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PERMIT APPLICATION <br /> Bl.'ILDINGIMECHANICALIPLUMBINGISIGN/SPRIN KLER/DEMOLiTION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-d810 FAX 425-257-6857 www.everetnva.org <br /> SITE ADDRESS: FftOPERTY TAX N P�RMIT p <br /> �03 4�' ST �v�et ;aA D - 0 <br /> LEGAL tor neH tonstr�U�o�� Shon p�aVsuD�ivlsion Lot Uo_ (att,Gry copy of long lega�descnchon) <br /> OWNER IIM np�('/� PhonelE�maii �/LS "3�`� ' �7�Z� <br /> AQdress Ciry/Sta;e/Z�p <br /> /1PPLICANT:_OHner _Owi��Y5Ag2n; CCr,Ir3C10t _ConlraCloYSAgen1 _ ier�nlim�a:p�:.�:e�ier.no:c�rar.i�':cm:nee.vs::vaor.:am'nes:aui <br /> CONTRACTOR � M Q.��S �v �� Stat=L�c.# CAMpbiy/)MS CityBus Lic � O�/97 <br /> naaress . PdC Y/ atio�aiem��i �-/aS— 2S9 — ,5d'4� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phon?/Email <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exishng Use o1 Bmlain9 __ HEAT SOURCE. <br /> Proposetl Use et Bw�l�;ng Gas Eiecmc Otner <br /> Builtlingtype� ✓Singlefamity _Dupt?x_Townnouse _Pdul;rFarnily _Commercial <br /> T oe of ro�ect New Addmon Remodel ReDair TJ. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WURK�aayc�onai space a�o��ded o�,me�a�a) �� �; . <br /> jn5-���/l ,73uc-�t �J�.c- I/cu..2e �� �'ise.rv...T :� 2 T/oo.e �+".w-i ¢ <br /> GAPp.'.� i% �rtuD S;n/� o(io,,., <br /> Mf.-.LHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type oi�'rojecC _New_Addn _Alteration__ Repair Type of PrqecC _New_Adtln _Alteration_Repair <br /> Show Nr�nber(0)ol fixtures Show Number KI ol�rtures <br /> � ^�vC—au handlin uni�s Toilel , <br /> Forced air svstems 6athtub <br /> I Gas PiP!n�__ Lavato wash basin) <br /> Water healer Showcr <br /> Gas Gre lace Kitchen sink d d�s osal <br /> Gas ran e D�shw,sher <br /> Cloihes tl er Clolhes washer <br /> Ran e hood VJater heater <br /> Exhaustfan Sink servicelbadmo letc.) <br /> Heat um Backflow revenier <br /> Unit heater Urinal <br /> Boiler Drinkin �ounlain <br /> Refn eration floor dram <br /> Woodstove Grease tra <br /> Ductin Roof drains <br /> � Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Olher: Gl.;n,u I,�w✓ �� ^� <br /> Number of Heads Olher <br /> I fiere�y ceNty Ina11 have mad an�e.ammea In�S apvl!cilpn antl inow Ine same lo Le We ana Coned.WI pTvrsbns oi laab ana aNmances qoveming Lhis rypu ol woM1 wdl pe tvmv� <br /> wn�w�etncr speei0etl�crcin or nol.ihe gianhng ol a pem'�i!Cocs nol p:esume 10 pive av;honly lo vulale or cincel tOn p�ov¢�on ol any ol�er stu;c or laufl Liw reguULng ccnsLvcLen <br /> That t am auel�on:etl by Ne owner ol lnis pmperty�o pc�lorm Ac n�oA lor w�c�ao�'.c'fl�on is maUe unE I wmpy w�N ine Sia'c Cont�aclors Law f 8.27 ftCW an�i96 200F WAC <br /> (f//�L/[�.n G �✓�W`�' �/�7�5 <br /> OwnedAuthorized Agy t Si�nature Ua�e (Revised 92014) <br />