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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRlNKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 987.01 425-257-8810 FAX 425-257-8857 vn•nv everethva.org <br />TE ADDRESS: <br />lor new c�nsln.:bc•, `fio:t PiaUs,...DJa��.u:`.___ ____ __ <br />reovern rnx u <br />__t nl No. <br />Phoner[-m:ol <br />�� <br />i:P�]ch Cc'Y ol long I^aal desV'�pSonl <br />ANT' .1� t i;u�...:� L.vOCr'S Aq[nl CJNfde10' COr;•.rdClCl'S r19�•i'i __. t.lr ; n�..�e �. . ....., o::i. . r�.. fro a.� ....:..a.. .. �t.r.�....�, <br />ACTOR ,A-nr,l�n �I�, i,�1bi�t[. s��ie��� �:��OL� i_iosLic�iv�3�5 ❑� x��SySS <br />aac�eas ��IU <br />TENANT BU; <br />Fh:nn -.n:� I <br />r'hone'c�in� I <br />BUILDING PERMIT APPLICATION coNrRnCT aaiCe oFwoaK ___ ____ <br />�.�_���,� u« oi a� :e�-3 ------- Hr:AT sour�ce <br />P.eposedUseclfiw'cr�________ ___ Gas_._ [Ieclric__ Olhr___ <br />Bwldmg rype _ Sing!e �am�ly _ D�plex _Townhouse _ fAulh-Family __ Cor�mer;ia� <br />lvcc ol oro�et;. Ne:i Atla�uon R:modei Repa�r __ T I S�;n _ Sp��n','c• D�mol�h�on Chang� ot Use <br />DESCRIF'TIONOFWORK �,'.,rr. �r..::. _.;;.r._ •�_, _ I„� �ki�-„�H.�,,�`}- <br />MECHANICAL PERMIT APPLICATION <br />ol Pro�ecC .__New _ Adtln ,_Alleralinn __Repair <br />Show Numbcr (a1 0l h� lures <br />�— A�C — air hana��r�q �:m!s <br />� f crced a�r syslems <br />i Gas Pq�u�g <br />I 4Vater heater <br />Fxhaust I�n <br />UcC ":] <br />Olhuf <br />SPRIWKLER I SUPPRESS <br />� N�rn6er of Heads <br />SYSTEM <br />PLUMBING PERMIT APPLICATION <br />olProjecC _New ._Addn ✓Altcralion_ftupa�r <br />Show M1'umGcr �tlJ o/ hrfurrs <br />lci.1 <br />Sht�ser <br />K�tcren sink 3 d�= <br />Uish,vasher <br />Clolnes v,asher <br />'A�ater heater <br />S�.n4lscrvice�barl <br />Bachllow preven�i <br />Unnal <br />Drm�mg Fountain <br />Plocr drain <br />Greasc Irep <br />Roctdrains <br />'Aed�cal Gas <br />o;hcr <br />Other <br />_�e[; cefdy ihat i �a: c �ca� anQ c�ammea IP¢ appSCa>: n an� Mi�n R^ 5�me lo G^ wr a�;tl ceqea� All prov�srons ot laws and eN�nanres govermng i�is tyCe ot w a* •• : M ro^�,� ca <br />:.'9..O�Perspen!ir� -.emc t1 Tnegranlingclaperr�:^.aesn^'presumeloq��ea.nrpr.tv�ovalalcorwnccltneG�ovisicnalanyoUrrsldtecrloe�llawre9ulatingcn^star.'n <br />1� si � vn annmr, � y ine trnne I l�i: pr.peny to pertorm i�e wer� Icr wp¢1� app:�cvvcn is ma�e enC I wmpry wtt+m. S.ate ConuaCors I aw 19 27 RClYand 79G 200A N':C <br />� �� ��1 If <br />� OwnedAulhu edAgc�dSiynature f'ata (Fev,seJ3:'J�J� <br />