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PERMIT APPLICATION <br /> BUILDING/MECHANICA Ph:UIVI131NG1 1GN/SPRINKLEPJDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 88201 425-257-5870 FAX 425-257-8857 www.everattwa.org <br /> SrrEADDRESS: Jr { PROP:MTAX# PERNII # <br /> LEGAL for new construction:—Shod FiaV"WNi Bion Lot No_ (attach copy of long legal description) <br /> tZvt►NI:R ffiAier. . 11 l pi,Cd,B/�a7i@31 2C� <br /> dares i C3 l lay^d ICAY/Statemp tr V('ar ett 'AtA 4 <br /> APPLICANT: Ov,+1Bt _Owner's Agent Corrh'arstor _Contractor's Agent _Tenant Grw�wovidm a h1�r d ounawu from tho war m tlo.okG�,thel <br /> CONTRACTOR' JqM/ }-LV I,�'r ����//S,iete trylcl,.# til�� Ct Bus.Lic.# ✓.3 <br /> Address ILY6 1 ChLLf� $ � k Y 1 Pt 11C. U1 Ak 9b to Phone/Enta3! N <br /> TENANT BUSINESS NAMECONT FOR PEWIT <br /> a64 .4 <br /> Phone/E-n-mil <br /> BUILDING. PERMIT APPLICATION CONT ftAGT RfttCE OF wORK <br /> F—,ds6ng Use of Building HEAT SOURCE: <br /> Proposed Use of Building. _ Gee Memo Other <br /> Building type: _Single Famity _Duplex Townhouse _Multi-Family _Commercial <br /> T of projea New Addition Remodel Repair T.I. Sin rinider Demolition Cha a of Use <br /> DESCRIPTION OF WORK tladditionst space provided on the back): {{ <br /> o� 1-e C �oGL� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project; __J4ew Adds AMaration_Repair Typo of Project 7Z77ddn _Atteratlon_Jtepair <br /> show NumbW of <br /> fat Show Number of fixtures <br /> AIC—air h andling units Tolipt <br /> Forced air systems ( Bathtub <br /> Cas PiRlea Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&dfFosal <br /> Gas range Dishwasher <br /> Clothes d er Cloth&s washer <br /> Range hood Waier heater <br /> E)dtaust fan + Sink service/bar/mo /eta <br /> Heat pump Backfiaw preventer <br /> Unit heater Urinal <br /> Baiter Ddrfklnq Fountain <br /> Refiteration f=loor drain <br /> Woodstove Grease tra <br /> I)ucfnp Roof drelne <br /> Oih$r Medical Gas <br /> SPRINKLER-1 SUPPRESSION SYSTEM Other- <br /> Number of Heads Other. <br /> I hof*by CerVy Mat I have read and eyamined chis eppticatfon end know the same to bet" corracL AD provmon%of Fawn and ordmanc"govornmg this"of worn wig be Comp) <br /> YAM wttemer specMed heraln or noL The granting of a Parma doas not pneuma to"allthorAy to viotats or cancei the pmvWon of arty other state or local Law rearlattno conauuodnn <br /> That I am authod3odfly <br /> ythe owner of this proporJy to ptffo (the wGlk for WtSk�n appGCafon is made and t comply"M rhe Sorra Contmdors Law 1627 RC W and 296-MOA WAC. <br /> OwnerfAuffibrized Agerrt Sig re Date 912014) <br />