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r�ERMIT APPLICATION <br />BUILDING/MECHANICALIPLUII�IBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVE►2ETT PERMIT SERVICES <br />3200` C'edar SL, verett, WA 98201 S25•257-8810 FAX 425-257-8857 �nnvw.everettwa.org <br />Q Qq N 13 roa� WG�PLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM y,�—/(� <br />ADDRESS: y _ _ � vaorean tax n PERMii p -, �. <br />�d,_ �.� .._— — '��7T77'ST'7fTTf I �e�.ir ��rii'Ln iii.�.a,a 1 LC 1? i�. % I�SIJ <br />LEGAL ior new conswcuon Shon <br />No _ (auacn ccDY ollonglegaldescnphon� <br />APPLICANT:_Owner �O+meYSAgerl _Gonfratb� _Con12c1oY5A9eni _Tenanli-.�vrmoea�errrcccemnarmeo+c�;�ao.+.,+nno.ca:m <br />I L�c # <br />Evere�i- Comm�ni� L..OII e Pnone;[��nal Q. y� 2� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Eaisting U5e ol Budd�ng _� <br />FroDosed Use of Owld�ng_�, �� <br />Buiiding type�. _ Single �'xfmtly� _ Dup!ez _Townhouse _ R1uIti�Famiiy � Commercial <br />CO[ Ous Lit # <br />�sbom : <br />r�yQ sm��'emper. <br />i00,000 <br />SOURCE. <br />:Inc Ol�er <br />f pe of pro�ecf New � A d�twn ✓ RemoCel Repav _ TJ. Si n._ Spnnkler ___Demol�t�on__Chanqe of Use <br />)ESCRI TIONOFWO I�a��diuonaispaceF�o�rnetlonfnebackJ� A 1�¢ a�-��'�-' <br />s�t��s Cons�ruc�c�ai41i4�1�u1 arouna s�ou�i1 li��o <br />PLs�rlx ex?s`��nq Parkfig lo� �ncl�d�q �cw Av�t , �e P° <br />c� .�s�l lcF �nau�Yu� na,. cenc eqyp� �, Pra»c�C—ix ' E{'. Selcc� remokt� �� <br />�s�r� i�cr�cr w..11s � pi�mb���9 ,� �ngs a��nsc �.cf<<. ton�, �n bar. <br />MEC}IANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION �-' <br />fype al ProJecC New A�An �Alleralion Repalr Type ol ProjecL __New _Aad❑ �Atte�ation _Rep�r . <br />S�owNumDei(alo/fr+twes � ShowNumbcr(p,olfrrtures ��{�4' __ <br />NC - air hand6n urn�s <br />Forcetl air s slems <br />Gas p�pmg <br />W aler heater <br />Gas lireplace <br />-- Gas ranoc <br />Clolhes dryer <br />R, nr7e hoad <br />Eahausllan <br />Hca� n�imp <br />%� Urnt healer <br />, � sodor <br />pt" , Rclnqcration <br />lNW(JSIUVC <br />VUCII❑ <br />��hCf <br />SPRINKLER / SUPPRESSION <br />Nun�berof Heads <br />�� <br />A1CdICaI G35 <br />o,h�� <br />I nercby ceN1y It�t I �ave road anA ewmined thiz apD����^ �^4 �^�'^' ��e :ame lo be Wo and co�mct. All pmvrspns nl ��.s anC ord�nances govem�rg tlus rype ol v.o�A a�!I Uc mmpUed <br />w:,pwheNer specRqC hemm or nol The g�3nU�9 0� a pertnn COCs not pmsume b�ve auNorrty In vCL�fe or Wn:el Ne O��isron cl a�y oNer st�le or laal4�w reguldLng constmction <br />That l am auihon:e0 hy Ne vaner ol0us O�PeM �o peAorm Ihe wnrA lor wnen appica�on n made and I compM w�ll� �he SUI? Co���nuors L.iw 1B ?7 ftCYJ and?96100A \VAC. <br />1'� <br />�.��--- 12.23.13 <br />OwnerlAuth gen Signature Date (Rev�sea ty20121 <br />