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Fulma fk <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CI'i Y OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereliwa.org <br />APPLICATIONS AR.? ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS: / 0D 1 gl &V SfF <br />PRROPEERTY TAX po 2� ��.Q� P MIT # O S <br />LEGAL la n��eeTw��--consliachon Short Plat/subdwision�7�_ Lot No. Which copy of long legal description( <br />OWNERtQ71nvpQJl�i <br />STb vn (�+y��.,,w <br />PhonelCmail ,�h2s)48s'z <br />Amem <br />C <br />daress 9- i ui a �G r T{iLf/ <br />Cily/StatelZip *(� <br />r <br />APPLICANT: Z owner Owners Agent Contractor Contractor's Agent Tenant tmush prm9ea kur orrahsem som vieoxhw to oo ,wmm�os..vaq <br />CONTRACTOR J ea, Q <br />L 8 I to # COE Bus. Llc. # <br />Address <br />Phone/Email tjZ 7 <br />TENANT BUSINESS NAME �C1 � p � <br />M MI� nL STDIRACU <br />CONTACT FOR PERMIT �� uil'L 1Of <br />Phone/E-mail A�o I D l IT 7 <br />0o e a gum -arch, <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />Existing Use of Building HEAT SOURCE. <br />Proposed Use of Building 5`15W S "eE IW617 Gas Electric_ Other._ _ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family Jorrinnercial <br />Type of pro ect ✓New Addition Remodel _ Repair _ T I _ Sign __Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (addthonaf space provided or the back): <br />[j anm�uCTIM DF A 3-SToRy 9IVCF-9D0AQF Muesli <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addo _Alteration _Repair <br />Show Number (#) of fixtures <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of firtures <br />A/C — air handling units <br />I Toilet <br />Forced au systems <br />i Bathtub <br />Gas ipin <br />Lavam (wash basin( <br />Wale, heater <br />Shower <br />I <br />Gas fireplace <br />Kdcrren sink 8 disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink (servicefborlmop/elc.l <br />Heat pump <br />Backflow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />I <br />Woodslove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other. <br />Number of Heads <br />Other. <br />I hereby certty that I have read and examined this application and know the same to be Inie and correct. All provision, of laws end ordinances govemng this type of work will be compbed <br />with whelna specified hereinor not The granting dl a permit does not presume to give authony to violate or cancel the provision of any other state or local hwreguLiing construction <br />rRaLanl I <br />:om <br />That I am authorized by Ne oinner of this property to pedonn the work for which application a made and I campy Warr the Slate Coreracfors Law 18.27 RCW and 296.2DOA WAC. <br />' "t 1 V k <br />OwnerfAu hn•ix g nl Signature (�' Da (Revised f-2� 1I <br />