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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/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 /> PNOPENTY TAX p PERMIT t <br /> SITE ADDRESS: s��� $L,l/D . p l�SAB/� �v�OI - <br /> �3yf��ll�R <br /> Lot No._ (etlech copy ol long lepal description) <br /> LE6AL lur new conslruclion: Shoh PlaUsuCdivision �/��� ! <br /> OWNER j'� OM�s �A�Ks o•2 Phone/E-mail �/�y'�° ��^s - �?�',�crs4 <br /> CilYlSlalelZip ��?/ Wf� ' ��� / <br /> Addresa �{3 /�G�/��`^"- d�UO, <br /> APPUCANT: Owner _OwnefsAgenl _CoNraclor _Conlrector'�Agenl _Tenen�I���vro.+ae.ienarmw+.M��+•^"^K1o°0M'0^`�"�'P�� <br /> e, ,�.c , sia�e��o.a A1�UAN//033 c�� eus uc. a <br /> CONTRACTOR�OI/.1n/�EDTST��1�T� Yj phonelEmell yJS�/ yS' �' 7 <br /> �'y/�ul✓.% 1TE. o <br /> Addrass CONTACT FOR PERMIT <br /> E E <br /> Phone/E-mail <br /> CONTRACT PRICE OF WORK � <br /> BUILDING PERMIT APPLICATiON HEAT SOURCE: <br /> Ezisting Use af Building E.S��E�'(C <br /> �ES��N�G Gas Gecttic Other <br /> Proposed Use of Building <br /> Building tyDe� �Single Femily _Duplez_Townhousa _Multi-Femily _Commercial <br /> T e of ro ect: New Addition Remodel Re air T.I. Si n S rinkler Dem�ilion C�`���e <br /> DESCRIPTION OF WORK(edd�honn�space provided on tha backl: ��s '�)y �p,�Q f QG� <br /> �i�siA�L Z G^s �NSE FTS i^'To E J`- <br /> MECHANICAL PERMIT APPLICATION <br /> PLUMBING PERMIT APPLICATION <br /> Typo af ProJect: _Mew_.Add� —Allarallon_Repair <br /> Type ol Pro�oct: _Naw_Addn _Alterallon_,Ropsir Show NumDer M u//Ixtunc <br /> ShowNumber(M)o/llxluras � TOilet <br /> q/C–air handlin units Balhtub <br /> Forced air s stems Lavalor wash basin) <br /> Gas i in Shower <br /> � Waler healer Kitchen sink&dis osel <br /> Gasfre lace j Dishwesher <br /> � Gas ran e Clothes wash.ar <br /> Clothes d er Waler healer <br /> Ran e hood Sink service/bar/mo letc.) <br /> [ahaus�lan � Backflow reventer <br /> — Hea� um Unnal <br /> i Unit heater Drinkin Founlain <br /> Boiler Floor drain <br /> ReLI eration — Greasetra <br /> Wood,tove Rool dreins <br /> Dudin � Medical Gas <br /> Other�_— � Other. <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> NumberolNeads � <br /> 'wiN HYelhcr'sDac'feC�aa nor no�i e he pran nq ol avP�II�doef nol Oremme toeyrve�t�wily locvblate w„uc el llie,paveua�o anyother�la9a or ia+l law re9 Itlinp cons��mD6ed <br /> inet l ein eNM1anzetl by I�e oaner ol Ihi9 pmpetlY lo peAo�n�he work lo��hkh epplkslron b me0e�nE 1 canD�Y'H'�h tna SIa1e ContrMa�L�w 1B 27 RCW��4 778 YOOA WA�. <br /> �� „�✓.�� /o'z/—/3 <br /> 'r r*Y Date (Revised 3/l0131 <br /> OwnedAullwrlt Agon�Signaluro <br />