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t <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everelt, WA 96201 425-257-8810 FAX 425-257-8857 www.evereflwa.org <br /> APPLICATIONS ARE ACCEPTED FROM!AM TOI PM — �—/2 <br /> ITE ADDRESS: MOPfRTv TAX k • <br /> �D/U Adp�*s � <br /> LEGAL Aor new conshuclion: S�wt PlaUsuDtlivision Lot No._ (ettaM cory o11ap bpal tlesaipUon) <br /> WNER �n/. ���n/n�,.IS Pl�onelE-mail y ' L�v (lJ 2 <br /> �aas ,SG Ciry/Slata2ip <br /> VPUCANT: Owner OwnersAgent Contrador Conirada'cAgant TenaM�me�pw�w.�.n.raam«vmmn.wrrem.awome.p.nr <br /> CONTRACTOR G hc f.s ,P�vF. d <. 1 rr. L 8 I Lic.# CN 9Z` coe s�s.uo.n <br /> �ess �jN� rn �Cp F �✓� !OU � P�onelEmaN W �����'" <br /> I TACT FOR PERMIT <br /> �-�ev o�5y z�.�s�6�S3 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK i L <br /> ExisGrg Use of Building HEAT SOURCE: <br /> Proposad Use of Builtling Gas EleUric OIMr <br /> BuiMing rype: �Single Family _Duplex_Townhouse _Mutti-Family _Canmercial , <br /> T of � ' New Addition Remodel R air T.I. 5 n S rinkler DemWition CAan of Use ' <br /> DESCRIPTION OF WORK(edditionel spacaprovidedon the cack):�a� � ��h,� ��� „_,�Y// ' _ „! // II <br /> ...../ �'tYq . <br /> G�,h-�3u cu��y,�,tiu�Jh�-��->� , <br /> MECHANICAL PERMIT APPLICATION PLIlMBIN6 PERNIT APPLICATION <br /> lyp�ofProj�eC _Nwv._AAtl� _Altenlion_WpNr Typ�ofP�oJ�eF. _INw_AUdn _AlbraHon_Mp�k <br /> Show NumMr(M)o/flxfures SMw NumMr(�y o/Rrtuns <br /> fVC—air handlin units ' Toilel <br /> Forced afr s sMms ' Bathtub � <br /> , Gas ipin i Laveto (wash basin) <br /> Water heater ' Shower <br /> Gas fire lace Kitchen sink 3 di I <br /> Gas ren Dishwasher '� <br /> Cbthes d er Clothes washer ' <br /> Ra hood Water heater <br /> Exhaust fan SiMc servicelbadm etc. <br /> Heat um � Badcflow reventer <br /> Und neater Unnal <br /> Boiler Drinki FouMain <br /> Refri eretion Floordnin <br /> . Woodsrove Greax � � <br /> Ductin Roof draim <br /> Other Mediql Gea <br /> 8PRINKLER I 8UPPRESSION SY8TEM O�her. ' <br /> Number of Heads Olher: <br /> I Iro�eOy cel4fy Nel I Iwve�eed MG e+amN�eE Ilti��ppicMion a�k k�row tlM aMM lo M hw rq Cared.IN po�fqns d Iww M10 ailwa 9�^0 N4 Q'A olwal M M ConqbO �. <br /> r#n.�nemaraoxll.anaa�no.na.tn.w.nmaa.vam�aoe.naaswrorooNawroinMar�orwaw�lewpmua+a.ryan.rr«Ix�r.npa+iomisr.iwan '. <br /> 71�M I rri wMahaE M 1M aniar M NbWWMI to D�IM waR la Wiitl��OPMCMim Y nrM�tl I canOM wN 1M Stw Cm9Wan law tt 27 RCW�02%.1'ODA MMC. <br /> �- 7,1�/r� <br /> OwmMA � (�����J <br />