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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vrww everetiwa org <br />F.' _ 2 /� — <br />�� <br />lor new conslrucl�on� Shotl F <br />OWNER I %1'1t -`+ch�s <br />�ddm55 � ��I MWC Jf /'/ <br />tnx d <br />ol No <br />(, ttach copy ol long Icqal desaiphonJ <br />�< 4�,/ _ 3�� <br />W/t 9bz <br />PPLICANT:_Owcei Ownei'sAgent ___Conliaclor ConliactoisAyenl __Tenanti���=�e,o«ee.�o-r.rciu�ns�-.incm�ruo.,��r.od,.cw.,:nos��c�i <br />ONTRAC70R Slale L�c q City (ius L�c ri <br />1Jiass PlionNCmatl <br />=NANT BUSINESS NAME CONTpCT FOR PERMIT <br />Y1� y'3�` <br />FhonA/E�ma�l <br />UILDING PERMIT APPLICATION CONTRACT PRICE OF WORK e Xs �� �. _�a_�� <br />Fr�s�mg Usc ol 13uddinq _--- - .— '--- . . .._._-------. � <br />Pwposed Use ol I)udd�n9.—._— ..___--_—_—_ . <br />f3wld�ng type _ S�ny!e fam�ly �Duplex �Townhouse __ __ A4ulli f;nn�ly _ Commrrr,�at <br />�YV� a�P��ler.l New Addit�on Rr.model Rrpa❑ _ T I Siqn SpnnMlcr <br />— --'-_ — --- — ���------'--- - <br />DESCRIPTION OF WORK (adnfion.n spore pro::r,rAwr I��� h.a w1 <br />P'�� i , ��Y.,� s✓h�t� 914��' � �Dz <br />. .� <br />MECHANICAL PERMIT APPLICATION <br />Type ol Projocl: _. New _AJdn __Allcration __,Repalr <br />Sho�•• Numbci (iJ ol lirfurrs <br />----T- NC - air handhnq unds <br />� 1-orced au syslcros <br />Gas piping <br />---�� Waler heater <br />��T— Ga, fireplace <br />I Cidi fii�Ql! <br />� GnU�cs drycr <br />� Range hnod <br />� E�haus� fan <br />Flcatpump — <br />-- � Um� hcatcr <br />--- j — botler ---- — <br />-- �__� RelnqernUnn _ <br />! Woodstove <br />Dur.bny <br />---� � Olher 1��- 4'� � 4�] <br />:tPRINKLER I SUPP ESSION SYSTEM <br />Numbcr of Hcads <br />HEl�T SOUHCF <br />a, Fiednc _ Olher __ <br />Ocniol�hon _ Changr. ol Use _ <br />'�`a,�—�., ( � Q�h ek � <br />PLUMBING PERMIT APPLICATION <br />olProjocl:_Nc�H_ Addn__Alloratlo�___Repalr <br />Show NunrberlMl o//i+luies <br />UaIh1uG <br />Lavaton <br />Showcr <br />dnckllow pre� <br />Unnal <br />UnnMmq Four <br />Flonr drain <br />Grease hap <br />Roof dra�ns <br />Med�r,al Ga5 <br />Omei <br />Olhcr <br />I Iie�c9Y �:����ly t�ai I hnve icaU anr� emmined IIuM1 a��pbr i� nn mid Vnuw I�c samc lo be Irue a•�d cuned All piCv�s�onf ol laws ond nMinanrn•, qovrming ibt lypn ol worY vnx ^� � umpbn�f <br />w;tpwneNer;p^ufrAherrinoinul Theg�nnlingnldpelm�lUvefnolprrsumetoqnuaullionlylnvielalemcuncelllioVrowHonulunyo!nerslat<o�lo[a�la.virqalalmqrrn•.P�,in.,,ii <br />thal I �xm/ Jaui�oauil �Y �I�e ownrr ul i��i y�operly lo prrtmm t�e waA lor wfufh nppl�.uilron i, �i�ad! anJ I.aniply wUh tAa ;lalc CwdraAon law 18 77 NCNNn� 17�1 7GJA P:l,1; <br />/�/� ��T <br />OwncrlAulhorie JontSignalurc —V" Ual„ (llcvr.,,d+::nr:i) <br />