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PERMIT APPLICATION <br /> BUILDINGlMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everetl, W!1 98201 425-257 8810 FAX 425-257-8857 www everettwa org <br /> SITE ADDRESS: PROPER T 17 ^, PERMIT� <br /> �j Q �'r IN� l7 lN OJ 'j�Q� ' <br /> LEGAL lar new consbuclion Sho�Pi.UsubOivision Lol No � latlacn cnpy oi iong legal descr�p6mi1 <br /> OWNER �. i ,� ------- --��a�e,�.m��� 3�- 65�—(�L� _ <br /> AEC�ess �� � � (� � GtyiState2�V � �! J "� � <br /> APPLICANT: ow�,cr __Owoers ge�l _�CoNrB[lo� ConPOtfGiSAqrni _ ieneN�-miD'c.�tn���m�;�ca�er-.i+nmvn>.-•r'otn.on�nn,uipa..• <br /> CONTRACTOR Slate L�c # /� L Crty [3us Lic n <br /> AAOiess �� � �f Pno�c�Lmaii � _ ��J <br /> TENANT BUSINESS NAME D K� �, Aa,l1_ CONTACT FOR PEHMIT �/ �� �` <br /> ni� 1 -1 K4 <br /> �— Pno„��e �r.a� J(,� —B� '/ <br /> BUILOING PERMIT APPLICATION CONTRACT PRICE OF WORK��o�? ______.___ <br /> C.ishng Use ol8uddinq___ _ _____ _ ___ _ H[AT SOURCF <br /> Proposed Use ol Butltl�ng__ , _ Gas_ . _ Fiecl��c _ Olner__ <br /> Bwlding�ype _Single Famdy _Duplea_Townnouse _Mulu�FamAy __Commerual <br /> Type ol pm�ecl New Atld�lion Ftemodel __Re an T I S� �_Spr�nkier_�emohlion__Chan e ol Use <br /> DESCRIPTIONOFWORKi.,aanc`r,isv�c}mcra�vnnrneca��� , , <br /> �'„Sta�GN� 0�� l5 x /I. �K (H) ��/a�� I^ Ca���' ��;aCt- �t�c�/�-�'/ <br /> , <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Pro�oct _ New_Addn _Altorallon_Ropair Type ol 7roJect: _Now_AtlUn _Allerellon_Ropair <br /> Show Numbcr�r1 0//i�fums Show NumbrrlM)af li�furee <br /> ArC -a�r handPny�mts Todet <br /> Fwced a�r s slems Bathlub <br /> �;�5 p,P�� , Lavatory�wash bas�n) <br /> � Waler hea�er Shower <br /> G,5 6�cUIBcc i Kdchen s�nk 8 A�Sposal <br /> ' Gas r,mge D�ShH�s�er _ <br /> Ciolhes A er I Gulhes washrtr <br /> Range hood � Walar heaier <br /> T f'xl�aust lan Smk(serv�cNGadmoP�etc) <br /> Healpump I Bad�lowprevenler <br /> UnA heatcr � Urui31 <br /> � dalcr ' Unnsu�. I ounlam <br /> ' Rehi eraUon Flocrdia�n <br /> � Wooaslove Grease Irap <br /> Uuct�n3 Rno�dra�ns <br /> Othcr ! MeO�cai Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Olhcr <br /> Nwnbei of Heads Other. <br /> I f1P�1'Gy cN1Jy 1�101 I�OVC il•J�al�d CioTined��is:lppl',cd'�(l�l d1:41now�^P 5Jm010 tf Ifl�e nnC fAtRtl Fi pfOnsicllS nl lpwf 0�E c�dlndnClf(JOVlm�n(�Iq�f IyC�'al w0'�w�l[I[[OmD��pd <br /> enn anelner s0er.��eo nemm oi not Tne prqmmq cr a vmm�Uoes�o�.C�esume ro q�vr�mnra�m v�obia m can:e�tPe C�c.�se�ol arr et�e�sia'e o�ror.ii ian�eg��aurq wmimci�m� <br /> 1nutlamnuTonroaOY� OM'^eroll��sprop�rly�apetlo�minpNCDlprxMcnaCC��a��en.t��naen�uirempi���inineSa�elo�'�xto�5laniP7�HCV.'aiN7.ki:CC�P.'C <br /> :�;f�- ��� q�/� <br /> %0 r/A �¢otlAgentSlgnaluro Date p7eu=rA.i;:O��I <br />