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� � <br /> PERIVIIT A,PPL1��4i�OM <br /> SUILDING/MECHANICAL/PLUMBING/SiGNlSPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, �NA 98201 425-7_57-8810 FAX 425-257-8857 www.everettwa.org <br /> SITEAi�RESS: I� r PROPERTYTAXp PE IT# � <br /> y <br /> �S' � <br /> LEGAL for new conslruclion: ShoA PlaVsu6tlivlslon Lol No._ (atlach copy of long Ie�Jal descnption) <br /> OWNER ��Ly��� [�iv��S PhonelE-mail �d 1 �3 � ���j <br /> Atldre55 City/Sta�e2ip <br /> APPLICANT:_Owner OwneYSAgen1 Conlractor CanlraelofsAgenf TO�BOt(mv:tO�M,foolenerolmmonihamPoavnerroCowaMinNvspnm) <br /> CONTRACTOR /V7 UG✓� ��uw, ti(n � state uc.p Mocn(��X' .7,J (� .Cil Bus.Lic.#�$3�o S S <br /> aedress �7s1 S �-�(s`S} SC Srw �n���, W �� �(SlZ�rU PhonelEma �76ulcn� hf�..-.�lw-,�inc �aw• <br /> TENANT BUS�NE55 tJAME CONTACT FOR PERMIT <br /> PhonelE-mail � <br /> QUILDING PERMIT APPLIrpTION CONTRACT PRICE OF WORK <br /> Ezisting Use of Bwltlino HFAT SOURCfl: <br /> Proposed Use af Bvilding Gas__ Eiecmc Otner <br /> Builtlingtype `�SingloFamily _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: _New _Addition _Remodel _Re air_T.I._Sign__Spnnkler_Demoliiion Change of Use <br /> D E S C RIPTI ON O F W ORK(addiuona�space prov�dod on mo oack): <br /> �'t�sdz.-11 (j�,r�/ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Pro�ect: _Nnw_AUtln _Ailoration_Repnfr Typo af Projocl: _Now_dddn _Altomlion_Ropalr <br /> Shotv NamDef(d)ol lix(uros Show Numbcr(p)of�xf�res <br /> A/C—alr handling units Toilcl <br /> Forced air syslems Bathtub <br /> Gas i ing Lavalo wash basin <br /> Waler heater Shower <br /> Gas lireplar,e Kitchen sink 8 disposal <br /> Gas range � Dishwasher <br /> � Clolhr,dryer Clolhc�w�sher <br /> � Hanqe hootl Walcn c�ater <br /> � Exhausl lan Sink(service/badmop/elc.) <br /> licat um � BackOow preventer <br /> Unil haatcr Urinal <br /> Boiler Dnnking Fountain <br /> Refngcrat�on Fioor drain <br /> Woodstove Grease tra <br /> � Ductinq Roof drains <br /> omer .Metlical Gas <br /> SPRINKLER I SUPP'RES�;ION SYSTEM Olher. <br /> Num6er of Hoads OIhOC <br /> I�anrAy ui�Ay I�al l�nvo mad nnE rnminod 1��;npyl!e�lian antl Inaw Ihr come�u be Irue nnd conect Mi pmvi;bns ol lmn nnE o�tl�nnn¢e poveminq IN�lypn nl worh wil Ce compi�ee <br /> wep�mviner:pa W¢a M1ereln or noL The 9rvnling of u pertnll Vocs nol prtwmu lo ytvu oWM1oitty la vlotalo ot wnuol Ne V�'/�+lon ot eny olMr sto:c ar lou�l IaH rc9ulalln9 tonslmcllon <br /> inaf I:�m avfnorieed bv Nv a.mer ol�nL^pmperry lo perto�m ine wvrx rorvMlUi appllwllan 1;maEe ond I wmDN'a'��h I�o Slalo Conlraelo6�oH 18 27 RCW oM 7761C�A V�AC <br /> ��� s a 7� <br /> OwnerlAu�horired Agnnl Signaluro p;�ic (Rev�SCd 3?DiJI <br />