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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everelt,WA 98201 425-257•8810 FAX 425-257-8857 www.evgre`30�9�3 <br /> APPLICATIONS ARE ACCEPTED FROM B AM T01 PM �•� <br /> SITEADORESS�.'� '1�1 L d 4r" $�/��✓!f"�jf w' oROPE TA%q P ITM <br /> D0� 023d0 �' <br /> LEGAL ior new constmclion Snon Piathubdivision__ Lot No (altech coDY o�long legal descnp�io�) <br /> �' S9- 3a <br /> OWNER /� T - PnoneiE-meil <br /> Addrese <br /> z�/-L " � ri'�u. 7/ �/�w�.// "'f'f'�j/71l'�CitY/State!Lp G TT <br /> APPLICANi: lrOwner OwnefeAgent Conlractor ConvactoifAgeni Tenam�-�.�v�o,4•.k�k�or�;,�,.�ino.,m.�ruao.on�m.�o«+� <br /> fOMqlA9T9R�- C'� i1'/=R_ 1__ �a i u� a COE Bue.Lic N <br /> AOOresf � Phone/Email ����j Z Z�+ <br /> TE T 6 INE S N CONTACT� FOR PERMIT <br /> Pho e'E�mail D(i �IC ,(�/)�/'�)/�)��C�'�17�l�5 � <br /> BUILDIN(3 PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exis�ing Usa ol Bwlding rG S i / HEAT SOURCE�. <br /> Pioposed Use of BudAing T"/� d�iJ�or � Gee Eiectnc Oiner <br /> Building typr. Single Femily __Dupie:_Townhouse _Multi-Family __Commerciel <br /> T e of ro'ecf. New Addition Remodel Re eir T I Si n S rinkler Demolition Chan e ol Use <br /> DESCRIPTION OF WORK(a0ertmna�spare proviUed on�ne OaU). <br /> l3e,�,'���r,, T �;�,�Tj'�,•T�/t <br /> MECHANICAL PERMIT APPLICATION PLUMBIN6 PERMIT APPLICATION <br /> Type of Pro�ecl: _New_AJAn _Altarallon_Repe:r Type ol Pro�ocl: _New_Addn _Altaretlon_Repal� <br /> Show Number(M1 of/Irfure� Show Number(M)o//ieurea <br /> AIC-air handlin units Toilet <br /> Forced air s slei�is Bethtub <br /> Gas i in Lavato (wash besin <br /> Water heater Shower ', <br /> Ges hre lace Kitchen smk 8 tlis osal <br /> Gas ran e Diehwasher <br /> Cbthes dr er Clclhes washer I <br /> Ran e hood Weler heater <br /> Exhausf lan Sink service/ba�/mo letc) <br /> Heat pump Backllow ievenler ' <br /> Und heater Uiinel <br /> f3oiler Diinkin fountain <br /> fiefri eration Floor Crein <br /> Woodstove Grease ire <br /> Uucling Roof drains <br /> Olher Medical Ges <br /> SPRINKLER / SUPPRESSION SYSTEM otner. <br /> Number ol Heade Other. <br /> I nr,nlry ce�lny Irral I I�xv�•remi nn�f r�a.+�ncif Inu<Wnl.nlron nnn Inow Ihe fmne In Ge mm ena conecl AA ProvUbn�o11Bwf enC oMnencm poveminp IM1b Iryv ol woA vn1 Ee CCmpbE <br /> :.^.p f.1ip�Le�S�IPaM1ftl M1Prpy�nf Ool I��O pte�UnN ol��enni��ppf no�p'p]emC 10 g v0 fl���Only�O N0191!0!d.1M0i Ih0 pl�V�fbp[Il11Y dllIN��l1!0f IOCl�hN IlQIlWIY1Q CO�SINCtlW <br /> 1 n;��i n�n mdnunmJ oy me owncr ol tMa pmpeM��C"�^'^'�^^wow br wncn epFkslon h m�de enA I campN xin tl�e Steta Conbetlon Lnv 18 27 RGl'/enE 19B I00�W/C <br /> r <br /> �7 � �i i <br /> 'cr� '. �� ,, � ��r �1.� <br /> wnerlAuthotl:e A nelure afe (Revieed&7012) 1/ 7 <br /> L <br />