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RERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBINGISIGN/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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRE3S: ����� 6p0 � a0 P li �— 'Z� <br /> B 2G � <br /> LEUAL lor new mnstrucuon S�otl Plat/suean�sion Lot No_ IattaU copy of bng legai tlescnptanl <br /> ONMER �LL�^GflS .SD�U PMne�E-mail t�S " 2��'ds0� <br /> A�lress �ri�G U���P� e G+y/51a!eZp � � <br /> APPLICANT: O+.ncr OMnersAgent �Cmtractor ContractorsA9ent Tenant��vu��a.r�.�a��»^�^^�^�•^^"^�a^0�"'•'"'^•"'d'� <br /> CONTRACTOR ('Jn�i� pn {�/lC�- •� LL— L 8 I Lic M v- vGI�� M OE Bus. Lic.N 7 /� <br /> A6]ress � Qk �7l� S �(LY7L✓•� "y' PhonrJEmail �J ';3 '��� <br /> TE A B E..S NA E CONTACT FOR PE _ <br /> I �:�.✓�S S��.N'/�u <br /> N � PhonelE-mail 2 ' 3 'G K <br /> BUILDIN6 PERMIT APPLICATION CONTRACT PRICE OF WORK / �� <br /> Exisling Use of Building .S�IC HEAT SOURCE: <br /> Proposed Use of Bwlding ��� Gas C E�ectnc OIhM <br /> Building type: �Single Family _Uuplex Townhouse _Mutti-Family _Commercial <br /> Typx of projert� New Addition Remodel ReDair�C�,T.1 Si n S nnkler �emolilion Chsn e of Use <br /> DESCRIPTION OF WORK(admrmnaispace pmwdcaon tne oack)� � ;/ ��LS � s '�� o f �L� <br /> ►�epl«e ��s�- � be<t�, .s u��or� �s c n r�� <br /> ho✓YJe ��i�7 GMU, -�-p,lr�2*,o,�l , /�n� Vp�,�n� �K.^�-,'k�uocte 1'�Tlb� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJact: _Now_Atldn _Alloretlon_Repalr iype ol Pro�xt: _Naw_Atldn _Alteretlon_Rapelr <br /> ShnwNumDer(q)o/pirturea SfrewNumber(N o/flrtures <br /> NC—au hantllin umis Toilet <br /> Fo�ced air systems [lathlub <br /> Gas i in Lavatory l,wash Gasin <br /> Waler heater Snowe� <br /> Gas Gre lace Knchen sink 8 dis osal <br /> Gas ran e Oishwasher <br /> ClOtheS tl er Clolhes wa5her <br /> Ran e hootl Water heater <br /> E�haust lan Smk (servicelbarlmop'etc� <br /> Heat Dump 6acktlow prr,venter <br /> Unit heate� Unnal <br /> Boiler Drmk�n Founiain <br /> Refri erauon Fl�wr drain <br /> Woodstove Grease tra <br /> IDucting Roof�ra�ns <br /> Olher Medlcal Gas <br /> SPRINKLER 1 SUPPRESSIOH SYSTEM O�her. <br /> Number ol Heads Olher. <br /> I�PreCY u'nM mel 1 heve r�•n�enel eaemnM Nn ep0��✓�Rnqv Ihe snme lo Mr true enU mrtecl Pl provwm�c11aw+mE w7nenfe+Wvemnp Mu Iype d wat wa Ge mmpfe0 <br /> .M�r.�eNm eperfiM�nnn a nol T�e prenYnp d e perrn�Eoea rwl pnumrt b pvt�eu1l�aMy ta rah�le a�erwsl IM pronsm M anr dhtt sYb a bul bw�spuWrp cm�lnxtbn <br /> l�el I em euVimreO by IM ownee ol mn prop ro pMmn la w��:h epVk��a meUe rW I umpN wiM Ih^S�ele Cmbndon Lew 1B 77 RCW eM 2B8 N1U/.WAC <br /> �/J� ^ � <br /> .� <br /> OwnerlA�NAurizadAgentSlgn , Date (R°viseO6201Z) <br /> 1/� <br />