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PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everelt, WA 98201 425-257-8810 FAX 425-257-8857 www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM E AM TO!PM <br /> SITEAD R S ' � G�� PNOVERTYTOXM ENMITf �' <br /> /1 <br /> LEOAL lot new wnelr�cllon Shoh PleVeubdiWtlon Lol No._ (stlach copy ol lonp bp�l de�cAptWn) <br /> OWNER �- � � i 1 ouv PhonelF-mell � <br /> Addrens �j. G�— CitylStale2ip ��e'��f'� �!l 4 • �[��G <br /> APPLICANT: Ownei neY�Apanl CoMncmr ConlraclofaApent _ Ilmw�pwa�•riwawu«+�mnn.a+'^xb°°"'°'�"^°"'�'�1 <br /> CONTRACTOi� c. ..-�� 4 " ` "�� L 8 I Uc.M C����2– COE Bus.Lic.M <br /> Addrae��J �ii Q � • f—J_ honalEmell <br /> q CONTACT FOR ERMIT <br /> , Y Phone/E-meil �• G"' – � <br /> BUILDING PERMIT APPLICATION CONTRACT PRIC OF oRK <br /> Eziating Uae of Building �O�/"L– HEAT SOURCE: <br /> Propnsed Usa of Bullding_ �— _ _ Gee_ Eiecidc_ Othar <br /> Building lype: _Single Femily _Duplex__Townhouse _Multi-Family _Commerciel <br /> T ol project' New Addition Remodel Repeir_T.I._Sipn_Sc�inklar emolitlon Chan e o1 Uae <br /> DESCRIPTION OF WORK(ewdione�spece pmvide0 on mu Dack): ��� C�4 n a�`� <br /> MECHANICAL PERMIT APPLICATION PLUMBIN6 PERMIT APPLICATIO�d <br /> iyps o1 Pro�aat: _Nsw_Addn _Allentlon_RepNr Typ�ol ProJact: _New_Addn _Albr�llon_R�p�ir <br /> Show NumDar /olllrfun� Show NumF.rr M)ol flxtuns <br /> A/C–eir handlin unita Toilot <br /> Forced air s stdms Bathtub <br /> Gas i in Lavator (wash basm <br /> � Wa�er heater Shower <br /> Gas lire lace � Kitchen sink 8 dis osel <br /> Gas ran e Diahwasher <br /> Clothes d er Clothes washer <br /> Ren a hood Water heater <br /> Exhausllan Sink senicelber/mo etc. <br /> Heat um Beacllow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Founlein <br /> Relri eration Flour drein _ <br /> Woodstove Greqen I�e <br /> Ductin I Roof Jreina <br /> Olher �Mtdicel Gea <br /> SPRINKLER / SUPPRESSION SY8TEM Other: <br /> Numbnr of Heade Other: <br /> I hereCy cenAy I�et 1��ve reatl�nE eumi�ed I�n�pp6cN'�ai�nA know IM'ama W Ee Irw��M rn�m.1 A1{wwiwn�d 4�c��nU orAinuica�pw�mNq Wa ryp�o�vM w'1 W comPM7 <br /> wll�Wip��M�pacRbE Nrefn a nd.TM prMlnp d Y psnnn Eosf MY patums lo pM M�aXy lo Hdtl�a GMrt.tl tlN povbm d nY�x�IaU a bfal W 1puM1Yq con�butlbn <br /> Th�1 I vn MnatreE Ey IM v�ner ol l�it propMy t0 pMam Mw MM Ia+fiiN�OD��N m�Ea rW I canpry w1�t��Sl�la Cmbr"at Lrw 1!17 RC W���WAC <br /> ��/% ' C,Ci�— ���� <br /> arlAuthorizedAgent n� �:+ (ReviasdNl0f2) <br /> /)li1 At ..i <br />