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PERMIT APPLICATION <br /> BI,FILDINGIMECHANICA PLUMBING! IGNISPRINKLER/DEMOLITION <br /> CITY OF;EVERETT PERMIT SERVICES <br /> 2200 Cedar St., Everett, WA 98201, 425-257-8810 FAX 425-257-8857 vw meverettwa.org <br /> I I <br /> SITE ADDRESS; PFtOA ttTYT � F rr a <br /> q l9 S 01102 �r — D <br /> LEGAL fbrfncw wrtatruction. 8?tort Plat/subdi*lon Lot No. (attach copy of long legal description) <br /> �r 3 3Z ^7OWNER nZ7� <br /> Addrass �0 K <br /> APPLIC ovenar Owners <br /> A�i1T:.._ Agent �Corrtrador _Contracts&Agent Tenant(must prwiaa a tater or wnaant from tr).crier to eo vok m a,e apaos) <br /> CONTRACTOtR, OM1 a,� Q-k' !ge g I,� / }S,tate Lllc.# G f� ct y Bus. Uc.# 10�3 <br /> Address I �U ruf f Y s l�/� f CK/�t� Jih 9D pt,,� mall 00 7�- J�o� wa�tl <br /> TENANT SU INESS NAME l N A _IT <br /> CCC r'hil <br /> BUILD ,NG PERMIT APPLICATION CONTRACT PRICE OF WORK _ <br /> Existing Up*of Building HEAT SOURCE: <br /> Proposed t4a of Suildln4 Gas I Electric other <br /> Building type: _Single Family _Duplex— <br /> Duplex_Townhouse _Multi-Family _Commercial <br /> Type of New Addifion Remodel I Repair T-1_ Sin S rfntder Demolition Chan a of Use <br /> DiESCRI ;TIQN OF WORK(additiortaf space provrrJetl Im me bard <br /> IVDU�� � l�-P,��C.0 1-�'C�i � <br /> �� � (151 <br /> f <br /> M CHANICAL PERMIT"PLICATION PLUMBING PERMIT APKICATiON <br /> Type or hrb t _N. Add. Ane"On tie it Typo of Project _—NoorAckin —Afteratton_R*Wr <br /> 5huw Number of fawres I Show mumbvr o;Av .. <br /> x <br /> AIC--air handlhg units Toilet <br /> i Forced airs tams Bathtub <br /> Gas i i Lavatory wash basin <br /> Weber heater Shaver <br /> Gass fireplace Kitchen sink$crispps <br /> al <br /> Gas ren a Dishwasher <br /> Clothes dryer. Clo93 washer <br /> Ran hood Water heater <br /> }. Exhaust fan Sink setvieelbaNmo /etc <br /> Haat pump, 4 Backflow pTeventer <br /> Unit heater j Urinal <br /> Bailer <br /> -bankingFountain <br /> Re erasion <br /> Floor drain <br /> Woodstove ! Grease tma <br /> DuctiEW Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other- <br /> Number of Heads Of r. <br /> I hmby cer*,Chet[Have read and examined tnia app9wGat and knalwthe samo to be true and Lotrea Ali proVWove of Iswa and or work yIp be comp! <br /> YAM wnether spedtled frarain or not.TTte granting w a permit rt at presume w give WWrity to vlahte or cancel tho provision of any outer state w tva�A law raguiabng conmucunn <br /> I <br /> ed by the er of this to po Rin) the rk forwhO appgcaWn is made and t cum*v&hh the Stats Contractara Lawn 1827 RCW end 296-200A WAC. <br /> Agent Slgrtature Date (F2evtsed 92014) <br />