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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLERlDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., [veretl, WA 98201 425-257-8810 FAX 425-257-8857 vnvw everethva.org <br /> //- /S '�3 <br /> SIiE ADDRESS: . 11 PROPERTY 7A1(p P 17 /�� <br /> �� � {i GT1 <br /> LEGAL�or new conslruclion� Short PlaVsubtlrvisian loi No (ailach copy of long Ieaal tlescnplion) <br /> OWNER (�V�� 1 ��\ Pnonc/F�ma�l �ZCJ `� �� � �.QI.P � <br /> nddress �1� �QU �� }1 �,u� CitylS�atc2ip � �/''L� � � �Z� <br /> APPUCANT: Ownei Cwncr's�9en1 Comrador _Conlrador's�gent _Tenanll�,�:�c.9�+:aoaione�or�s,..-•. .�.inov,�enoao.�oa�o��oso�uq <br /> CONTRhCTOR �vnc!'• Slate Lic H Gty� :ic. # <br /> Add�ess P�one/Emad <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> Iv ��J�-- '� 1 �.J� PhoneiE�mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK _ <br /> Csisling Use ol�wlding_��,7�'"'�2 S 3Z�h'\O� H[AT SOURCE. <br /> Prc,osed Use ol Budding CO��/S�'�n� Gas__ [iecinc O�her <br /> 6wlding type _Single Family _Duplex__Townhouse _Multl-Family �Commeraal <br /> Type c!prc�ect New ildddion Remodel Repair_, f I Sign__Sprinkler Demolidon Change ol Use <br /> DESCRIPTIONOFWORK�aomnonaisnecen �idedonfhCDack) <br /> CUrr ' ) <br /> {th c,c;s�'�,} �SP2sso S�a�,� v !{1,�e p � PI��,k�'� ,5p S/ <br /> 90,�y -�o ��a�v o., uo�r_� �dd�d °'F� � ` "�5�� o�.� o�F- PJC� ��.� <br /> V 9"�Gr �"'��r, <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Project: _New_AdAn _Aileration_Repair Typo ol ProjecL _New_AdAn _Altaralion_Repair <br /> Show Number/NJ al lixNics Show NumArr(q)ol lixfures <br /> NG -air handiing units Todet <br /> Forced air systems Balhtu7 <br /> Gas piping Lavalory(v+ash basm) <br /> W,tici hr.atc� Sho�.ver <br /> Gas�heuiace K!Ichen sink 8 disposal <br /> Gas ran9r Dishwasher <br /> Clothes drycr � Clothes washer <br /> Rangc hopd � Wdlcn c�atcr <br /> Exhaus�lan Sink(scrvicc/bar/mop/cic.) <br /> Heat pump � Backllow preventer <br /> Uml healer Urinal <br /> lioiler Dnnk�ng Fountain <br /> Helrigeration Floor tlrain <br /> WooAslove I Grease trap <br /> Duclinq Roof drains <br /> Olher Wedical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I I OUier �NC1..�t�/ <br /> Numbrrpll{eads � Other. -(.' L�IC�/� <br /> Il�crepYcetlityl�aliLnvore.ulan�Cramr���dlhivoPP'�cabnun�Inuwlhe�.nmClo�etwennAwrmtl Mlpiansmnsollnw;ondo�Uinanoesqovrmmg�hivlY!'pelwrnkwi'ILycnmple9 <br /> wilnxhelper:peuGpJp^remnrno ihe7ranlln�oldDc�m;l4oesn0lp�esumrlogrvoaultiur�tylnvm6�IrricqncellrmpirvrvznolanyC�ers1,+\oorlocatiawu�gNalin9mn.Jmrnnn <br /> fnal I am nut�onrctl� �vn oi t ,piopeny lo pCriortn t�0 woh lo�w�rtl�app�iu�lion 1;ma0a anp i mn�.�ey wrl�iqe Slnie CoNraclo�s la.v IB 71 HCW an0 29B ZOJ�N'PC <br /> _ Zo,3�1�5 <br /> Ownerl onreJAgenlSipnalure Dolc 'R^v�;��d.7U07,9� <br />