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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everetl, WA 98201 425-257-8810 FAX 425-257-8657 www everettwa org <br /> SITE ADDRE5S:. R07fRTV fA7l p PERMIT• <br /> oos�r3 tnt oz-� - 03� <br /> LEGAL lor new conslmclion ShoA PleVsuDdrvision f�1�017JM1RtJ � Lat No_ (atlech copv o11on01egxt description) <br /> OWNFR Phone�E-man �js �`j.Q <br /> Addiess City/Slele2p <br /> APPUCANT: Owner OwnelsAgent Conlraclor ConuaGorsAgent Tenam��,,.iaoras.ienerc�m�.omnemm.a+,��roeo.on�om.�ox.i <br /> CONTRACTOR Slate L1c # O�"rn'�'�� Q�it'Bus. Lic. M <br /> Address 7�� � � PhoneiEmeil �b0 �� �Z�Z <br /> AM USINESS NA E C0�T FOR PEftMI� <br /> e1J l�e.�ti ac.5 zz s9 <br /> Phone�E�mail, <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WOR � <br /> E�isling Use ol6mldmg HEAT SOURCE <br /> PmposeG Use o1 Bu1ld�nq�� ��� Ges Fieanc_ Other _ <br /> 8uilding type. _Single Femdy _Duplex_Townhouse _Multi-Famlly _Commercial <br /> T e of ro ecl. New Adddion Remodel Re av T I. Si n S nnkler Demoldion Chen e af Use <br /> DESCRIPTION OF WORK(edmhonel spnce p�oneeo an Ihe Dackl <br /> �.��'�l ��o� X �-v� ���� <br /> MECMANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typ�ol Pro�ocl� _New_Addn _Altoratlon_Repalr Typs ol Pro�ecl: _Now_Addn _Alleratlon_Rapsir <br /> SAow Num6o�(NJ oI/lxfurea Shaw Number(MJ o//Irfurof <br /> NC-air nandhn unds Toilel <br /> Forced air s stems Bethtub <br /> Gas i m lavato (wash basm) <br /> Waler healer Shower <br /> Gas Gre lace Kdchen smk 8 dis osel <br /> Gas ran e Dishwasher <br /> Ciothes d er Clothes washer I <br /> Ran c hood Water heater . <br /> Eehausl lan Smk(sernceibarlmo /etc) <br /> Heat pump f�ack0ow reventer <br /> Und healer Unnai <br /> � Bailer Dnnkm Pountnin <br /> i Reln eralion f loor drain <br /> Woodstove Grease Ire <br /> Dudmg Rool drams <br /> Olher Medlcal Gas <br /> SPRINKLER / SUPPRESSION 8YSTEM omer <br /> Number of Heads O�her <br /> I OeroCy tt�ily I�nl l Anve ree0 anc eaammed Inn epphwlron srM Mnaw IM feme lo Ea Irve enC carrctl All Dmm¢nf al lewf sn0 aPnancn poveming Ihu lype ol woh vA Ee mmMwC <br /> w��wheNer iDec�ea�eren o��o� IDe q.eniinp ol�pnmA axt nct p�e�ume io giva�mnomy io noia!e o�unoe�ine povoion ol my wner s�a�a ai bui�ew repwninq con+Vuqron <br /> Th�t I xn�N� E by Ina oxnv ol 1�n popeny to penwm Ine warA la unic��ppbairon N mMe�nU I comDN wM�ne Sia1e Cmn�clan L ew I B 17 RC W en0 796 700A W�C <br /> . a0 �I L <br /> Ow�vlAulhoriz Apent9lgnature Oate (ReviseCl?OIJ1 <br />