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10/21/2p13 MON 15:20 FAX <br />� <br />� <br />�ooliooa <br />P�RM�T ,APPL,ICATION <br />BU�LDINGIMECHANICAL/PL.UMBING/SICN/SPRINKLER/DEMOLITION <br />CITY OF �VERETT PERMIT SERVICES <br />3200 Cedar 5t,, Everett, WA 98201 425�257-8810 FAX 425�257-8857 www,ev�rettwa.org <br />APPL.ICATIONS AR� ACC�PT�D FROM 8 AM TO 4 PM <br />SITE ADDRE$$; PROPERTYTAX ft P MIT tl � <br />-�--I-�f-t—►I�nl1 '�. „�'►u�.,�-i� � i � i U -(� �� <br />LE(3AL tor new constructlon: short Plet/eubdfvlelon Lal Na. (eltpch copy of lonp �eg�l deacrlptlon) <br />OWNER ��O � Phonel�•mafl 0.SI CD,SIIO W� - U�a . <br />Addresa "K � , CIty/SlatelZlp � �y� ��� ( <br />APPLICANT: � Owner _ Qwnar'B AgBlll � Contrpctor _ Controcior'a Agont _ Tenenl (m�sip�o��d. o Imlto� o�ann�eni kom Ihs ownmr la da µnrk�n �ha RpFCBJ <br />GUN'TRAGTUR � L& I LI�. �! � CxJ �Q CO� Bu6. L�C. # <br />Addreae � �, p� Cj�� PhonelEmall �.� — 3� —'� � �5 <br />TENANT BU51NE S NA J � � f � <br />N�a �n� , Dcfi: (',b,�e,l�C. 1,(.w���l ��-b�;z �-z�� �aa- �g�� <br />���� •��`'U l �� PhonelE-mell g � (/� <br />BUILDING PERMIT APPLICATlO CONTRACT PR(CE OF WORK <br />Exlating Use of Building HEAT S� <br />Proposed Use of Building �1] l� � pao_ eiacb <br />Bullding typ0: _ Single Femlly _ Duplax „YTova�nhouse ,� Multi-Femily itCommerciel <br />Type of pro�ect: _ New Addltlon - Remodel �,BeAalr� ,I, Slgn Sprinkler Demolltlon <br />DE8CRIPTION OF WORK (eCd�tlonel spac� pravlded on the back)' <br />^T"�a,�� b� �u�o� r�oo-F oU-er �u5fit� Co�.c�-�c d ec�-. <br />J <br />MECH4NICAL PE RMIT APPLICATI�N <br />of ProJ�ct: _�faw �tltln _Altsretlon �Rapalr <br />Show NumDer (�� of flxturea <br />A/f' _ eir V,a.,.�iln„ ��.,ite <br />Ran e hood <br />ExhAugtfgn <br />Heat pump <br />Unit heater <br />Boilar <br />Ftefrl eratior <br />Woodstove <br />Ductin <br />Other <br />SPRINKLCR / SUPPRI <br />Number of H <br />. C�rt.,, <br />0 <br />U90 <br />PLUMBING PERMIT APPLICATION <br />Typa of Profact: _Naw _Adtln _Altaratlon _,Rapelr <br />Show Numbar (#J of flxturea <br />� Tollet � <br />Bathtub � <br />hower <br />Itchen s <br />Ishwasf <br />lothee v� <br />later ha <br />BackFlow preventer <br />Urinal <br />Drinking Fountaln <br />Floor drain <br />Roof dr2ins <br />Medical �as <br />Other; <br />Other <br />I �ere�y certlry lhet I lieve reeU end exeml�ed lhl� eppllcatlon nnd knrny the �¢�me fo be Irue and corrmcl. All provlalons of le�wa and ordlnancea eo�cmine lhl� lypo olwork wlll be complletl <br />wiRi whetl�er 9pecined here�n or nol, The BrwnUap ol a parmll doaa nal preeuma to 91ve aulhorlly lo vlolale or cancel the provlslon of nny othor elnte or local law roqulaNnq canetrucUon <br />Thn( I em nulhorizcd b ownar of Ihla oporty ta perform lhe work tor whlch eppllceUon le meUe ana I comply wAh Ihe 9�ete Contreclors Lew 16.27 RCW end zBe.2oaA WA�. <br />� <br />wner uthorlxe Agent Slqnatur� D i���� <br />(RAvisad 6/2072) <br />`I � <br />