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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE AODRE88: PROPERTY TAx M PEmNIT f <br /> � �u�rt�: Wn 9 rei � D - <br /> I LEOAI lor new wnalniction: S�orl PlaVtuDAWlsion Lot No._ (Ntecli copy of lonq kpel descriplbn� <br /> OWNER 0{�/U CF��s-� Phone�E•m�ll 42S -�'�'i- �b?9 OMA�QGa�/�ct .te� <br /> aamss � AvC N S��t L GIIylSta�e2ip � E sr�t!r_�t/s Wl¢ �768 <br /> APPIICANT:_Owner Ownef�ApeM Conirapor CoNrador�Apent Ten�nl��raw�a..rn.rmca�nmr�ommso.�.rmm.on�+»�cw� <br /> CONTRACTOR �FH�2 WNt��t(/CT'ZNU1�(, Statellc.k vf�+�F`19NS�WCit Bus.LIc.M <br /> ddress S�V�o P4r ��lt br �" iJ���t Ww 9D��� PhanelEmail yZS- Z�Id- ?Q71 0�1+1.rm���n,�;, er.�., <br /> P IT <br /> PhonelE�mail <br /> �UILpINO �lIIMIT A��LICATION CONTMCT PRICE OF WORK <br /> Exisling Use of Building HEAT SOURCE: <br /> Proposed Use oi Building Gu Eled�fc otner <br /> Building type: �Single Famlly _Dupkz_Townhouse _Multi-Femily _Cammercial <br /> T of ra'ed: New Addition Ramodel Re air T.I Si n S rinklet Demolition Chan e o(Use <br /> DESCRIPTION OF WORK Ieaddionei spece provioed on rne oacr): <br /> TR��uFfeQ dwNr.rN=P (�F P�rz,�z,-5 <br /> MECMANICAL �ERMIT A�/LICATION 'LUM�ING rERMIT APPLICATION <br /> Tyq ol P�oNtl: _1Nw_Addn �Att��a�lon_R�p�l� typ�of ProJ�el: _INw_Addn _rlbnllon_R�y�l� <br /> Show NumWr N oI Natum SAow NumMr /oI B+funs <br /> AIC-air handlin units Toilel <br /> Forced air s stamn Bathtub <br /> Gae i in Levalo wash basin) <br /> Water heater Shovrer <br /> Gae fire lace Kitchen sink 8 dis osal <br /> Gao ran DisAwasher <br /> Clolhes d er Clothes washer <br /> Ran a hoad Water heater <br /> Exhausl tan Sink servicelbar/mo /elc.) <br /> Heat um BackOow reventer <br /> UNt healer Urinal <br /> Boiler �rinkin Founlain <br /> Relri eration Flaordram <br /> Woodatove Greax Ira <br /> Dudin Rool d�ains <br /> Other Medical Gas <br /> sPRINKLER /EUrPREss10N sYSTEM other. <br /> Number of Heads Olher: <br /> I MnEY uNry IMt l��m roW sM euminM t�if app�u�fur,and knw IM uma lo W Irw�nd mmd.A1 prorlfbnf W Wwf anC o�6neMet poveminp I�b lyp�ol raM x�l W[ompYeO <br /> wn�w1i�t�er�p�c�f�0 Mrein or nd.Tha pmlNp d�pertnM Ow�not prewms to prvs�uNaitY�o vld�N a unul Na provnbn ol�ny oNm�I���a�oul law rapul�linp cansWclan <br /> Tlin 1 am wUiorueA C N ��r ol MN proDs�y lo peRarm���waA Iq v.�IM applicillon b matla uM I canpry wn�I�a Sbt`ContrMas l�w 1!7/RC W�n0 798 700A WAC. <br /> � (�,►5 �s �ev�sc�oQ f�,�pl�ca�;�N <br /> 12 �z �oi3 <br /> Ownvl NhorWdAp�ntSlpmWn Dete (ReviseCYt01J) <br />