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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett. WA 98701 425-25�-p910 FAX 425-257-8857 wv✓w everetnva org <br /> APPLICATIONS ARE ACC_r'TED FROM 8 AM TO 4 PM <br /> $ITEA�� ESS: �ROVERTVTA%4 ' �J7�C ' � <br /> �r � e Vl� <br /> LEC.AL fo�new crnsb�ct�on Snoq PlaVsuCdrvis�on 10l No (attacn w0y o�iony lega�Oescnp��on) <br /> OWNER Q � ��o�MEmaii �,_s-_ 33a - s'3 �� <br /> aaairss Q C�ryiSiaie!I�p .(` C(/ Q ZJ Z <br /> APPLICANT:�Owner Ownci's�ge�l C��Iratlo� Conliacbr'sAgenl Tena�tl�^��t'.wa.�eo�e�a•ran5c+�+vTnso+�o�eavw���Na�pn.e� <br /> CONTRACTOR l�Fv' L 6 I l�t x COE Nus L�c a <br /> �aa�ess vnonc�Ema�i <br /> TENANT BUSINESS NAME CONTACT FOR P[RI.IIT <br /> PronMFrian <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_ <br /> E��stmg Use of Bwitl�ng___ ___ __._ H[AT SOURCE <br /> Proposed Use of ByAG�ng _.__ _ Gas_ Eied��c� Oi�er __ <br /> Gmiding rype �Single Famdy _Duple�_Townnouse _Mui1��Famay __ Commcruai <br /> T pc ol pro ect New AddAwn Remodel Repa�r T I SiCn Sprmklcr ' Demoht�on__Change o�Usc <br /> DESCRIPTION OF WORK(aed,nnn,�r scare prov�aro on mr backl <br /> �t97G I <br /> laou s P �— -r,zi,,_-e,r <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProjecL �New_Atl�n _Allenlion_Repalr iype ol Pro�rcl: _New_ROtln _Alleret�on_Repalr <br /> Snow NomArr(q ollirlurrs S�ow NumbHlMl o/lrrlures <br /> q1C -a,r handimg�n��s Todel <br /> forced art syslerns BaIhWG <br /> G.is iping Lava�ory(w,sh basin) <br /> Walc�hcatei Showcr <br /> Ga5�ne Irce Knchen s���k 8 d�5posal <br /> Gasrangr. O�s�wa5her <br /> Clolhes drycr Clolhes washrr <br /> Hanqe hood Waten c�ater <br /> t.hausl lan Sink(Serv�cc�ba�/mupicic) <br /> Heat pump Bac4Cow P'eventer <br /> Umt heater Unnal <br /> Bmle� Dnnkmg Fu�.r�tam <br /> He6i CrdllOn F�00�tlidin <br /> Woodsrove G�ease tray <br /> Duchng Hool�liams <br /> Olhe� Mee�wl Gas <br /> SPRINKLER / SUPPRESSION SYSTEM O�ner <br /> Number ol Hcads Uther <br /> I�r�eoy cenly I�al I na���enC en0 r�nm,nea In�s noG°�uuun nna�nox mr mme�n oe Iroe an0 ca�ecl M Oiovisiom ol lawf enA ord n�n<es poveminB I�n rypn ol won rnn pe mmpi.oC <br /> w�9 whel�er spf<i4ce Mreinol nal l�c B'nnYnp al n pertnd Dae�nal prewme lo grve nul�anN lo v�ok�oi cnn��l lnn provsan ol nny nIM sln�.r or imnl Hw myulnunp[¢ntl.uaLnn <br /> T�all�mwt�a nQOYI�lOwnl�011tlifp�00lMIOpClIOIml�ewo1�lO�wM[PPOV�<llqqyll�POCOr�I[pm�l�w1�IPCS1lICCCOIfO[IO4Ldw�flltHf,WunC79fi:MAlV�G <br /> � � �o ,z 3 /Z <br /> Owne thotl[cd grnt Signalure Dai �Reuse�C2017) <br />