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� � <br /> PERIVlIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM .-I s �—I <br /> SITE ADORE55: PROPERTYTAI(p PERMIT4 <br /> y o •. o� �� J --' 1,5o2e o��s�147niSo��o� \a -b 3 <br /> Q c^ �� � <br /> LEGAL tor newmnskvcUon Short PlaVsuDd�v„�onp�v���t `.��-�L- �J Lol No � � altach copy ol long Icgal descnption) <br /> � / NA�. <br /> OWNER �jT. y�v��NT �- RUL J�dv� � O - Phone/E�mad �-�Z$ • . '"5^- [ <br /> Atldress ,(> >jp pyVh CilylS;ate/7.io LVG E l/�1 `Q" 1 � ZD..J <br /> APPLICANT:�Onner _OrmefsFgent Ccntraetor ConlracloYSAgenl _Tenant;.rmiyo.�m.v�a•�oi�,,s�,ummineo.»m�ioaa.<a��:+�,:o.,ce� <br /> CONTRACTOR G�✓�FEt.�CY GO�1' QUCa—lGu L 8 I Lic. # (yA.'F�tyLl COE Bus Lic.i7 <br /> A�dress �I�'J � � �� IpZO?J Pnonel[ma�l "'ZS - �jrjS' �� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �yA�.i t���►16i-�M1'�S <br /> 'L u12�t�-!_14\tLCN(tE <br /> GJMv�I�:. Ati U�n;1J�:�= Pr,o�a�E-mad '2�.2SL�z�S -V.�C�2<�.�•L� �4, - -.c '� <br /> BUILDING PERMIT APPLICATION CONrrucT PRICE OF wORK �si o00 �-- <br /> ExisLngUseofOutldmg� . � MI=aGF��J�Ttl1 , USS c;�. _ HEATSOURCE�. <br /> Proposea Use of Building �'�-V�nE .4� C=K�CT�a6 Gas EieUnc_ Othcr_ <br /> Building type� _Single Famdy _Duplez_Townhouse _Multi-Famtly �Commertial <br /> Type of pro�ecC New Addilion Remotlel _Repair Sp TJ. _Sign_Sprinklcr__Demohtion__Change of Use <br /> DESCRIPTIONOFWORK(aed:ro�a� pacep�ovitledon(�eDock/: d �•'� • <br /> ZEA-R-7J°caE�.:. c���« r�c�—La� T—�62 E-t� �G.�C�J,— us-C � tL1CLJh�-Cs:�-co,us F� <br /> GiM��c�EE� ` C�;sroV��L�-5 . <br /> MECFIANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICAT:ON <br /> type ol ProjecC _New_AdOn _Altera�ion_Repair Type ol Project: _New__Addn _Alleration_Repair <br /> Show Num�er(d)o!Iiktures Sho v Number(p)ol lixtures <br /> A/C-atr handling uro;s Totlel <br /> Forced air systems �alhtub <br /> Gas piping avalmy(wash bas�n) <br /> Water healer ower <br /> Gas freplace Kd irn smk 8 disposal <br /> Gas range Dish� �sher <br /> lothes dryer Clothes vashcr <br /> Raqge hood Water he er <br /> [xh�ust lan Smk(servic /bar/mop�etc.) <br /> Hea�pLmp ❑ackllo�v pre ntcr <br /> Un,t healer Unnal <br /> Boiler \ Onnking Faunla�n <br /> Rclriqcralion Floor dram <br /> Woodstove Grease trap <br /> Ducl�ng Roof drains <br /> Othcr Medical Gas <br /> SPRINKLER I SUPPRESSION S STEM Other <br /> Number of Heads Ot�er: <br /> I nerc�y u��1�ry Ihal I Ouve rcaC ana e+amineC It�is app'..calan anG know Ne same la Ce Irue anE cortM1.Ai1 provismns oi laws anA oranances goveming I�is lype olwoM wAi oe como��e� <br /> wilnH�elnerspeoGetln[reinornot Thegrant'�ngotapertnlltloesnotpresumelogiveaul�ontylovrolaleore�ncelNeprovi5lonolanyol�erslaleorivwlWwregulalingconsWU�on <br /> TTaI l a aulnonteU Cy Ine own r ol IP�s pmpe�Ty to pea �Ne wo�k brwhlc�app��wiion is ma0e and 1 tomply vnN Ihe$lale Comraclors Law 78.37 RCW anE 796.200A WAC <br /> �� � .�, �'%/�7� <br /> '/� <br /> Owne uthorize Agen Signature Dale �Revaedl2U72) <br /> Ry��J Fc ���fl�++,�s/ 2F��7 .�•u;�fi�CJ-v�zr <br />