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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />9 -9 -i <br />SITEADDRESS: <br />30D3 W. CM11,16 Lb &W&r BLDG -04 <br />PROPERTY TAX <br />PE MIT/ <br />I.3Dq- ODS <br />LEGAL for new constroctlon: Short PlaVsuodlvlslon Lol No._ (atlach copy of long legal descnptlon) <br />OWNER ftpelM <br />Phone/E mall <br />Address Pe Doti 3'10-7 MIS 09-13 <br />IcItylstaleti 5fWLi A 9 - 7 <br />APPLICANT: A Owner Owner's Agent Contractor Contractoes Agent Tenant loran prntdesloperdcori eon me owrertaam wM In os *pow) <br />CONTRACTOR ..AL C(i S I Co <br />State Llc. M E RCC— 9 z City Bus, LIC. N <br />Address Phone/Email <br />TENANT BUSINESS <br />CONTACT FOR PERMIT <br />-lEFF b"%1fA *IS-23tZ-0199 <br />11phone/E.mall JEFFERY. Go DRh'JCK I BOEING. CM <br />BUILDING PERMIT APPLICATION <br />ICONTRACT PRICE OF WORK _ e75," <br />Existing Use of Building HEAT SOURCE. <br />Proposed Use of Building m ii Gas Electric Other_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family ii Commercial <br />Type of project. New Addition Remodel Repair T.I. Sin Sprinkler Demolition Chan a of Use <br />DESCRIPTION OF WORK (additional space provided on the hack) <br />(:oNVEC11(.:(� OPEN SOnCrE LuN�-fl /dI'!A '� sNzLY/.00K Ey,.ttaJ�i /Huai/ /p,ClW'Q redDlr /u <br />PrL4o-Pi f r SIC 4-7 <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />TypeofPm(ett: _New_ Addn _Alteration_Repalr <br />Show Num rer (0) of Oxtures <br />Typeof Protect: _New_Addn _Altentlon_Repalr <br />Show Number(,) of fixtures <br />A/C - air handlingunits <br />Toilet <br />Forced airs stems <br />Bathtub <br />Gas piping <br />Lavatory wash basin <br />Water heater <br />Aowcr <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Ran a hood <br />Water heater <br />Exhaust fan <br />Sink (service/bar/mop/etc I <br />Heat pume <br />Backgow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />Oucling <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other <br />I hereby cii Ihat I Pave mod and wmmed the applcation and know the same to be Imo end coned Ad proNvirlS clan and dolman", govemmg this to of work we be mrrpbed <br />with whether spectfed foram cr nct The granting of a permit deaf not pmlume to give authority to rlo'ale er cancel the prods on of any other state cr b"I awre;AtIong coorrai <br />U�at I am awnonmd bt the owner cf orb pmpeny b padorm the work for whrch appit"rcn b made end I Cco-p'y with the Stab Ccnbarofs Law 18 77 nC W and 296 200A WAC <br />Ilz <br />Gyy" <br />Ownoff one Agent Slg lure Gate (Pew;ad 312013) <br />