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PERMIT APPLICATIOId � <br /> BUILDING/MECHANICAL/Pf�UMBING/SIGNISPRINKLER/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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM i z -ao-i 3 � <br /> SITE ADDRESS: '��� f1 ��, I/ � /� PNOPERTY TAX p PGRM�7 f + � <br /> 1�1 1' 1 I��/ <br /> LEGAL lor new construction� S�ort PiaVsuDAivision Lol No._ (atlacB wpy ol long legnl descnp600) <br /> OWNER ,)`V1��� Y 1 ���i� � PhonelF-mail �-1 c"� � � 3�1 � L' <br /> AAERSs c�l,ll l' � 1 1 V 1 (�. .,)� Ciry�s�ate/Ziv , ��I UYY� � S V 1 � ��)U�D <br /> APPLICANT: Owner OwnofsAgent Comredor ConlradorsAgent TBnanllmunp�ow:eo�morwnsem�nmeo+.ie.muowc+nmsspaml <br /> CONTRACTOR ��VG� , (J� l 8 I Gc A ���G1 � n- � p ,OE Bus Lic # <br /> Adaress l � � � t',-V i ���1 �y��!� P�one/EmaA 1 � ?�jZ.' I vU't'- <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT / p <br /> l'L p �1 �� <c<y7 1 <br /> PGonelF inail � �� ��.�-" �t�". � � V�J� <br /> �UILD!NG P�ERMIT APPLICATION CONTFtACT PRICE OF WORK f��Ul � <br /> Ezistmg Use of 0wldmg HGAT SOURCE. <br /> Propose0 Use ot ButlOing Gas Elednc Olher <br /> Bu�ldmg type _Single Famdy �Duplex_Townhouse _Mulh-Famity _Commeraal <br /> T e of ro ect New Addi6on Remodel Re air T I Si n S nnkler Demo:iUon Chan e u(Use <br /> DESCRIPTION OF WORK!addrtiona�spacr provided on tne oecx� <br /> �,(,{1�1 ��1,( �� "�1 v�� L( C�i <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPIICATION <br /> Typo ol Pro�ocl: _New_Addn _Altnrotlon_Ropalr Typo ol ProJocl: __Now_AEdn _Alterallon_ Ropeir <br /> Show Number(M)o/�rtures SAow Numbor(M)ol/irfuma <br /> NC-ah handlin unrts ioilet <br /> � ForCCd a�r s stems HaIh1u11 <br /> Gas � m La�ato (wash bas�nj <br /> Water heater Shower <br /> Gas fve Iace Kitchen sink 8 d�s osal <br /> �i05 f3f1 C UIShw�ShCf <br /> Clolhes d er Clolhes washcr <br /> Ran e hood Waler hr.ater <br /> Exhaust fan SinF service/bar/moplcic <br /> Heal um Backflow prr,ventr.r <br /> Und heater Unnal <br /> Boiler Dnnkin Fountam <br /> Reln eraUon Floor dram <br /> Woafslovc Greau�Ira <br /> Duclin Ronl Arains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM otner <br /> Number ol Hr.ads I 01hr.r <br /> '�enpY rnNly I�N I�ave��aA xnd eumi��rl l�is nPd�pn enrl Mnaw I�e c�me In ly!bur en0 mmsf �II promvnna d Ww�xn�uiUmnnufs puvrmmp I�i�lypr ol v.urk m%M rnmpSM <br /> ++1�whelhe�speaMH�emm nr nrtl i�e gran�np W a p'rm�Aur not Pmeu¢n lu f�vt a�.��nnly tn haLitn m rnnnl��e pmvvan M nn�M�v Ca!e nr lorul Lrw requlmnp mnqmrfmn <br /> iM11 em eul�omoE Dy I�n fwnm ol Nn pIOP�Yq ����u wark Inr wrnN n �y'r.maAu nM I mr�ply wnhJh.�tiuie l:nmr.�oa L.'w IN 71 RGW aM 748 t00�WFf. <br /> - � j. ( <br /> % I <br /> � � ` \ I <br /> i � � �\ � t � � �� <br /> OwnorlAuSho A A �n�pn�t Da . (Revrr,��c1 N.'0�71 <br /> ... ,.� `., . <br />