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PERMIT i4PPLIC/1TIOIV <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereriwa.org <br /> SITE ADDRE55: PROPENTYTAXq <br /> � �J ��A-�-�_ P RMIT B <br /> ' ��Z <br /> LEGAL for new consWctlon: Short PleUsubdivislon Lot No. <br /> _ (attach cppy of lanp kpal descrlplion) <br /> OWNER (SLJgr. Q l� Qhh., J,� p�pne/E-mail <br /> AddrEss (G117 �„/��- y,L CMyI5letetip („/� �f�p�1 <br /> APPLICANT:_owner _Ownersngem _Coniraqor _ContredoYcAgonl Tnnan�fmmipmwveienaroimnmpomuye,�wt�.mn�bmey�m� <br /> coNrancroR /ti���,.� �(,,,,.., Jv(n StateLic.IFMDC/�P��r-" .��'O cit e�s.�ic.;o053�a3S <br /> nedress �7S1 S �-/1�$�- SG Sr� �,�;S[, w N 4�SZ�� I hane�Emai �}6ur a7 M�,t...Ob..,�i�� �ow. <br /> TENANT BUSINESS NAME CONTACT FOR PERMR <br /> PhonelE-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exlsting Usc ot Building HEAT SOURCE: <br /> Proposed Use of Building Gas_, E7xtnc OtMr <br /> 9uilding type: _Singlc Femily _Duplez_Townhouse _Mulli-Family _, Commarcial <br /> Type of project: _Nc,v _qtldttlon Remotlel _Repair T.I. Sign__ Spnnkler Demolilion Chan e of Use <br /> DESCRIPTIOI�I OF WORK(addilional sparo provided on t�e backj; <br /> �rc�...A, �fc� k � �/zv(�.c_ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APP�ICATION <br /> TyOP of ProjoCt: Naw AtlEn _Altoratlon_Ropair Type of Pro)act: _New_Addn AMandon Rapair <br /> Show Nam6er(q)o/flrfures S6owNumbrr(pJ o/firtums <br /> A/C-air hantlling urtits � Toilet <br /> I Farced eir s slems � Balhlub <br /> Gas iping Wva�ory(wash basin <br /> Water heater Shower <br /> Gas fireplace Kilchen sink&disposai <br /> Gas ran e <br /> I Clothes d er I Dishwasher <br /> Clothes washer <br /> Range hoo0 Walef�oatef <br /> I Exhausl(an Sink(servlcelba�/mop/etc.) <br /> Heat umn <br /> � BadcOowpreventer <br /> Unit hoater Urinal <br /> Boiler Drinkin Fountein <br /> Retrigeration � Floor drain <br /> Woodslove Grease Ire <br /> � Ducting Roof drains <br /> o�hcr Metlicai Gas <br /> SPRINKLER 1 SUPPRES$ION SYSTEM O�her. <br /> Numbcr of Naads ORtee <br /> I l�emby rnR'!y Ih�l I havo reatl nnJ�vmbxM I�h wPpSr��'vm nnd Ynow Ih�wmo lo W Wp en0 mnect AA D�'���s a14m�niM oNinnntta pv.�erM�p t�l�rype o�wom wl�ec complM <br /> WIII�M}1CNC(GpN11M 11C21f1IX nd T�1C(pnn1111�OI e pCfml�110lF IIOI p!lNfM b 1�N11 dY111M�'tp yjlNI00!Cdf1GC1 NO PIOVI]bll 019R�'01111�15NIIf OI IO�I IdW Ilg4111��119 WflllNqbl� <br /> Thef I mn wthmued 6y tte mmn o1 N�pmperty ID perrortn Ne wotic fOt w1iIN aDP��on 6 ma0e and I mmpN wZA Na Slalo Conlratlors Uw 1827 RCW and 296 400A WAf,. <br /> °``/p��-- �� 1- f S� • <br /> �� � ,. <br /> OwnedAulhadmd Agcnt 9fgnelurc Udle (Revised 3?Of7) <br />