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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT 3ERVICES <br /> 3200 Cedar St , [verett, WA 98201 425-257-8810 FAX 425 257-8857 www everettwa org <br /> i�- o6 �ly <br /> SITE ADDRESS: �ROPFRTV lA%p P Mli <br /> 2��Z �L�P�,, � ( �:.�- - 3 <br /> LEGAI for new ronsiruct�on Sh�rl PlaVsu�d�visinn l.ot No (altaUi copy ol long iegai desu�phon� <br /> OWNER .�?v - —___----PhonaF-mad - �'fiJ7 C ��l✓ V^��ii^ • <br /> Address � -,(.' 6t ���i� 7 Cny�5ta1r2iD �lc{' 7� �- O <br /> APPLICAN�: Oviner __.Ovmr1'sAgenl Conl�artor __. Canlr;�r.loisAgeni _lemmtim�.n�p�mmo.�irr���ncon+��nium!r,n.n.i�nan.�n�niurt�acc� <br /> CONTRACTOR F/ ( /n � Slatc l�c p / P City Hus 1 m p ('" <br /> nedress 5� ,i /'� /yf� �„(.6/ Sa 7 )� PnoneiFniad �/j}`- j3 % ' � ?/`� <br /> TENANT BUSINtSS NAME CONTACT FOR PERMIT <br /> Phondt �mai / �" `C `(Z\l.-� i 7 - 7 3 � / <br /> BUILDING PERMIT APPLICATION CONrRncr PRice oF woRK __ ,,, __ ___ <br /> Fxisling Use of Budding______.___ _ __. HF_!�T SOURCf <br /> Proposed Use of f7uilding_ ____ Gas Plecb�r._ Oihe�__ <br /> [3wld�ng type ___Sm9le FamJy __Duple�__Townhouse _ _MuIL Fami�y _. . Commeicial <br /> Type ol pio�ecl _ _. New _�ddi0on _Remodel _Reps�r T I _ S�gn _ _ Spnnkler _ Drmol�hon_Change ol Uce <br /> DE$CRIPTION OF WOI�K (adnrnor,ol spncn p�ov tled nn mc bacN) <br /> � /y �9��.;� �� , 1-.� ( <br /> , �- 1.��.H r T'�a r <br /> r ��Jo- �C �,�f` � 1�i..b �`_-,_ <br /> 1'L� � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc ul Pro�otl: . __New_AdTM--�tleeitton__Repair Type ol Prujecl. , Nnw_AAAnp�_Allerrllen_Repav <br /> Show NumArr(MJ al h�luics Show Numhnr(a)ol lirlurrc <br /> —� Nf: au tianUi�ng unit•: �oilel _ _ <br /> I ortetl av system; � tlalMub <br /> G%�s pipinq I nvatory(wash besm) . <br /> --�— Watcr hnalcr Shower <br /> Gas lueplace ^ Kdr.hen sink 8 disposal <br /> Gas rnnge Dishvnshcr <br /> � ClothHti dryei � SiNhes washc� <br /> Ranqe hood Wali•i hi�ntnr <br /> --� Fxh,�usl lan Snik fservu.elbar/mop/ctc) <br /> -- Heal pwnp BackOow prr.venler <br /> Unit healer Urmal <br /> f3oilci Unnkiny fuunln�n <br /> I Heingeration _ �oorar,lirt_� <br /> Wootls��ve ��''irp <br /> � UucUnq _� I Rool dra�ns <br /> OIhc� f -- � - �Medir,�IGas _ <br /> SPRINKLER I SUPPRESSION SYSTEM _ � otnr� <br /> Niimbrr ol Hr,;�ds I Olhcr ' __ <br /> 1 hi•µ�LY Ce�Ay Inol I hnve rearl mnf r.ammrd I�rs nDVI�CW�on anrl���ow iP..�,d nr In Le Irue nn7 emrccl MI pwvnions ol laws onA nr��nnnce5 gnvrtminq I�ic lypo ol�.u0 n"t,,.��r.p'�d <br /> wI�11W�1�1'1Cl50lC�I�CI��ICIP�IIIIII1tiI 111BQ�at11l19111q�1[lIIIi�COP,51101f�ri.tilil��n11)�i:OPIlIM1011��111V1�1A11.111[}n!1'lll�1.011iviilll'1<II�II1YIA111151111CI111r1r�lll.lNIP1]Ill.l'�r(IC�1'�S"..�'. i� <br /> 1 nal I nm O�dporueE pY I�e own.r nl l�is proprt�y lo pMorm i�c worllor wn�rn nnpimniron r..ma�e nM I mmpl�v�n inr•.�a�r i r. r.inc..,i n. �9'. ... rrl.'��,lnnn V.�nt <br /> ,( / _'"_'_ � �/�l/�.�/��t� <br /> Owne�oufMori:vA A ont Si_na��� / 1�5h, .. , . , . . <br /> 9 N i --_—_ , � i <br />