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PERMIT APpLICATiON <br /> BUILDINGIMECHANICAL/PLUMBING;SIGN/SPRINKLEI�/DEMOLITIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX q25-257-8857 wtvw,everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PpOPEflTY TAX k PERMIi N <br /> �OG�-`"�a _ 30 3 -D <br /> LEGAL tor new con5lrucUon: S�oh PIa05uEtlrvision lot No (allach copy o!long Iegal tlescnphon) <br /> OWNER q-� •. q,t-V\Q.r PhoneiE�ma�i a5-�S -0 03 4w1¢- .a^�-iy� ,(C�n,� <br /> naa�ess (415 L�iro�ti�t,u""J.__ cny�siaic�z�e CvLLr�1F l,J�k �iSa:.t <br /> APPLICANT:_Cwner �OwneYSAgen� _ConiraG!o� Coniraclor'SAgent TC�.ltll(nus�pmrqeak�e�efmcwnlhcmOoownn!oCowoAmPoepuw� <br /> CONTRACTOR q_, p � ylL, L 8 I Lic.# GU� 'I"E'�T �O4�rEZ. COE Bus.Lit. #Ol(00�£ <br /> tldress ��� � C._1 �j�-Cj�CX�.t��^- PhonNEma�l d-�' (��'i.�.%�.�1� ¢N(a� � � ,1�, <br /> TENANT�USINESS NAME CONTACT FOR PERMIT- ��, <br /> .J�a�s G�-rv>>r � <br /> � '�Q.�`I\ ���L— Pnonae�ma�l �-�' ��l •(�(oG; �QK,t;_�+!C4��N� CC�k <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICeOFwORK <br /> Exisling Usc ol Bwiding `�P�.'j�pn_��� HEAT SOURC[: <br /> ProposedUseofOmlding �Otcf �tpu;Jl--'T ��z���_ Gas Eiennc otner <br /> Buildiny,qpc: �'.SingleFamity _Duplex_Townhouse __Mulfi-Family _Commercial <br /> T pe oi projecf. _New _Addition _Remodel _ R,; a�r TJ. Sign_Sprinkler Demohtion Chan e of Usc <br /> DESCRIPTION OF WORK(,idm�mnal sn�«P�ovrdeo ao the bacti): <br /> 1 a� �,w,n. ��i�lm� hv�s� ��. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APFLICATION <br /> TypeolProJecl: _New_AJ�n _plteratlon_ftepalr 7ypeofPro�ech _New_Atltln _Allerallon_Repalr <br /> Show Numhcr(a)ot lixtmes Shaw Numbcr(a)o//irNrcs <br /> NC-air hantlhng umts To�let <br /> Forced,ir systems �.Ihtub <br /> Gas pi in Lavalo (wash basic) <br /> Water healer Shower <br /> Gas firePlace Kdchen sinY.&dis osai <br /> Gas ranqe Dishwashcr <br /> Clothes drycr Clothes wa,�er <br /> Ran e hood Walcn c�atcr <br /> Exhaust lan Smk Iservice/barlmoplele� <br /> Hcat pump . f3a[kllow prevenlci <br /> Umt I�ealer Unn-I <br /> Uoiler DrmWnq Pountain <br /> li�lrigeialion Ploordiain <br /> Woodslove Grcasc Ira <br /> Ductin Roof drams <br /> O;her Mediwl Gas <br />' SPRINKLER / SUPPRESSION SYSTEM othcr <br /> Number ol Neads Other. <br /> iurmAyccmYllialllmvem:Wandeoiimnc0lhoapplcnbonavdAnowt�es,mialo�alruennJmrtecl Wlprov�siorootqx�anaonlmnncnpovenfnpinutyyeolwoikm�lpmm�:pl:eq <br /> wn�wt�ulne!5p�riM1eJ bCmin o!nol,i�o pmniinp ul a pemM Joef nni piccnme lo pke aut�only t0 Nolalrt of cancd ICo prod;ion cl any dhe�slaln or lowl liw ifpoBlinp Cnnsmrunn <br /> l l��tl I am aell�oriicA Uy Ihe ownCr oi Vi e Ompr�ty tu pertonn Vie woik Inr wluch appLcn�nn m m�dn nn01�'umpM wlh No Slale Lontmclaa Lnv 70 17 RC W.•n�130100A t4A([ <br /> C�? N/�— s -�- � <br /> pwncuAulhodzedA9ent51gnxlura Uate (Rrvrs?dW:077) ` / <br /> Z <br />