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. .. ._,. , � � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 uwvw.evereltwa.org <br /> SITE ADDRESS: PNOPERTV TA%p PERM�I�T���O� <br /> 3 a I�t, Um;�Q Oo v-.7� -03 -at� 't <br /> LEGAUor new canslraclion: Short PlaUsuuJ�., �.c Lol No._ (at�ach capy ol long legal tlescnplion) <br /> � <br /> OWNER P�onelE-maA 25- 2 z -�3�s Q;,rz � , <br /> AAaress z 3 �� Sr S I. Ciry/SlalelLp ,` � <br /> APPUCANT:_Owner _Owner'sAgem �`Gontractor _ConiraclofsAgenl _Tewnti�sipro.:as,ieinoim�smu�omurwrcrmm.m�,u.sP,r.e� <br /> CONTRACTOR �-. Slate Lic.# {"[�j L ZLiry Bus. Lic.p <br /> AOdress �' I� U3 r� rL �(�, �J}C,�i,f (/�9 �� PhonMEmaii �I2,� /l ;�. <br /> TENANT BUSINESS NAME CONTACT F R PER IT� <br /> ��� � � <br /> P�one/E•maii 3�(}�z2'L,S�� �t, �'� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK I 7 S �50 , <br /> ., <br /> Exisling Use of Building HEAT SOURCE: <br /> Proposed Use o(Building ��y;�Lv.�a.� Gas_ Etec�ne � O�Aer <br /> Bullding type: _Single Family _Duplez�Townhouse _MWti•Family _Commercial <br /> Type of projecl: New Addition Remodel Repair_T.I. • Si n '� Sprinkler'_Demolition �:.��ange ol Use <br /> DESCRIPTION OF WORK(aCadional spareprovMeeon�ne back) <br /> �i.u� ru,�J�n�.�n ha,w- � cibv,�- a�+„m , : <br /> MEC�';Fi1CAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofProjecl: _New_AdAn _Alteration_Repair TypealP.oject: �_New_Addn AlteraUon_Repair <br /> Show Number(MJ o!�xfums Show Number(p)o/fixiures <br /> AlC—air handling umis TmIM <br /> Forced air systems Bathtub <br /> � Gas piping I Lavatory(wash basin) <br /> Water healer Shower <br /> Gas fueplace Kilchen sink 8 disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clolhes washer <br /> � Ran e hood Waler healer <br /> [xhaust fan Sink(service/badmoplelcJ <br /> Heat pump Backllow prevenler <br /> Unil hea�er Urinal <br /> Boilcr � Drinkinq Founlain <br /> � Refngcretion Flour drain <br /> Woodslove Grease trap <br /> DucGng Roof drains <br /> Olher Medical Gas � <br /> SPRINKLER 1 SUPPRESSION SYSTEM Other: <br /> Number ol Heads � Oth��r: <br /> I hc�eUy ceNh�hat 1 have maE nnd e�amincO Ih�s appMcalqn and know Ihc same lo M Imc»ntl mrmtl.AA pmvisbns ol Iaws end ortlinanus govem�ng I�is type al woA wd bc comp4cE <br /> wf.h whet�er spec�eG�ertn w nal.Tlm qraniing ol a peimii Aoes nal pezume tu give eN�onty to vrolate or cancel t�e pivvision ol an/oiner slate a loral law requlaling wnsW clion <br /> Tl�a�1 am sulnonzen Oy Ihe owner ol I�is properry la pedorm Ihe work Inr nnicb app4wLon is maEe and I compy wM t�e Slate Conlractors Law 18 37 RCW anO 196.i00q WAC. <br /> �/ <br /> � 3-/3-�oi �/ � z. <br /> � O nerlAuthori:edAgenl ignalure Date (Revised3RO1J) <br />