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PERMIT APPLICATION <br />BUILDINGIMECHAFiICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />�- CITY OF EVERETT PERMIT SERVICES <br />J 3200 Cedar St., Everett, WA 9820111 425-257-8810 FAX 425.257-8857 www.everettwa.org <br />(CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS. <br />CaisINO (�� <br />PROPERT• TAY a <br />g <br />P MI a <br />— (:U <br />LEGAL t u m•w ronslvc0an Shan P1aVsllhd-v6,o1 Lcl Nn latt Ich copy of log legal descnpbonl <br />OWNER Fk IeK CC liAl VA U "I C A;I N <br />Phone:E-ma:l y}%�i ' Zt— 1t'lJ' 4' <br />0p7 <br />Armes. ( l vl V--p - <br />CirytslatelZip a Uj Ci 2.0 <br />APPLICANT: Owner Cene's Agent Contractor's Agent Tenant l^s,c'�•m<ehry aumseni nam v. ov�o ro do �r T-r aprtn <br />CONTRACTOR I � Al(Ag 1 #1f— <br />i-, <br />ILA I Llc. Itd COE Bus Lic <br />{v� <br />Arobw.. Ivth SI ` tJTIA V4(I(A PhaneNEmad <br />TENANTBUSINESS NAME ,,Q ( <br />r •rll N�Pc n`�IL le- 11 vtCPy <br />CONTACT FOR PERMIT <br />Pi -or .L r.n !�'Zr7 •Z '�'�i y%�J ;c1f ���16>yJ yMMQ tiJ <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK IODJ <br />Existing Use of Building�1I i+FAT SOURCL <br />Proposed Use of Buildi ►�) <br />g- r I M— _ I :as Electric Other <br />Building type: _ Single Family _ Duplex _Townhouse _ Mu It a. CUmmOL.1� <br />Type of project New Addition Remodel Repair T Sul Sprinkler Demolition -Change of Use <br />DESCRIPTION OF (WORK (addfhonel space provided on the back) % <br />PaoDL.re 4 I,4ilAL1- f?-O'xW k Fr N tilarJ fog BucIw1, <br />1 m1hf will <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project _New _Addn _Alteration _Repair <br />Show Number (N) or fixtures <br />Type of Project: _New _Adds Allrralion Repair <br />Show Number (0) of rirron•s <br />NC - ad handling units <br />Toilet <br />Faced airs stems <br />Bathtub <br />Gas piping <br />Lavatory wash basin <br />Water heater <br />_ <br />Shower _ <br />Gas fireplace <br />Kitchen sink 8 disposal <br />_ <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />_ <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink servicelfbarlinnolbrelc <br />Heal pump <br />Backlow presenter <br />Unit heater <br />Urinal <br />Baler <br />Dnnking Flaunla.n <br />Refit eralfon <br />Floor drain <br />Woodstove <br />Grease tte <br />Ductmg <br />Roof drains <br />Other _ <br />Medical Gas <br />SPRINKLER <br />I SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I hereby r.ea.;y mat I have read and evamined this applubun and know the earn lu be Dun AM coned NI Wonsont of Iowa *hit ordnsndes governing thus tyye of worn van be rompLed <br />win wilemer specinnd herein or not The gov,l ng of a permit does not presume to give authority to valate w cancel No penasan of any other stale or bul low onjA vox wnsimctron <br />That I am ou!honred by the ovine, of this properly to pedmm the wavt for Minh Application is made and I comity a th the Slate Canoaoon Law 1E 77 RCW and 296 200A WAC. <br />MtIZ <br />Q� 9llelzo,3t)W7T1AUlhorixed Agent Signature UanTy (Revtsud NTef i) <br />'1L o fXT <br />