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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetriva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: VPOPERIYTA%a PQ MITt . � <br /> Z31 — C41Ce .- l�le � ir � � ��- �� � �� <br /> LEGAL�or new constmc6on Shutl PlaVsubd�v�sian_._ I.ot No___ laltacn rvpY of lung legal tlescnpUoni <br /> -}� � . ' ;� �'� , ' � �' � I <br /> OWNER �� V- �7 I V '�_ � � � � 1 --- Phonel[�mad `-f Vv� , � <br /> � 1 � ' ��+ �'• ;'�%1 <br /> Aearess �l I .1I .i.�' �� citr;5tate./zip i� i <br /> APPUCANT: 7�wner OwneisAgenl Coniiactor Con�mctor'sAgent _ �enantimmir��+���.kn»�dr.x�v�mnm�in,�.w�wn�+.�m�rewao�� <br /> CONTitACTOR .. i l � � , �:�'� ��� f I ��� L 81 Lic # - �� ���I� � C Iy� , us Lic p <br /> AAdres�; .I�1 �� ; , � I f Phone/[ma � (l Z � (�l.� <br /> TENA�T BU INES NAME � CONTACT FOR PERMIT <br /> 1 � � t. <br /> �Jo���e mL� 7�-�` ��c ^ � �c'�- <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF woRK Z UU(� _ <br /> Existing Use of Budding �HEAT SOURCE <br /> Proposed Use ol�wldmg _ Gas./�__ Etectnc_ otrier___ <br /> Budding type �Single Fanuly _Duplea__Townhouse _Mul�rFamily _Commerual <br /> T of ro ecP"�- New Addition Remodel Re av T I Si n S nnkler Demohtion Chan e of Use <br /> DESCRIPTION OF WORK(avd�nonal space provieed on t�re nacwl <br /> ��'� j�7� � � 1' �� � �� � 11 � � �l 161�1(li� l 1�1 �.�i�;l � ��- <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type al Prqecl: _New__AdJn Alteralion_Repair iype ot Projoct: _Now_Addn _A�terotion_Ropair <br /> Show Number ry)ol li+rures Show Namber(q)of/i+nues <br /> A/C-au handlin uni�s Tmlet <br /> Fqrced art s stPms Ba�hNb <br /> Gaspi in Lavator iwashbasin) <br /> Waler hea�m ShOwer <br /> 3as hre lace Kdchen sink 8 disposal <br /> Gas ran e Dishwasher <br /> Clolhas d er Gnthes washer <br /> Ran e hood Water heatr.r <br /> Fshaust tan Sink(sr.rvice%�admo letc) <br /> Neat ump Backflow prevenler <br /> Und heater Unnai <br /> E3oder Dnnking Fountain <br /> Reln erauon Floor drain <br /> Woodstovc Grease tra <br /> Ducting _ Roof dra�ns <br /> Other Med�cal Gas <br /> SPRINKLER / SUPPRESSION SY:iTEM otner <br /> Number ol Heads Other <br /> I In.�rLy i�.i1�y IL:iI I liavr u•.ul nn�t r�Andnr<I tlns ApplcADon an011�ow�r�e same lo�n�me TnJ mnV[I �1A pn rx�nns.>�L�ws an�oulinan�xl qnvn�mnq�InS[�pe nl woik wtll px�vn�yMvl <br /> w R wrn.P .� �.f 1 t rv I Ilv qianin V�I q{terml Gees nnl presume to 9�vo auMoply lo vqNl� � ..� ��I❑ � viti�u i 1' y �I�iri st tl �b-�I Idw n 9 I tl � :unslniclmn <br /> IIe11;vn:IdIwVAlYllu•��w�rinllllrcl)IoprvlylupRtlnlnitbnWOlkloiwl�rl�flpphcalKKliSmdUO(IIUI +��pl� �I ,I �.Ydlrl. 1'IUn5lnwllll]H('V'Jnn�1�1�2001YJA0 <br /> I <br /> �! � 1 �l t. ����_ � � � f�i �7 <br /> Owne �Au�ho iicd gen�SignaNre ale i��P✓�sed6:'U771 <br /> i <br />