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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everetl, WA 98201 425-257-8810 FAX 425-257-8857 wovw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM �'���� <br /> SITE ADDRESS: vROVENiYTAxa P�;MITM �) <br /> F" :.in k �ui I .� 9e' 7000vO10 �� <br /> , /1. ` , ,. lol No_ (atlac�copY�I kng legal tlesrnp6onl <br /> LEGALIanewconstructim ShorIPlaUaubarvrs�m__.___-- <br /> OWNER !'�1 . . � ''��/ I('� !7 � � � �' �honrJE�mai� y.J J= 1�l- �/ 7 0 <br /> r ;� � ;� �'•' "' / N T"/(;,f, C [ .- ��YiSlate/Lv!3�L L EVU F vvA 9�OOS� <br /> fWA,ess i�'.� • � +l, �7 � / a <br /> APPLICANT:_/Gvm�r Owner's Agent Contrxtor Contraqoi s A9en1 _ienenl�mu�nona�tnn M�m+e����^""s'm�"""^^ne�p«n� <br /> CONTRACTOR =�` �i'� f ' �'� �"���'�F '��� �'� L 8 I L1c N S✓ f R S � COE Bus L�c fl <br /> � � D PhoneiEmaA ,�06- y,f�7- Pb/b <br /> nedress �J:pp ///7/ n'��.f R�/� , o Ui <br /> TEN T U I E : r.o'-( , j //� CONTACT FOR PERMIT H N�i R f�S"�6 f iC <br /> ' 1 �P- 736- 37y.T <br /> � � ��'�'P/��li� lU�(i :itf C �monen=�mau A�i���(Q.Svp«;orF.+ S'a�. �n-v� <br /> BUILDING PERMIT APPLICATION CONTRACT PRiCE OF WORK 3� P SUO.oD <br /> Eaistiny Use a1 Bmlding HEAT SOURCE NP <br /> Gas Flectnc Otner <br /> ProposeA Use ol�mlding <br /> Bwldmg lype _Single Family _�upleK_Townhouse _MuIII�Family _Commercial <br /> T of roecl New AddiUon Remodel Re av T I 5� n S nnkler Demoh�ion Chen e of Use <br /> DESCRIPTIONOFWORK�nAnnaneispamn���dedonlnennckl ` �t <br /> �. iri , .i i j P�r r:..�� ; � �Ai�' V�iT/.'.76f �� L�.r� {.a�� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 7ype ol ProJacl: _New_AAAn __A��eratlon_Aepe�� Typo ol Projocl: _New_Addn _a��orsUon_Repelr <br /> Show NumDer(M)�!li+fures Show N�mber(►J ol lirturee <br /> N:-au handlin umis Toilet <br /> ForceA an s stems Balh�ub <br /> Gas i m Lavato (wash basin <br /> Water healei Shower <br /> Gas lire lacc Kitchen sink 8 dis osal <br /> Gas ren e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hoocl Waler heater <br /> [�haust lan S�nk sernce/badmo �elc� <br /> Heat pum dackllow revenler <br /> —�. UmI hcatci Unnal <br /> Uoder Dnnkm Pountam <br /> Refn eralion Flooi drain <br /> Woodstovc Gmase tra <br /> Duc�in Rnol drains <br /> Other Medical Gas <br /> SPRIHKLER I SUPPRESSION SYSTEM otner <br /> Numbe�ol Heads Olher <br /> I liru.l�y�rtlily itc�i I I�avr ir.ul:n��l r.:nnnr�l nus aVl'MaM1m an�Anow Ilir vimr lo Iw vur xn��smr`A A1 pnrvisnns ol Wws en�ordnnn�s qnvemnp Tn lype al wod'M�0�mn�P'".' <br /> mll�WIi1.1�IP1({IMJMMI IIPIMI IX I1111 Ilut y�0n�Y1(�1�1 A M�����0051101 pIRfi1111N`10 ANn 8 11111 0 111Y 10 YOLI�!IX G111CB1 CI!�NOYISFM UI BII'/Olh!!6b1!Of kICBI bM fB(�UIBbIQ CM�UNC�N)n <br /> I��.n i:nu anlLmvM bY Mn rM+�er nl I�is prtprny lo{Mrlorm Me wm/.lo�x1�KT npPkAlKn is ma0e xnA I mmph���e SUIe Cmbedaa lew IB 37 NCW enA IBb t00A WAC / <br /> , // ; ' l � 2 <br /> ��f ' ����?` �l (Ronsetl 670121 <br /> OwnerlAuthorlre0 Agent Signa Date <br />