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� ( n, llo3—� a> <br /> PERMIT APPLICATION 3 -►6 -ti <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICE8 <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810—FAX 425-257-9857—www.everettwa.org <br /> �vruc�noMs�Accevteo Faor t w to s vr <br /> arreaoonesa: wk MOiE11iYTAMN � ve��r• •-o`a'�- <br /> LEOAL fa naw conswabn�. Shat P�abwhaniean �a r+o._ (■nacn co�or w�q ie�i oew�Wion) <br /> ER G P��•^�� — � <br /> City/StatdZip � � <br /> ONTRACTOR L 8 I Lic.M `'{ 1 <br /> esa �� �' 7cX Phone�Email '� 1 ' <br /> N� \ � e.l Pw`��'1�1122p�CSl. . � <br /> Php�dE-mWl <br /> �UILOINO �lRMIT A�LICATION coKTRACT PidCE OF woRK <br /> ���u.e or e��a�� D W e \►rci MEA?SOURCE: <br /> Propo6ad Use of Buildinp d 17��.�C Y�� Ga� Ele�tic Odier <br /> Buildirg rype: �Sinpb Family _Dupbx_Townhouee _Muld•Family _CommurGal <br /> Type of propct: �New _Additbn _Remodel _Repeir_T.1._Spn_Sprinkbr_Dsmolition_Ch�nps of U�e <br /> Dsscnption of WoAc(eadrtrona�apece provrdea on Me bad0: a�� <br /> ��sto►� �us �;w.�pwcs. +- oc�a� Uc•5 p�pe <br /> ww you mrwa worwxw.xnoue.P.m�nz _rea �No <br /> MlCMANICAL �lRMIT A��LICATION rLUM�INO �lRMIT A��LICATION <br /> Typ�dProNet: _!Mw_Addn _Alhntlon_R�pHr typ�dProNel: _INw_Add� _AIMrMbn_Mpdr <br /> SAow Numb�r o/flrfursi Shor'Numlv o/ll+turr <br /> AIC-atr handlin unds I Tdbt <br /> ' Forced av a stems Balhtub <br /> Gas i in Leveto wash basin <br /> � Water heater Shower <br /> Gas lire lace Klichen eink 3 dls 1 <br /> Gas ran e Diehwashe� <br /> ' Cblhes d er ' Cbthes washer <br /> Ran e hood Water haoter <br /> Exhaust fan � Sink servicelbarlmo etc. <br /> Heat um � Backflow revenler <br /> � UnA heater ' Urinal <br /> 8oder D�inkin Fountain <br /> � Refn eration I Fbordrein <br /> � Woodstove Grease tra <br /> Ductm Roof drains <br /> aner I Mea+u�Gn <br /> s�RINKLlR / sU�rRl8f10N fYSTlM othx: <br /> Number ol Heads � Olhsr. <br /> I hereGy certiry tnat 1 have resG an0 examineA lhia apdicauan and kraw ttie ume lo Oe true arM corroA.NI povi�ans ol Irvn�nd ard�ptwernirp <br /> lhn tYPe ol Mwk w+ll be oomWied�Ih whether epx7M1eA Mre�n a rrol Tha par�tnq of a P�d dosa rot 0��lo pw wAMrity b rldoM a Cuiol <br /> Ihe provision ol any othar elale a bcal lew repula6rq consWction w tM perlpmanca ol conatruG�m.TN�1 am aWimieO Dy IM oww d Ws propsity <br /> to peitam the�ak lor v.� i�twn�e metle aM I compy vnlh tM State ConuaGon Law 18.27 RCW and 298.200 WAC <br /> � Q3�/Loj201 � <br /> OrmaNAulNb ad A 1 Slpn�turo Date (MnNCT/101 f1 <br />