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PERMIT APPLICATION <br />BUILD ING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DENIOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-0610 Fb x 425.257 8851 wwvw.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM / — 3 /'- t`I <br />S!1€ADDRES .1 gV'/t <br />'SW <br />, O <br />PROPERTY TA 0 <br />P Mlt 1, <br />LEGAL to, nry construcllon Shod PlaIJsubdlmsmn _ _Lot 1:o (ailach "py n' Inrq IcgaCr;cro;lo�n) <br />__.-__— <br />OWNER I Ali'll tut Tech 4 /ll._( <br />Phone1C.mdi1 <br />Address 005 J 01L S/ ti W ICIty/Stale/Zip <br />Sba• If %J VA NO I <br />APPLICANT: _.Owner __G+.oer: Agent _CcnYac'.rr _ Contractors Agent YTCn3^1 .-vv .ea„,..—.�<••:.. r,�L-­-.,ee.. -In•,;.:. <br />CONTRACTOR <br />L A I L,c X COE Bus. Lic. p <br />Add,es; Pnore/Email <br />TENANT USINL 5 NAME Ct11a+ Ardess <br />V Zvi <br />CONTACT FOR PERMIT <br />J coal <br />an/one/E i^a.` r30ed IXEiLs4(,Qg 4,J1. <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK -4 --O-. <br />Existing Use of Budding _ _ __ _ _ HEAT SOURCE: <br />Proposed Use of Building Gam Elacvk_ Other <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family i Commerclal <br />Type of project New Y Addition If Remodel Re air _ T I _ Sin _Sprinkler Demolition Chan a of Use <br />DESCRIPTION OF WORK (addfionalspaceprowdedonmebaca) eX(NAAL IiI 4Akn4e.t 0 H 6 site. <br />Odd 3 Atw 21Z LkS , 'add ? qrw OAkAA4I-S r <br />d 4 4ew JVrif P144JOil"St AJ; I /Irw &Id ftoVt <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: New -_Addn _Alteration __ Repau <br />Show Number (X) of fixtures <br />Type of Project _New _Adds __Alteration _Repair <br />show Number (f( of nXturef <br />A/C - air hanclIng units <br />I <br />Tollel <br />Forced air systems <br />I <br />Bathtub <br />Gas in <br />I <br />Lavatory (wash basin <br />Water heater <br />TShower <br />Gas fireplace <br />Kitchen sink 6 disposal <br />Gas ran a <br />Olshwasher <br />Clothes dryer <br />I Clothes washer <br />Range hood <br />Water heater <br />Exhaust tan <br />Stnk semce/barlmo letc. <br />Heat pump <br />BackRow preventer <br />Unit healer <br />_I <br />I Udnal <br />Boiler <br />I Drinkfna Fountain <br />Refrigeration <br />Floor draln <br />Woodslove <br />I Grease trap <br />I <br />Duchn <br />Roof drains <br />1 Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />I Other: <br />F. <br />Numb^r of Heads <br />Other: <br />1 hweby (#" NM 1 have read and aumned NK appketain and enaw the Slme to be true And cared All pmrhbns of laws and adinances Omlim'ng Ws type or woO wP be comPOed <br />vAh wrladmr speeded hereh a na. The granting of a peima does net presume 10 give 8UtWTY to vb1a10 a canCO11M pONsdn Of eny oxen State or bra' law mgulaing conSWCUOn <br />that I am sWwdred by Me owner or this properly to pedorm Vw waa lo, ;Wi,ation b mode and Immpry aeh the Stale Cenbseldm Law la?I RCW end?ea.?NA WAC 1 Own Authorized Agent Signature Date (RrwsM d/70111 <br />Il <br />