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PERMIT Ai't'LICA i ION <br />BUILDINGlMECHANICALIPLUMBI(�G/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL. Everet�, �V.A b�?201 425-257-8810 FAX 425-257-8857 ��n•r.v everettwa org <br />SITE ADDRES:,: <br />n„,., ,...a-N <br />..�- 1XLql <br />ERN TN( �! <br />p <br />LEGAL'o� new cau!ru�_bo^ Sno�; �i,al/s�l::!r.mon l ot rJo l�ltach cc:Y ollong Ieqa: des�npbon) <br />OWNER �KLE [;lLOw1.l PnorNF:-mal ,J�ROc..v $) 4 Aof�•CdN. <br />., .�.blb �%�u �T EvEElS'i�•.,o. c��y�s�,�e�7��c EV��"Z' l.•r�A. 96241 <br />APPLICANT: qvmer _Gr�eer'sf�genl _xConlracler _Contraelor'sHgeni __Te^.nn! r..�„��:�a�,-;�•:r.-.��nr���-n�.�er:a-..:,��:r�r.;,c�, <br />ONTRACTOR HE1Z1� I <br />�f«5, R5 P�X $Sl <br />Sr.roE�.�sa �,a <br />BUILDING PERMIT APPLICATION <br />Use o` ow!Cing <br />s�aie��� u N� PPL86JN1. cey�.:s ��c �oSJ <br />^7BL9i r ����,e.,;::i ,206 - 9�(r- ol'z-9 <br />Tre�a Collie�s <br />��,3. 2oy_4nte-o4 L.9 <br />4CT PRICE OF WORK �SCn '— ZL'C_X7. ��`� <br />Proposed Use of Bu�,td�nq � �-�5 <br />Fiuiitling type. _ Single Family � D�plex _Tcwnhouse _ �dulti-Famii� _Ccmmercial <br />T/pe of pro�ec� �dew Adddion Remodel Repav _ T I Sign _Sprinkler __De <br />DESCRIPTION OF WORK rand�t�cn:d scac� a;cv dra oo.'rc b:rk) � <br />E <br />Gthc� <br />of Use <br />I NSIl�IL ��4C �' W�4TJL V�L� c.' <br />_2N /3/1S�n�,,••rr FLnc=2 <br />MECHANICAL PERMI'1 APPLICATION <br />oi Pro;ecC _New _AdAn __Alteration _Pci ..� <br />Show Number (p) ol /�xtures <br />� i'��C – au handhnq unds <br />� Forcetl air systems <br />i Gas piping <br />i Water hea�er <br />I Gas luepiace <br />Gas range <br />� Clolhes dryer <br />Ranqc hood <br />LshdUSf �an <br />Heat pump <br />UnA hea�er <br />6oiler <br />� Refrigeral�on <br />Nloodslavc <br />I Ducung <br />OtFer <br />SPRINKLER I SUPPRESSION SYSTEM <br />� Number of Heads <br />PLUMBING PEFFMIT APPLICATION <br />Typo of Projecl: _New _AUdn __ Alteration _RcO�ir <br />$how Numbw �xf ol /ixfurc5 <br />' T011if <br />uotnes v+. Sher <br />Water heaier <br />Sinh (service/bar/ <br />Bac�flow preventr <br />Unnal <br />DnnYmg Fountain <br />Ploor dram <br />Grease trap <br />Rooidreins <br />Ided�cal Gas <br />Other <br />i,e`:c ;� ce�dy ;�at I na�.e read and eaaminetl 1��5 Jppl wSan a.i� V cpn Il�e 5am^_ lo :e INe and c0:retl. A'I piowven^. o� laws an� oh'nacce, goveirv�9 �hs I�Fr cl nv4 x�.11 be cemp! r.d <br />r.�,l^. ntieUer speuGe� nerein or nol. Tno gtant��ng cl a pertml Cees not etiSvtGe lo srve aulhptdy lo viola:e or Wncel I�e provisien of any o;Yer:late c":cal qw ic]��I�Ys7 cen:W C,lon <br />i nal I �m a��Ter¢ed Cy i�e owner cl ���s �ropetly m perform i�e w9ik :or wn¢� uppMcalion is maCe �nE I comply vnlh Ihe S�ale ConlreCms la.v 19 27 F C�:' �� ][iu : Gdd :V>C <br />��--- f..:19 - / S <br />OwnrdAuthorized Agent Si9naturo Oale r��v�+ue73::0�J1 <br />