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03/15/2�12 16:16 4254389340 FASTSIGNS PAuE 02/02 <br /> • • <br /> PERMIT APPLICATION <br /> BIJILp1NG/MECNANICAL/PLUMBING/SIGN/SPRINKLER/DEMOUTION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425•257-8857-an+nv.everetlwa org <br /> APPLICATION9 ARE ACCEPTED FROhi 8 AM t0 4 Pld <br /> 5(T b����R� . \V r�o��T X � O� O PERtAI 1�.U� —UU � <br /> LEGAL�or ne+,con;lrucfi0�' Shoh PInVSUtHINs!on � Lot No._ (altech copY o�kna iegni eescnpllon) <br /> OWNER �� (� �� � Phone/E•meYT��� ��'��� hl 1 �C�1} <br /> FCtlress �7'�Y KD � CIIy�5�me2�o � � 1 � ` <br /> CONTRACTOR '� �(/IV L 81 LIC.N 1J � 11 � <br /> Add�csS 1 � C/`� �j'�� � � � . W Pnonc/Emall � "'J O� �q � <br /> TENANTUUSMESSNAMF CONTACTFORPERMIT <br /> G-�-2�A-���I� t�u,� Ph'",E.a�;;c M}��2�� �zs-� o-. �a��� <br /> BUILOING PERMIT APpLICATION CONTw,ci PRicE oF WOR ' 1 3. <br /> ExiStln9 U9C of Bulldl,�g HFJ1T SOURCE: <br /> 7roposetl U9e ol BuOtling Ga� Eieatri� oUer <br /> Bullding lype: _Single Fam!ly ,_Duplex_;ownhou9c ��dulll-Family `CommerNel <br /> Tyvo ef pro;ect _Now _Addlflon �Remodai _Repair_T.L_Sign_Sprink�or,Demolition_Chango ol Uoe <br /> De9cMpllon ot Work(nddlfiona�soace proWeed on fhn bxc�Q: <br /> � c�r�+�. mo►�Mc-���rr� �; Pu,-�c�- � �tio� �oos <br /> Havc y0U 9firted working withOUt p pCrmit7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBINO PERMIT APPLICATION <br /> Typo of Pro)eet; _Now_Adtln „A�le�nllon_RAp01� Typo ol ProJrct: _Now_Atltln _AllereUon�Rapalr <br /> Slro�vNum6nr(aJ olOnurns Show NumbnrfpJ or n.rures <br /> A/C—airhandb'np�nfts Toilet <br /> Forced sir s slems Bathtub � <br /> Go� I In LAVA!ary(wash baein <br /> W3ter hemer Showei <br /> Gas 9rc lote K�!chCn Slnk R msposal <br /> G99 fA�aB D„h�,vn:hef <br /> CIo�hCL tlf�Ct CIo1hM V.•lLnPf <br /> Ran o hoad VJaten c�olef <br /> Hxhausl'dn SiOk tpNIGClbP!/rt10 1MC. <br /> Hcel um Beck'low revon!or <br /> Unit haulcr Urinpl <br /> H"L^r Ddnkln Fountaln <br /> RCldpr.fB�1D1i Flnor drNn <br /> WouJslovo Greaso Ira <br /> Dueling Rool tl�alns � <br /> Olher �dedlcnl Ga6 <br /> SPRINKLER /SUPPRESSION SYSTEM otnor; <br /> Numbcr of Heads �� OtAer. <br /> I hetCby cCHify�hpl l hnve rr,nd nnd CsnminCtl�h19 nppllemlon nnd knav l�0 5�m010 be frue Dntl COff9cl.A�I pfoylilINlB ol IPwe BqOINdif1.9n:C5 QOVOrnnp <br /> tnia type ol work wili be wmplletl rdN whother spoeifiotl hemin or net,Tho pmnling al o permlt deee nol pre9umo lo piv0 6utnority lo violelC or Wneal <br /> Ihv p�aNrAon ef nM a�her elnte or locel Isw requletlnB con,lNCtlon of Iha pt�rtortn9nCC ol Cone WCtlon.7tl�t 1,m ouVwrketl ty IOe oxn�r ol tnl9 p�opeity <br /> fo pCtlo�m Ihc wofh fo1 W!11Ch nD IiC01'On Iq rtl0tle Bnd I comply N1ff11h0 StBfp Cofllre[IOfS LB•.V 7827 RCIV pnd 296 20011V�C <br /> �^ S- �� <br /> O�vn.rinuthori[C� Agy Slp elu Dxte (!7c✓scJ7/fJvf) <br /> � <br />