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PERMIT APPLICATION <br /> Bl!lLDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Gverett, WA 98201 425-257-881U FAX 425-257 8857 www.everetriva.org <br /> SITE ADDRE55: Sw t D PROP TY TAX p P MIT 1 <br /> S/oG�•LAs�No o� • Fu= 98ze4 �80 � i3 oc�z, o�reo � 30 —01 �1 <br /> LEGAL Im new consimchon Shotl PlaUsuCdrvis�on 1 ol No lallac�cuDv ul lo��g�egal descriDiionl <br /> OWNER Q L ' $ G Pnone�Ea�ad (� 7G�d/�o�. e <br /> naa�ess 21iS — 11� ST.r�E f✓letC 4 z c��r�siaiaz�u � 7 <br /> APPUCANT: Owner _OwneYsAgenl _Contrador _Conl�ac�ofsAyent _Tenonli��..,i��c.,m,�no��r,��,r„�nr.,roce„��uao,on"�n�+�,.,c��, <br /> CONTRACTOR "Cb,)a�2. 7�ae�� Q^ �-n � Stale Lic u(�R E WA c. 1 qq� n K Cdy f3us I.ic # <br /> Add�ess � (.4 L �-113� S p,� Wf� �1 32 �'no�e-eir�n p —�2y.. I�i I Z <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> 1j Fpov MjIQ vhonc;� maii �{Z _2 • lST/ .S/! N 76 �C•C <br /> BUILDING PERMIT APPUCATION CONTRACT PRICE OF WORK___� <br /> [xisting Use ol Butlding �.eHNENE1VcF �T�._ __. HEAT SOURCE <br /> Proposed Use of Du�id�ng�.�vlENE1�IcE ST IPE Gas Fiectric _ Olner_ <br /> 8wldmg type _ S�ngle Famdy _DuDlea_Townhouse Multi�Famiiy _Commeroal <br /> Type ol pro ecl New Addiuon Remodel ReDair T I� Sign Sprmkler Demot�tion Chan e o(Use <br /> DESCRIPTION OF WORK�a�vne�ni space r�ov�eeo or rue tacwi <br /> �Ce�+t.uF W� b�'wPrn. �i.-+a STc,RES f+t''D /�7Ak6 81,r ,�rYe �:+�w �wo SfA�e�1 . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo oi Pro�ocl: _Now _Addn _AlloraUon '�Ropair Type ol ProJecl: ,New_Atldn _Altoration__Ropair <br /> Show Num6cr(MJ o!/irfures S�aw Number(�l o/lixfures <br /> A'C -a�r handiin unds Todci <br /> Ibrced av s stems I d����ub <br /> Gas p�{>in I Lavalnry�wash basin) <br /> ' Waler healcr Shoner <br /> Gas ineplace ', Kiic�en smk 8 disposal <br /> Gas ian e Uisl��washer <br /> Ci��Ihes drycr � Clot�es wasl+er <br /> Ran9e hood ' Walen c�aler <br /> Crhausl lan � Smk�eervice7barlmop/etc� <br /> Heat pump Hac40oW prevOniC� <br /> i Und hca�ei Uruidl <br /> � Boder Dnnw�n� Founta�n <br /> i R�•h�gr.ralion i Floordra�n <br /> Wuudstove Grease trap <br /> Uucting Rool d�ains <br /> ppi�,� MeA�cal Gas <br /> $PRINKLER I SUPPRESSION SYSTEM ome� <br /> Number ol Heads O�her <br /> I�ere'�y cMdy i�d�I�dM ied.1.lnE e�dm n!d llr S 3pC������n anil�row Re sam!10�e VUP P�G fa�icct PII piorAnnS ol bwS nn0 c'd�nancPs gOvrin.ny IhA ly�•n ol wo�A w�I Le�.v"{ eJ <br /> w t�whel�er specdieC ne�r�n nr not l�0 9�anP�g ol a pand tlocs ncl pmfwnr la q�ve notncriv�o�•^iYe or(a�rr�I�e Crc:�smn ol pnr rmer sqle o�IoWi i�w irg�lariny cnnstmn�,�n <br /> L�a11 an'aulbcniea�y ine oancr ef r�n��open�lo pe'lorm t�e worl!cr wT¢�apClKa:�an m m�Ce inU�compi�n��ihe S�ate f,e•�In�Cns I.aH IB 77 RCW anE:?E 1C04 WeC <br /> Owno�.� 9 �2 i l �. <br /> rizod an151gneturo ate �ce�acJ3?O7!) �� <br />