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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SER\'IC:ES <br /> 3200 Cedar SI , i'veretl, WA 98201 425-^57•8810 f-AX 42E 2:i7-8857 www.everettwa org <br /> SITE ADDRESS' L�a y._ � ,^O VROPFFTT'TAx a P � I — D <br /> V � 1.•c� a <br /> LEGAL lor rew conslructmn Sno�t PlaUsu��rvreion lol No__ (attach copy ol long Irgal desu�06on) <br /> OWNER A�eh �(�'1e/ P�onNG-mad ZS= �80'��7� __ <br /> nnmccs 3 O �I � �e GtyrSiaicrZ�n �✓P F oZ� <br /> APPLICANT: xOwne� Qwner'sAgenl Conlraclor Conuaclor'�.Agenl lonant�n.�s�p�c•�c�.�ir�.,�:cc�s.�irc„rx�..,.�•>>o.�n.��,�e+r,��e� <br /> CONTRACTOR (7(N �{� Statc Lit # C�t Ous Lic # <br /> AAtlress Phonc�Fmnil <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> PnonclEroad <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK gGL`� <br /> Exis!irg Usc of Builtl�rg�k fp�• �/ • ___ HEAT SOURCE <br /> Proposed Use ol Budd�ng��� Gas_ Eieclnc _ Other <br /> Ouaping type. ,�S�ngle Famuy _�uple�_Townhouse _1dWh�Family __Commeroai <br /> Type o!pro�ecl New A�.Jd�on Remodel Repa�r T I _S�gn_ Sprmkler_Demoliuon_Chan e of Use <br /> DESCRIPTION�F WORK ravo�ticnm snacc p�ov„�eo on n�c r�u:�N� <br /> !VE V (2,ee F <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Project: _.New_Addn _,Alle�alion_Repalr Typa ol ProJecl: _Now_AdEn _Alteralion_Ropair <br /> Show Nunrber(MJ o//i�turce Show Numbcr(M)o/firfures <br /> A/C-air handhn unds Toilct <br /> forecd air sy5iems ' Lalhtub <br /> � Gas p�p�ng ' I.avator (wash basnJ <br /> Watcr hrater Shcwer <br /> i Gas h�epWce I Kitchen sink 8 Oisposal <br /> Gas�an e � Urshv:asher <br /> i Clolhes dryer Cloines wasner <br /> Kanqe hood Waler heatei <br /> Fxhnust lan Sink(serv�ce�baumopletc � _ <br /> Heat pump � f3ach0ow preventcr <br /> Und heater UnnBl <br /> f3odcr � Dnnkmg Pounla�n <br /> � Hcln c�alion I Flcor drain <br /> Wootlstove Grease trap <br /> Duct�ng I Roof drains <br /> O�her Med�cai Gas <br /> SPRINKLER I SUPPRE5310N SYSTEM i Olhe� <br /> Num6er of Heads I Other. <br /> i p�re!y crrt ty I�al i ha�.e read nn�e�ammcA Il�is app'�caP,on and Inow�M1r femeW Ue nue a�A ceneci All p:ovn�am al Inef an!oM�nnncef 9nverp,rq Ims IVt`��I nmk w0 Ce cnmp'eJ <br /> w�n xnrlM1er speGliel111Flem ar nol Tl�e gronl��ny 01 a pennd OonSnot pttsumr lo gire dulnun'y 1]v�clale rn cdmel:nn provs�on ol an�ul�rr alnle C.r�xdi idw iegulnhrq constmn�r,n <br /> *��.al l pm aul�onie0�Y In�pwoe�nt In�s C'opetl�:o pe�enn Ipc wa1 lo�wP¢�aOC��raLa�i�rna�e aod 1 m:nply w•C V�C$lah Cor'i0clor5 lne t 8:7 NC C!an,f Z9G:C.4���aC <br /> _� �,«�� �I- io- iy <br /> Owner�AulhorizeAA nl5lgnaNre Uale p7c��scd3n,0�J1 <br />