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PERMITAP ICATION <br /> BUILDING/MECHANICA PLUMBING! IGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 47.5-257-8857 W*w.everettwra.arg <br /> SITE ADDRESS; PROPORMAX if <br /> rr� <br /> I S 7 OOJ3vaoo <br /> LEGAL for new conatrtxston: Short Plaffaubd)%Won Lot No.- --_ (avach copy of Iwtq legal deucuption) <br /> OWNER 1Phone1E-mall Lf2S 353 07 L3 <br /> Address 1 "�h L ciolStatelLp EvLdl <br /> f'WCANT:_Owner _Owners Agert< 2< Contr8c2ar ____( ymactor`s Agent _,Tenant Ura>ai pmvde a lenar of cnneent from the ori w m cta vac h rho suaoh <br /> CONTRACTORsstata Lic, cjty13u5.l_ic.# <br /> Address ILY60 n l �[1WU C 01 /0 d PhernlFinail oo WTMANT BUSINESS NAME - y waW VQ <br /> CD A _ <br /> FhOnel!_-mailVo 0-P ,V, AA <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORT( Q 0 <br /> E)dsting Use of Sui€ding HEAT SOURCE: <br /> Proposed Use of Building etc t- -- _ teas Flecatc Other <br /> Building type: N Single Family _Duplex Townhouse Mutti-Fainly _Commercial <br /> Type of ro New Addition Remodel Repair T.I. Sin S rinlder Demolition Change of Use <br /> DESCRIPTION OF WORK(addittanai space provided on the beak) <br /> two ema-a ajeIr (5j <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Pro]oci _Namr_Add. __AEtoration F29RAir Type of Projoct _NaW_LAddn <br /> ­AtteraUon_Repair <br /> Show Humber of f Punas Show Numb- of fixtures � <br /> AIC^-air handling units <br /> Toilet <br /> Forte air systems Bathtub <br /> Gas pi ng Laval wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&die t <br /> (Sas ran" Uishwasher <br /> Oothas dryer Clothes washer <br /> R2nga hood 1 Water heater <br /> Exhaust fan Sink servlcefbarlmo eta <br /> Heat PLJMD Backflow reventer <br /> Unit heater Urinal <br /> Boller Ddnking Fountain <br /> Pe Kation Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> oftMedical Gas <br /> SPRINKLEFt /SUPPRESSION SYSTEM Off: <br /> Number of Heads Ort <br /> I hereby oartiry that I hsvm mad and examinod this app"8on and kRaw the Game to be We and Con a Aff pfavislons of{ewe anU Orman"govemin9 eft type of roof*wAi be ComPI <br /> wttn wnemar*scrod herein or not Tim granting of Parma dues hat Presume to glue authom to violate orcanoal tha p-As�n of any other state or bar iaw mauwng consbucjbn <br /> That I am aulhp(�ert py i e owner of Mis property to tho work for which eppscedan is m&da ad <br /> and i tnr"v4M VW SWO Conlr OM Law 1827 RCW M 28826nA WAC. <br /> OvrnaHAuthorlxed Agent Signature Elate (Revised 92014) <br />