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�ERMIT APPLICATIO� <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everetlwa org <br /> SITEADDRESS: \\2� Chc'p„v� V� PROPERTYTA%p P MITa <br /> v �.1 9 Zo 0 —�7i' <br /> LEGAL lor new ce�sliucUon Short P'aVsahtl��visio� lol Vo_ (alL.cn copy ol IOng le9ai oesa�puon) <br /> OWNER ,'��` �'� 11�•4� G�� ��+{C._ Phone/E�ma.l ZO Cn " �Z�- �B � I <br /> nCaress \l"Z,\ Cn AdC� G�y�51ate2ip E'JeKf.��W 9$Z0� <br /> APPLICANT:_OwnCr _Ownur'SFgeni _CUntta[tof __COntidGlOr'sC.glnl _Te'nart,-,..io-.�:++�e"���:�:n:x���a:nne:��:•.�ou.c��r.m.sF�:e) <br /> CONTRACTOR ���-��` ��n ��U'�b� SlateLic # ��uTt1eP193oZ Crty �us L�c tt0��{OS1 <br /> nCd�ess ,$�09 � i� � Phone/Ema�.l �`zs I �� 1 J <br /> v�yy�� O <br /> CONTACT FOR PERMIT <br /> PhoneiGniaA <br /> BUILDING PERMIT APPLICATION CONTRpCT PRICE OF WORK , <br /> Eaist�r�Use o'9wlCirc_ HEAT SOURCE <br /> PfOG05C'tl USB of Bu�IdinS Gas_ Eleciric__ Otn�r_ _ _ <br /> Budtling ryGe _Smg:e Family _Duplex__Townho�se ,h1ull��fam0y _Co.^�mercia� <br /> Type ef prolec; New _Adtl�tion _R=model _Repair_T 1 _Sian_Spnnkler_Demolit�on__Char.qe of Use <br /> DESCRI PTION OF WORK�add�nonai space p�ov�eed on tne ea;+l <br /> C�.P�ac� �-c��,�o.ae.C"' Vo.\�eJ \"Y�1ie,� �ov.s� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Atldn _Alloratian_Repair Type ol Pro�ecl: _New_AAdn _Alleration Repau <br /> Show Number(p)ol liitures Shaw NamOw(a)ol h+fwes <br /> NC-av hantlnng units i To�lel <br /> Forced a��systems �athtuD <br /> Gas p�ping I Lavatory(vrash bas�n� <br /> WBler hedier ShO��sCr <br /> Gas brepiace K��tchen s�nk 3 tlisposal <br /> GaSranqC Dishwasher <br /> Clolnes Cryer Ciothes washer <br /> Range hootl Water healer <br /> Exhausl'an Sink(servicelU.r/mop/elc) <br /> Heai pumU Backllmv prevenler(msitic bltlg) <br /> Urol heater Unnal <br /> �o��« Dnnk:nq Pountam <br /> � Reingcra�ion Floor Urain <br /> ' 4Vootlstove � Greaselrap <br /> ' Uuct�ng Roof tlrains <br /> Other � Ided�wl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Otner <br /> Number o(Heatls Other <br /> I�eieGy cehdy tnot I have read and e�amineC 1��5 appYwLOn a�d Yno.v�nC same io De�rvr an0 co�recf All pmn:uns ol Wws ana o�a:�anws qwerm.ng in�s�ype o�r.ak h^:i Ue comp:-eU <br /> x+fn x�emn s,ec`�ea here.n or rei i�e grammg o!a pe�m!aoes r,�t p;esume m gne autnemy�o aoa�e or ca�cei��e 0����s�on cl any o:�er ataro or iocai ia.v rca�l inng conslmn.o� <br /> Tha�I om a�^o��¢rG�� i�e owner o in�s pro0eny w pMmm ine v.ort ior wmm�aoc cabon�s maCe ana�compN�n���e Siate Commctors la�.�B 77 RLW an0 25fi 100A Wn� <br /> i���,��� y-27- l� <br /> OwncrlAut�onzcd A9enI SignaWrc Daie (Revi5etl4?07�1 <br />