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PERMIT APPLICATION <br /> BUILDIN ECMANICA PLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425.257-8810 FAX 425-257-8857 wWw-everet wa.Org <br /> SITE ADDRESS: <br /> R # Pgttld[T� -, <br /> 1717 (,,4 .t J1 ;kc PvOP7"e o 'z55i oo qG�� ti -C <br /> LEGAL <br /> � <br /> LEGAL for new cora=cban' Shaft FWsubdlvIsron_.... Lot Ko- (attoch copy of long ie gni deaciSption) <br /> OVMM 5 1'114 f c'oVTt; Poor rrteti ,�S © if t 51 C( <br /> Q <br /> dress 7 I / t��vrl�jwr Ave- City/Slat01Z1P F'1/ rt 1 L6�414 ✓ <br /> APPUCANT:—Ot nEff ownet-a Agent &CConb,=or Agent <br /> CONTRACTOR <br /> CQN7RACTOR _Tenar+t(must otw�ac a cr auexcria t3monuth5v.ouAro;e_r w ao�utc m�+e epec,� <br /> 0 53 <br /> Address/F60 &hard A, He(jww 4Ja wifiphorte/Ftnait Nco 7WW Zuc�kl r <br /> TFWM BUSINESS NME NTAC PERM <br /> �c64 r <br /> rr�-mall V6 0BUILDING PERMIT APPLICATION NTRACT PMCE OF WORK <br /> F�dsting We of Building HEAT SOURCE: <br /> Proposed Use of Building Gas vectis ot}�er <br /> Bullding type: _Single Family _Duplex Townhouse —Muld-Famly CommWtial <br /> Typa of pmem Npnr Addition Remodel -_Repair T.I. Sin Sprinkler Demolttion Chane of Use <br /> DESCRIPTION OF WORK(adeFt&anel space provided on the baco: <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_-,Addn A"raggn Rgpair Type of ProJact tar__4ddn _Alteration—R&Wr <br /> Show NumberM of fIx>•rues KK R�Q F Sumer Nwnber of ffxturw <br /> AJC–air handling units i Tort <br /> Forced airs stems Bathtub <br /> Gas p0im Lavatory wash basin <br /> Water heater Shower <br /> Gas fi lace Mchen sink&dispasel <br /> Gas ra Dishwasher <br /> Clothes dtyer Clothes washer <br /> Ran 9 hood s Water heater <br /> Exhaust fan Sink(aQnA0eJbar1rnoPJat0 <br /> j Heat urn Bawow rt3verrtar <br /> Unit heater Urinal <br /> Boiler ! Drinking Fourdain <br /> Refrigeration Floor drain <br /> Woodstove Grease <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM ? Other: <br /> Number of heads ' Other <br /> t hMCby Germy than i hm a reed and examined hhlr tbn and torow tltd same to bob"and conBct.Ail prnvrElons of laws and ordl tmC46 goven-Mg true type arvork wisha Gump! <br /> w ih whether sphtcMd Derain ar not.The granting of a perms dogs not prwwe to"audrD*b tdotate or wnaei th0 yraVWW of any outer srefe ar lover tiFtrf M4U1aEM PA n <br /> That 1 am authorized by tha owner of this KOPard l0 perform tha work fo W10 h eppkoon to m9do ant 1 comply with tele S 1E?cMLbatrOra Lav 1U7 RcW and 29R-2M A WAC. <br /> (t?avised 9l2Q14) <br /> OwnerlAutherfzW Agent Signature paw <br />