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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar S: , Everett, WA 98201 425-257-8810 fAX 425-257-8857 www everettwa org <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 1 PM <br /> SITE ADDRESS: ,3/ 1 C S / � PROPERTYTAIt p P MIT N � -0 <br /> - ✓ /t . " d � <br /> LEGAL lar new mnstru�on SlWrl PlaUsuOEiws�w__ �ol NO_.__ (:+��mpy ol long Icgal deun0���n) <br /> OWNER w �/�t�.� c�.� ��o���,�,� �as- ��D .�Zs� <br /> naa�MS /DD G�/E"r2 6�t EP�1 4/�F`� c�hrsiairn�o E V�f: b7T uJ4 �L� 3 <br /> APPLICANT: Ownei OwnersAgent ConVaaor ComraaorsAgen� Tenanto��-:np.+�..���o��w..���mr^n«�.+,��ma�...��m.��a� <br /> CONTRACTOR G D�lJ S %C✓u S L 6 I Llc M N C D�S �D �u G �OF Bus l ic ll <br /> Addiess y�� / I 39'�^ aL SC /L< <-K��/� Llf� /O� ne/Email �ias-� s 3-y 1 73 <br /> 7ENANT BUSIN SS AME CONTACT FOR PERMIT <br /> �/. yas-3sa -N� 73 <br /> �� �bs� /� � �j/L � '7 � PnonrlE�mail �'C.��`�cO S4�C EV�G�• �d�� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK /DOG, D� <br /> ExisUng Use ot Bmldmg________ ~ HEAT SOURCE <br /> Proposed Use of Bwlding _ Gas H«�nc otner <br /> Buildmg rype __S�ngte Famiry __Duplex_Townhouse _Mulh-Famity _Commeraal <br /> T e ol ro ect New Adtlition Rr.model Re air T I Si n Spnnklcr Demolition Chan e ol Use <br /> DESCRIPTION OF WURK(aemr�onar spacr o�oriece rn me eaca). <br /> Z.v s ,—� �c. C �1 A.�I�L L�7f��-S <br /> MECHANICAI PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Tyye ol Pro�ect� __New_AOOn _Altenlior._Repair type ol Project' _New_Adtln _Allerilion__ Repair <br /> Show NumDer(q ol firfums S�ow NumDer I ol(rNms <br /> A/C-an hand6n umts Toilel <br /> Forced au s stems BaUtub <br /> Gas pi in lavab (wash basm) <br /> Water heater Shower <br /> Gas 6m lac[! Kilchen s�nk 8 d�sposal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hoal Waler�eater <br /> EKhausl lan Smk(service/�ailmo �etc� <br /> Neat pump BackOow preventer <br /> Und hcaler Unnal <br /> Hoiler OnnX�n Fountain <br /> Nefn eraUon Flooi d�am <br /> Woodslovc Gmase tra <br /> Ductm Hool drams <br /> Othe� Med�cal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM otner <br /> Numbcr ol Hcads Other <br /> i nerep��rtM�bl 1 nare raad and e�am�netl Inis epPlie�lun rnC�now Inn samc la pe We anE mmrq Pn pmvmons al laws nn0 oNmanms qoremmg I��s IYY nlwo�M wAi�e r4mperJ <br /> N�M Nfil11�!!60���4�PA�11 Of II01 fhe qnnLn9 oi n pormv Ones not prnsumr lo B�'e auManti to vrolale or fanu9lhc pmv�von ol any ot�rr staie ar b(al law regu4itmq mnstrvninn <br /> Tpal l am auNmYed��I�e owre�01 I��s pmperty lo patlomi I�o woA lor wTWi epplvalon is ma0c an01 minph wAp 1�e Slate Contradors lavr 1B 77 ACW en0 7BB 100r1 W/C <br /> �-,`��✓� l�' �a-3� L ,� <br /> OwnedAuW ' " Agan151gnatu Oatc (Rev�srcl6?O�JI Z <br />