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PERMIT APPLICAT!^!: <br /> BUILDINGIMECHANICALIPLUMBING/SIGNlSPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everetl, WA 98201 425-257-8810 FAX 425-257-8857 �+nvw.everettwa.org <br /> �'- � /—1 3 <br /> SITEl�D F� ' � PROPERTVTA%tt P RM13O�� �f <br /> � v <br /> LFGAL fo � cor.simctmrc Shoit PlaVsuO vismn Loi M1b._ (attaU�copy ol 1on91egal escnDlion) <br /> OWNER � Phone�E�maA ' ( � �y/� �� <br /> Adaress City�State2�p � �� <br /> APPIJCANT: O� t OwneYS�gen1 _Co���aclo� _ConlraclCfsAgeni Tenanii^�4t;:c.m�amce�ctcc�sc:o�-.m:+.,..�voa.,.a+.�nm+�p.+��i <br /> C04TRACTOR Slate Lic p City Bus Lic x <br /> Add�ess PhonelEma�l <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> PhoreiE�rna�.l <br /> BUILDINGPERMITAPPLI ATION CONTRACTPRICEOFWOR:S_ <br /> Gz�sLng Use of Uudtlmo 11 ' /'�C_��C�� H6AT SOURCE: <br /> Propesed Use af�mltlin lM D l�.— Gas Liectr�c Otner_ _ <br /> Bmltling type _Single Family _Ddpiex__Townho�se _hlulti-Famdy �Commercial <br /> Type cf pro�ect New Addrtion Remodel Repa❑__7 I. S;gn._Sprinkler___Demohl�on_Change of Use <br /> DESCRIPTION OF WORK�aeo�r�o�a�snace p�ov�dey c�;ne oactil <br /> ��� �� �� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Pro�ocC _Naw_Addn _Alloralion_Ropalr Typo of ProJect: _New_Addn _Altoralion__Ropali <br /> Show Numbcr(p)o/lia tures Show Nunrbrr(MJ ol brtures <br /> A�C-a:r handhn9 units Todet <br /> Porced air systems Balhlub <br /> � Gas piping i Lavatery(wash basm) <br /> Walen c�ater Shower <br /> Gas lireplace ; Kdchen sink 8 disposal <br /> � Gas rangc I D�shwasher <br /> Clo�heti dryer CWihes washer <br /> Fange huod j VValcn c�ater <br /> [xhausl lan I S�nk(servicNbadmoplcic) <br /> � Heal pump I f3ack9ow prevenlcr <br /> i Und he:ticr Unn�l <br /> I Boder I Drmhmg I'ountain <br /> Refnger�hon � Floor drain <br /> Woodsicve Grease irap <br /> DucLng � RODf drains <br /> � Olher Aied�cal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Olher <br /> Number of Heads � Other <br /> 11'�eieEy ceMy t�a�I have ieaq ana e.am:neE i�is appl:cation anC snow��e same lo Oe Im^an�ronM AU o���s�ons cf�Hs and om•w^ms gmeming iMs ryVe c�work wc1 ee coe�p:�rd <br /> w�n e, r SFeclF,ea nrrein or not Tne granbng ol a oerTn aoes nol prcsume�0 9rve rN�arfy lo violale or Uncel lnr proNs�en ol anY�':he�slal<cr toGal law rcgNatmg Comt1nun <br /> i�vlimau acrdbyl�eown oltl�IsprrDeM�opedcrtnl�ewodforwhrtOappliwlron6ma0CanClComplywr�t�CS1a1eL'onl:atlJl5Law18PRCWan07962WFN'4C <br /> �13c-�3 <br /> OwncrlAulhorieed Agant Signa�uro Oaic (Revrsed 3?UJ) <br />