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_ .._ <br /> _ . . , _ <br /> �,,, <br /> !:�a <br /> � <br /> PERIVIIT �►PPLiCATIC�N � � ` ` ✓ ` `" <br /> BUILDINGIMECHANICALi�LUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl., Everetl, WA 95201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T6 4 PM <br /> SITE ADDRESS: PROPER�TA%# PEftMiT# <br /> .� � ` /5�5 %7'T � , / .�� /�l�J,�.�/C7/ z.% � '1���7 <br /> LEGAL lor new conslmQion- Short PlaUsubdrvision_ <br /> ������;!9i`/�_.Lol No_ (aUach copy ol long legal tlescnption) <br /> OWNER �i��j/ ��� PhoneiEmaii ,�,5 �5 + a <br /> Atldress �C/� ,Z ;���{✓ r•% �jL� � �C� i CilYlStateiZip �Y ' � i' <br /> APPLICANT: Ovmer Owner'sAgent Contractor ConiracmrsAgent �Tenant�mmic�wm�aim=�oi�=�:�moomme�.��,m��.o���,,�^.�+r.+��, <br /> CONTRpCTOR C!% . � •�i i`�� ' ^/ L&I Lic.# � 1 L c.c7G � / ' )COE Bus.Lic.#l�J,SS�` <br /> -r :. '�� / A�J��/ � e„� ���SL�<C� PhonelEmail � J i ' �� !"� <br /> ndJmss � ,j p� �S <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT � n. �Od a <br /> !�?i.'i / �•✓ <br /> I �i��/"•� PhonelE-matl ..�i �; S � �^ J oQL"i�-� �� Gt7iv.«:> � <br /> BUILUING PERMIT APPLICATION CONTRACT PRICE OF WOr2K_ � <br /> Exisling Use of Buitding i i�" �iy�%Ly��'� - HEAT SOURCE: <br /> Proposed Use of Building rf'-���Z��'`�� � Gas '�i _ Eiectric_ Oiner_ <br /> Building type: Single Family _Duplex_Townhouse _Multi-Family ��Commercial <br /> Type of projecl New Atldition _�• �Remodel _Repair_TJ. _Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTIONOFWORK(atltlrtionalspaceprovitledonlheback): Ic'!ti'�1�1 ��I�1'If�`j <br /> y�'� :`JL.y'� Gr,��,'/l'1�f1'T/Ci'✓ i✓"L�r:<L/Qi„%L�: :rC.,.j�=i:.�=7:tY'/t-. .—�.'7%'T�tit''�Gr-SC-s�-z=f��- <br /> �, :;_.=,��-�-=r=, : � ��<� <br /> ��:,f � <br /> �T(�/;/7�.'�/ic%,:j11 i G)?'i-�.�L j iC =,i?cGi2- � k-=��c'r� !tl , �<.�JI r ^ 'r, <br /> i <br /> c.�i�=�X'/CF' �. !'/ �� �c: .�sa7.-'-- � ..s-l'.i^ .` �,—�r -y-, ,n f--r i, U I(i C(' '�Gl <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProjecL _New_Addn _Alleralion_Repair Type of Project: _New_Addn _Alteration_ftepair <br /> Sbow Number(N)ollixfures Show Number(N)ollirtuies <br /> A/C-air handling units I Toilet <br /> Forced air sy:tems I Bathtub <br /> � Gas piping � Lavatory(wash basin) <br /> Water heater I Shower <br /> Gas fireplace � Kitchen sink&disposal <br /> Gas range � Dishwasher <br />� Clolhes dryer I Clolhes washer <br /> Range hood � Waler heater <br /> Exhaust fan Sink(servicelbadmopletc.) <br /> � Heal pump �I Backflow preventer <br /> � Umt heater ' Urinai <br /> � Boiler , Drinking Fountain <br /> Refrigeration I Floor drein <br /> Woodstove � Grease trap <br /> Duchng ( Roof drains <br /> � Olher � Medical Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM � Other: <br /> � Number of Heads Olher: <br /> I� I hemAV«'��'�Y���;�I I Imvc rcatl.�nJ e�unune�l ihis appl¢ntion antl know I�e samo lo Uc Irue and earze[L All pwvisiws ol lows an�or0inan[es gaveming Inis lype ol vs'k r.+ll�'�co'n{::�ed <br /> v.A�v.tiriher SVecdmif licrem or nol.Tlm 9mnUng ol a penml0oes nol pmsume lo gna aulhouly lo violale o�cancel l�e piovisbn ol any olher Slale or local a:i i��9�'��� )�'. <br /> i i�.�i I am aullmriietl by Ihe ownet ol lhis iopeny�o petlorm�he vm�k lor xTc�:.pPLcalwn is made and I compN w���IOe Slale COMracbrs Law 1827 RGW una Ti6 Z(i01�`:!%�G <br /> � !%� �� / ) � _ I� � <br /> , <br /> Ovmef/Aul� rixecl.Agen1 Signa�uro Oate (Rev�setl o20t21 7 <br /> / � <br />