <br /> ( <br /> � <br />