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PERMIT APPLICATIOf� <br /> BUILDIfVGIMECHANICALIPLUMBING/SIGNISPR{NKLER/DEP�'lOLITION <br /> CITY OF [VERET7 PERMIT SERVICES <br /> 3200 Cedar SI., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evcrettwa.org <br /> G -\t -IS <br /> SITEADDRESS: PflOPERTVTA%u P ITp <br /> ! �er�-�- n t.0 w � aa-e� 505- Z <br /> LEGAL(or new ccns�mUisn Snorl PlaVsubdivis�on Lot tJo. (avor,�,copy c;long legnl aesn�puon) <br /> - - — ��_3a2-I(oiL' <br /> OWNER i�ll n�`-f Pnoneir.�a�i Yobr j . ' 1� . :�n�.C.+�^ -.vl" • rl'� <br /> ,>>cr„�s �(12 �-. �� e��y�s�aierz�p .�':.fd-4'. I.JA �i S'(O/ <br /> APPLICANT:_O�aner Owner'sPgenl _. _Cen�ncta _Con;ractcr'sn�ent �[ ie�am,m„�.�,-.��,e-.,,r��,�-��o-�c�o..�•�me�•..,n��m,...,«I <br /> CONTRACTOR I �� < '�� I State l�c :.`�4AS�/y:�O��S mrr�, Cdy F3us L�c k�2�• <br /> 3(.�o h7� -i <br /> Atldre;s a O� � , � �,,; ��� ��qn 1 IJ�P 9�. PnonelEmail (�f�� � . .�..Cp>h"� <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT � 3G,o- �7� _, 3�3 <br /> LUr;e.-���r <br /> � ��� ��'C�, ahonelE ma�l �O�:P�. �1Q -S�c �� t� .C�j(�'1 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK `� <br /> Ex�s�ing Use o�Bwlding HEAT SOURCe: _ <br /> Proposed Use ol Building Gas Electnc pmer <br /> f3wlding�ype�. _Singie Famdy _Duplex_To•:+nhouse _MuIlrFar^ily _CommerGal <br /> T- e o! ro�ed�. Nw� Addilion Remode� Re a�r T.I. SI n S rinhler Demolilion Chan e ol Use <br /> DESCRIPTION OF WORK�admnona�spaco p�oviveoon me n�:k). <br /> r� ��c.c� �_j �2x, �-; �5 �;,5rc�����S�J ,1-i, t-tz.J n�!,�-nn��'l <br /> lp�k-r S;J r, cl' ; ;�r�5 �z� <br /> NiECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Project: _New__Adtln _Alteralion_Repai� Type ol Project: _New_Addn _Alteralion__Repair <br /> ShowNumher p olfixfums ShowNmnber tl o!(ir�ures <br /> NC-mr handlinq im�t; Toilel <br /> Forcetl a�r s��s�ems �aRnub <br /> Gas i mc Lavatc wash hasin) <br /> Watcf healer Shower <br /> Gas firc lacc Kitchen sink 8 Ais osal <br /> Gas ran�e DisM�asher <br /> Clolhes d er Clolhes washer <br /> Ranqe hood Watcr hr,a�er <br /> Eal,acst lan Sinh servicelbar/mo letr,. <br /> Heat wrn� Backllow �reventer inside bldo <br /> Und heatet Utinai <br /> Bo:ltr Drinkinq Faunt.iri <br /> Refn eralion Floor tlr,in <br /> Woodstove Grease ira� <br /> Dur.lin Roof drains <br /> Other Rted:u�l Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM Othcr <br /> Number of Heads Other <br /> I tIPIGDy cCN'y Illd;t havC ICdd B9j DttTlICt1 Vll:p:C"C.lLpp.tf.d kpON 1^e SdP`i`•o�C:NC dnd[�'ICC:.NI P��+�'-�c�:01Idw5 dnd Htl:naff.e5 SOVMnir�9l�:t Y�e 4'wOM NP.100 Lamp <br /> LhnfiCihefr 'OOcf^..'�Ce.�a 'cl Ti,a9 l';cta�e�m��ces vlLresu.e or c' I�,� .yl. alp'ee�ctr �.I'�epm•onc`�n�e:horstato0.l�[alldw�epolatn�cc�5lvcl.on <br /> T �r. .�foved�Y -e uHm� Inr p epsM ta GeAer.n,he wan lur xn...h,p. c.u�n��m �.and I ccmc Y rh Pie SvCe Ce'TaUor�L�«1 d 77 RCY!a�.l 2�6:00A WAG. <br /> ,��?�;��;,��--� s�is/.s� ��� <br /> OwnedANhorized Agenl Slgnature Da;a (Frnre7 d20757 <br />