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PERMIT APPLICATION <br /> BUI,L®IN ����PLUMRING/S#GNISPRINKLEP,/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cellar St- Everett,WA 98201 425-257-8810 FAX 42&257-8857 www.everetwa.org <br /> SnM ADD3.Mt y P7K01 V TAX 11 <br /> Tf-goL4 <br /> G <br /> LEGAL for new conutruwon; shod PtatlsVbdtvisir}n __ 'Lot No_— (=oh copy QF long legal descdpbgn) <br /> ! 7 <br /> dWNPR Phpi�-mail <br /> areae �� ✓t s vevlte�rp 1�'L'►� t. . , 61c <br /> APPLICANT;_ r _0wtWs Agent 4Con*aitar _Contractor a Agent �Tcnam(must Indo��o!owrrnt from rho awr.r m do evrR 6 cam� <br /> CONTTiAGT®R <br /> State Ur—3x <br /> city Bus.i i .# 10 <br /> Address � 'ab RIC�(Lf' S 0[L� I OPhoWEmeir goo W4599 <br /> A <br /> >� R ROIIT <br /> 1q—c" <br /> PholrelE-rnall ELI ,9" A <br /> BUILDI"G PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> usl}ng Use of Buttding — HEAT SOURCE: <br /> Proposed Use of Bu'sicring _ _ _ Gas E7ecate Ottley <br /> Building type: _Single Family Duplex Town house ^Multi-family _Cornmerciat <br /> .IYR2 of New Addition Remodel R it T.I. Sign <br /> _Sprinkler Darnolitiorl Change of use <br /> RESCRiPTION OF WORK raddttbrwl space pmvidW an tea eactcl: too,1 <br /> W,l:HANICAL PERMIT 0000ATIR PLUMBING PERMIT APPLICAT16K <br /> Type of Project _New_J4ddn ___pkorati&n_Repan Type of"—I� A —AdWn Afteratlon— Repair <br /> Show NUMber .of ftwres - a Shoum of}lxnaos <br /> AIC—airhandlin nits TDA i <br /> Forced air s stems Bathtub <br /> Gas pipI L&vatta wash basin <br /> Warr heater Shooter <br /> Gas fire face t Kitchon sink& Deal <br /> Ccs <br /> ramsf�i�in�r&aPtar <br /> Ciothes'+rE er <br /> Cloti'r washer <br /> Rays a f►tspd VS i& heater <br /> Exhaustfan Sink Servicelbar/mo c�Lc <br /> H5at um <br /> i BadQ{ow yenw <br /> Unit Freatsr Udnal <br /> Boller n Fountain <br /> Refrl carallon floordrain <br /> Woodstova <br /> DuctingRoof drains <br /> Qtr Medical Gas <br /> PRINKL9R I SU PPRralI N SYSTo t Other <br /> Number of Heads I O <br /> I neretsy=-I.VW I have Mad ttnd examsee4 this aPpksbw end t nc w me rime to be We and CormoL AD pmvtstons of leave ar,D ornAW0ft 9oveMing t"tsps of wwtr vd be curnpt <br /> n M Ymether 4edned herein cr not Ylw grEnMg of a paint dopa not p�urrtg to eMe aVtharSiy to O"le or Donal the t at wq ogler Mete or ia.ai taw rsg>,�gt fl cbnstnn urc <br /> 7 hal 5Y the owner of this praperp to perform tAA work for appkac on is made and I�aomp$with the FNAs Cormsc =LzW I 27 RCW dna 2wic aA wAc. <br /> OwnedAuffrarized Agent Stgrta4.Ira, Data (f2evrSe4�/2Q14) <br />