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PERMIT APPLICATION • <br /> BUILDtNGIIlIIIECHANICA PLUMBING/SIGN/SPRINKLERIDEMOLITtON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Ceder St., Everett,WA 98201 425-257-B810 FAX 425-257-8857 www.everettw .org <br /> oT. Irr04) 00 <br /> LEGAL for new construction: Short Plietteubctivisirxr Lot No. 6tieGii copy of Jong fugal cli=ripticri) <br /> OWNER )i <br /> Owner OWnereS AGerzt COrttrCaOr , <br /> CONTRA' CTOR tijac5h/771 Yak, ailOSISIste # 40,45/42Z4Valir City Bus.Lic.# 5391-19 <br /> Addres Irt60 itC/j/Le 41, AI 13(litvw ala q?0,0.5phonwE„,a gc0-91r45W 1A-0-iv,frigavri <br /> TENANT BUSINESS NAME •- -. <br /> kl —61- SjA-EF <br /> BUILDING PERMIT APPLICATION • -. OF •• 12 •' <br /> I, <br /> Existing _ SOURCE:HEAT <br /> - ••• .L• Use of Building Gas Electic Other <br /> BUrlding type: Single Farnny Duplex Townhouse Multi-Farnily Commercial <br /> Type ofprojeeti New Addition Remodel Repair T.I. Sign Sprinkler Demolition _ Change of Use <br /> a/ AIM_47 bajrj-- j <br /> keArylotfrok Epla-(-c <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIOTN-1, <br /> Type of Project New Arkin _Alteration_rtopoir Type of Proloce Now AdOn _JUL-radon Ropair <br /> Forced air systems Bathtub <br /> Gas pipinst Lavatory_(wash basin) <br /> Water heater Shower <br /> Gas fireplace ICrtchen . ors& <br /> rangeGas Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump <br /> • <br /> r131 <br /> Other w- C. <br /> SPRINKLER/SUPPRESSION SYSTEM — Other. <br /> j Number of HeadS Other. <br /> 1 hereby oerOty that I have reed and examined thle pilar 8nc1 know Ute sJma tD b.true and cermet All pi-widow 4!taws end orcinancas gavemtno th©type al wait writ be corn)! <br /> with whotncr Spada d nasal or not The graotiog of a permit Coes not peratimt to give auUtordy to violate or czntrei the provision of any Mar slate W local low regulating constorctIon <br /> Thal 1 • •ed by/the owner of BTL'property to perform a work for which nobliCation i5 made end I comply filth the State Contractors Law 18.77 RCW and 285246A WAC_ <br /> (5- <br /> ownerl / <br /> Authotizcd Agent Sigrt� .aro Date <br /> (Revised 8(2014) <br />