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PERMIT APPLIC�►TION <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIY SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> /2 �` / <br /> SITE ADD � � r� �� � PROP[R7Y TN(N P RMIT a�_ D I D <br /> � \J � <br /> LEGAL lor new consiru[Iio�' Short PIaVSuDdivision Lol No_ (atlach copy of long legai Cesc IionJ <br /> OWNER ����5---`J W'f�t-E�� PhoneiE�ma:l P �3 C'"' � <br /> AdO�ess ��'../ C�;y/Slale�Z�D (J.U, "L �1 <br /> APPLICANT: Owner OwnersAgenl Conliaclor ConlratloYSAgeni Tenanl�nu+icmmaeaharrc�anecmrtommeo.ncr:oeo.on�t�oew�� <br /> CONTRACTOR Stale lic.# Cdy Bus. lic # <br /> Addmss PhonelEmad <br /> TENANT BUSINESS NAME CONTACT FO E� `�C�V <br /> Peq �fi�e�5 ��- e. <br /> P�oncrE•ma.l <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Ea�s6n� Use ol6wltlirg��y _ HEAT SOURCE. <br /> Pioposed Use ot ButlCing Gas Electr�c_ Other__ <br /> Budaing type _Single Family _Duplex_Townhouse _Muiti-Family .�Commerual <br /> Type of pro;ect. New AddNon Remodel __ Repav__T I. __S�gn _Sonnkler_DemoG;ion_Change of Use <br /> DESCRIPTION OF WORK�acd rorrai spacc;.�o�idca o�mu;acel <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Pro�ocl: _Now_Addn _Alloratlon_Ropalr Typo oi Pro�oc�: _New_AtlEn Altoratian_Rapair <br /> Show Num6a(M1 0l llituret Show Num,Orr(M)a1lirPorns <br /> A/C—air handhng �nds I Todc� <br /> � Forced a�r systems I Baihlub <br /> Gas piD�ng I Lavatory(wash basin) <br /> ' Waten c�atcr i Sho�scr <br /> i <br /> Gas 1i�eplacc I Kdchen smk &disposal <br /> Gas range � Dishwasncr <br /> Clolnes dryer I Clolhes washer <br /> Range Imod � Waler healer <br /> Eahausi fan I Smk�servicclbarlmop/cic 1 <br /> � Heat pump � l3�chflnw prevenlcr <br /> Und hC3ier � Unnal <br /> � Bailer I Drinkmg founlain <br /> Rclrigcralron I Floor dram <br /> Woodstove I Grease trap <br /> Ducting Roof drains � <br /> � Olhcr � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � Olher <br /> Number ol Heads � Other <br /> I�e�coy cendy Nal 1�ave�ead ana e�am:ne01��;apD���Lon anC Anvx t�e same to be Ime anA correa !dl Diovnans ot�ms an�orE�nances Boveminq I�n ry0e ul woA xi0 Ge comolleC <br /> w;nwneNcrSpecfea�erclnornol rnegraniinyolapeimtacesnclD�esumetogrveau:nomymvm�a!�aci.�rclt�epiovisnnalanYaUerstatec�lov Ixwie5vla:ingcons:mnicn <br /> inat I am cee oy Ine oxner ol l���s F�ope o petlortn tnr wM'or e�¢1�appi�wbon is maac ane I cempry rvt�1ne SUtt COnbaCors law 1B P RL�VanO 7A6]COA WAC <br /> 11 —y� 1 <br /> ;�x;1!liL� 12�V—l� <br /> OwneNAut�orizc0 Agenl Signaluro Daie (Revrsetll?073) <br />