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PERMIT.AP: CATION . <br /> BUILDINGIMECHANIC :PLU.IK•BINC'/ ION/SPRINKLEPJDEMOLITION• <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201• 425-2578810 FAX 425-257-8857 www.everetlwa.org ° <br /> ME ADDREsst �� TAx Pewrr;f <br /> Zc� O ,,,,�o r e�D bfl�o 4706 —b <br /> L.EOAL for new constmam Snort P1Atubdtvisiort Lot No. (attach <br /> �copy of tong legal desmi�on) <br /> GWNER PhOrA/E-mail r Z `i' 1 ly <br /> dress 413 Z tC> cltYl3tatPJT.rp Cve � -6 <br /> APPLICANT:_Owner —Ownet'aAgOnt , 'gCantrscler _C;onVaMftAgent _l�ruarlttrotP at�srercam«afioiurAeowwaesrm�ehrAs paw) <br /> CONTRACTOR l smte tic.# 1.UR N city sus.Uc. D 53 <br /> drbas J8'00 chu.rS k , effurG(ll q�� PhOr1e�►r:rtaTi 7� bvaoW r <br /> TENANT Btf N GONTIACT FOR FeWIT <br /> p90900 <br /> SUILQING.PERMIT APPLICATION CONMGT PWCE OF WORK <br /> 5daft Use of Building HEAT SOURCE: <br /> Irroposed Use of Building Gas Elecbia Othher <br /> Building type: Single Family _T,Ypo Duplex Townhouse —Muld-Family _Commercial <br /> ofi t0 Neiu Aiddition <br /> —Rom al Re it T.i. Sign S rinlcler .Demol1dM,__Chwve of Use <br /> DEAGIOPTION OF WGRK(additnffif apace prov*bd cn ffsa bwM <br /> two v a, (,5j <br /> MECHANICAL PERMff APPLICATION PLUMBING-PERMIT APPMCATION <br /> to-of Project Naw--A"n ,Ntberat o kepatr TYPO of Project: Now-1ddn t papain <br /> Show Number of t9 how Show Numbw tvof lbrltrras <br /> IVC-eilr handlin .units Toilet <br /> Forced air systems, Bathtub <br /> C38a i 1 Lh wash basin <br /> Water heater Shower <br /> Gas m lace Kitchen sink 8 crisposal <br /> Gasra a Disfiwasher <br /> Clothes Q r Clothes washer <br /> Ramp hood Wafer.heatsr <br /> Extrausttan Sinn servicelbar/md etc <br /> Heal pump Backflow pmventer., <br /> Unit heater Urinal . <br /> Wier Drinidna Fountain <br /> RaMciem0on Floor drain <br /> Woodsk" Grease tra <br /> DuRoof drains <br /> OtherI Medical Gas <br /> SPRINKLER•I SUPPRESSION SYSTEM Other. <br /> NuMW of Pleads Other <br /> I belly Cer*then 1 neve read end OMMed this eppH Bdm and know the same to f e•true An0•Coirw2.M psavWns of taws and ordu==e govemhg.thi6 typo ofvm*v its be epi <br /> Wph Wne tar sallied beFeb ornat The By=dng of a permp dam not pmaimo to"au0wft to violate ar cmad.lba ptovte m of ww ohhermts arkw taw rapom wine <br /> That i %u—1 Ce ed by the owner of phis p 7/`pLerfonn the riork forMitall apprxatfan is ne$Cp and I.comp>yr wlih the Slt6e COMeasenra E ew 18.27 RCW anQ 280$ON+WAC. <br /> rfAutharl&@d Agent SlgnaWre ate ` (RWsed W2014) <br />