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R�RMIT A,PPL„I�,A,TIQN <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cadar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvnv.everetlwa.org <br /> 21D <br /> SITEADDRES � VpOPENTYTA%k <br /> � '� I , _ .l�_��� ERMIT4 <br /> �„/Cfl(• �5 —�� <br /> LEGAL(ornewconsWclion. ShotlPlaVSuDEiv,slon �ol�'o._ (aBachcopyollonplepaldesuiption) <br /> OWNER PnonrlE-mall . <br /> Aadress <br /> c�vis�di��p <br /> APPLICANT:_aHner _pwaehngenl _Coniracter _Contracto/sAgenl Tenontl�+s�¢n+eoorcwnw..en:omo.owm �m�.onmm..paa� <br /> CO4TRACTOR /V7UG,� y �t-.riA(n � S�atel.ic.qMocn[( -*'�),f (� Cit e�5.u�.a053(o3S <br /> nCEress �7s� 5 `f�f`S� Sy S�w `+n, 4�5 7(s� 6'S6U <br /> 's� w N 4ssZ�u Phonc/Email � . � M,��i3,,�.,�,� , �ow, <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> P�onc1E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use ot ewlmng HEAT SOURCE: <br /> Pmposed Use of Bwldmg Gae__ Elednc Otner <br /> 8mlding type' _Single Fnmily _Duplex_Townhouse _Mulll-Family _Commerc�al <br /> Type of projea� _New Atltlttlon _Remotlel Repair T.L _Sign . Spnnkler Demolition Change o(Use <br /> DESCRIPTION OF WORK(add;6ona1 space prov�oea on rr,e oecp): <br /> r/� i� fl � L (ou� �r�-.C�Z s <br /> MECHANICAL PERMIT APPLICATIJN PIUMBING PERMIT APPLICATION <br /> TY�QofProJect: _Now_Addn _Altaration_qopolr TypeofProjoet: _New_ACdn _Alteratlon_Ropair <br /> Show Numher(a)o/lirtures S�ow NumDcr(p)ol�atures <br /> A/C—air handling units I Toilet <br /> � Fotced eir sys�ems � Bathl�b <br /> Gas pi iny Lavato (wash basin) <br /> ( Water heater � Shower <br /> Gas tireUlace Kilchen sink&disposal <br /> ____ Gasrange � Dishwasher <br /> � Ciothes d or Clolhes wnsher <br /> Nanqe nontl Water heater <br /> I Exhaust lan Sink(servicelbar/moplelc.) <br /> _ Heat ump � Backflow preventer <br /> Unit heater Utlnal <br /> I Boilcr Dnnkm Fountein <br /> Rofngeralion � Floor dmin <br /> Woodstovc Gmase ira <br /> Ducting Roof dra�ns <br /> Olher Medical(.,as <br /> SPRINKLER / SUPPRESSION SYSTEM other. <br /> Number or Hc�ds Other <br /> I��ieby q�R�y IA�I Il�nm mnE nnC ev�mhed Ihis n�ph.i4on�nd Mow Nw snme lu�o We u�M m�mc1.AO piwhbna ol Nwp OnE ONinenie�OOvlmi�g��la rype al�mM1 wi]pe wmpia4 <br /> wM�MMe!epeolM IK•eln a not.TAe prm�itrq W e yenill tlaet nat prtsvme lo gNe auNvrOr b vbLilo p oMcl Ne p�mbbn Ci Cny Ot�v:tn10 0�bml Ww�eB�leWig cp�uWtllon <br /> TTeI I em anhoriteA 6�Pe a�nn cf NU ptcyeriy to pelfOrm Ille nviR�Of x11tl1 aD0��1IS maCe arld I wmpW W7A Ne Slaio Canl2Cors L:1w iB.)7 RCW end 298 700A WAC. <br /> �.��`---- �-.2�(S� <br /> OwnedAuthorimd Agenl 9lgnelurt pal0 (Revited 3/101JJ <br />