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PERMIT APPLICATION <br /> BUILDIN ECHANICA PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32GO Cedar St,Everett,WA 88241 425-257--8810 FAX 425-2578857 www.everattwa.org <br /> SI I?DRl<SS: <br /> MOPEPTY TAIL 0 <br /> rCTO PERMIT# <br /> �7 c � d5 -C3� <br /> LEGA.for neer construction: short pwjauksdiviBion E of No_ (attach Copy of long tegN pn) <br /> OWNER PtronefE-rsra![ tj" 15 70— ,j <br /> ddresa -Vey <br /> Alyt'L ICANT:_Owner _Owner's agent ZC Corstntar _Cantrectat s Jlgerit _Terr>3rrf air prrnsea a t or �m mo eta an�,x n se eel <br /> CONTRACTOR Q,if-{,Y State Lia# r 1 9City Bus.Lic.# D 53 <br /> Address 06 <br /> CONTACT FOR PERMIT <br /> PhwwdE-mah 3 <br /> 13UILDING PERMIT APPLICATION CONTRACT PRIG!OF:WORK. $, %30 <br /> 6idsting Use of Building HEAT SOURCE: <br /> Proposed Use of Suildina �ry <br /> gas 4 Llac>fic OU�er <br /> Building type: _Single Famity _Duplex Townhouse _R UI&Famlly —Carnrnwdal <br /> Type of New Addition Remodel Repair T L Sin Sprinkler Demolition Change, of Use <br /> DESCPJPTION OF WORK(additional apace pmvfded on the back): / 0411 b— <br /> ci-, �Pl MECHANICAL <br /> -- <br /> MECHANICAL PERMIT APPLICATION PLUMBING P»RMIT APPLICATION <br /> 700 of Project= New Adgn __-Afteroon�—Repair Type of Pralact: �w_Addn A[ Inn Ropeair <br /> Show of ffxturaa - Show Number v;;a Wrwz <br /> A/C—air hiancift units TOW <br /> Forced air s sterns 1 Bathtub <br /> Gas Lavato wash basin <br /> Water heater ghmar <br /> f Gas fire tsce Kitchen sink&dispowl <br /> Gas rare DIShWgWW <br /> Cfothes d er Cloffm washer <br /> Range hood Water heaver <br /> E)duust fan Sinkeervioe/bar/ etc <br /> I Heat pump Blow pmyerftLr <br /> Unit heater Urinal <br /> Boiler ' Drinking Fountain <br /> I R tori J Floor drain <br /> woodstove 1 Grease tra <br /> Ductft Roofdrains <br /> offiw Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM Oar <br /> Number of Heads Other. <br /> I nasty cangy that f Reye rwo and exi m m @TIB ftvkauoa and know M came to roe trus and Correct AD pmvbJms of sews and ordirie M governing 11118 OrPe of work W1 be COmgi <br /> riM whether steed hereh or not•rhe grw=g ata penia Coes net prmme to ewe authoay b viotdls er tanrml the pravtEann of arty other state or local taw regutat M cmwnrcwn <br /> Thal I ata authorfmd by the owner of Nn property to perform the wprit fpr wnkz aptSlcaSon is made and I cornpy vrGlr tho StSta Mrdradom Law 1827 RC1N and 29a2Uga WAC. <br /> lAuthowW Agern Signature Data (f2WSW R2W41 <br />