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i3-�/�2 <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/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 /> APPLICATIONS ARE ACCEPTEO FROM B AM TO 4 PM <br /> SITE ADDRESS:� ' � PR P TY T� /D,�n P RMIT 11 2_ <br /> ./ <br /> LEGAL lor new rnnslmcbnn Shn9 Plavsuhnims�nn t ot No_. . (�tlach<oDy�I long Ic9a�tlescnpbnn) <br /> _... . _.__ �7 . <br /> OWNER � ... Plione'F.�ma�.l �',,JG ' � <br /> Atldmss QryrSiale'Lp <br /> APPUCANT: ___ Ovn�e. O�me/sAgeat _ _CunVa,:lnr . Cv�triclur'sAqent _ _TPnanli�,,:ir��..a..ir�..���.�,�...�.+����e.�.-.,�-e�r+.,�n.,o�,�� <br /> CONTRACTOR l n rf l 8 I L�c a � �� � OE Bus.Lic d <br /> nan�ess �j(.� Pha�r�Cmm� <br /> TENANT BUSINESS NAME C NTACT FOR PE MIT ��1/_ //�� <br /> N � t r�t.�M'.�r, .3�n- .,��. <br /> Pnono .man (� . � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORN <br /> Evislm9 Use ol B�iltling_ _,__ HEAT SOURG[ <br /> Proposed Use ol Bwldmg Gas C:iear�c Oino• <br /> [3u�ldmg lype _Single family _Duplex_Townhousc _MuIU-famiiy _Commercial <br /> T c ol roecl New AAd�hon Remodel Re air T I S�gn S nnkler Demo��bon Chan e ol Use <br /> DESCRIPTION OF WORK Indd�tonni:narr���o.�eee o�me�sc�� <br /> MECHANICAI PERMIT APPLICATIOH PLUMBING PERMIT APPLICATION <br /> Type ol Pro�ect: New_Addn �Allentlon_Repsir Type ol Projecl�. _New_Addn _Alte�allon_Repalr <br /> Show Number�NJ o/f�rfuros Show Numbar(MJ o/lrtures <br /> NC- an ha�idhn urots Todet <br /> Farcetl an systr.ms B++Ihhib <br /> Gas � in Lavnlo (wash basi <br /> Walcn c��lrr Showcr <br /> Gas hre0lace Kdrhen sink isposal <br /> Gas ran r U�shwnshe <br /> GnlhnS A cr Clulhes a5her <br /> Rnn phnnd W,t �catcr <br /> L*taust lan 5 (serv¢o4�admnpretc 1 <br /> Hcai pwnp ack0uw prevenicr <br /> Unit healcr Urinal <br /> Bodcr Dnnkin Fn�in�ain <br /> Reln nr;it�on Flnnr dr:nn <br /> Woodslove Greasc Ir:�p <br /> Uuchn Roul tlra�ns <br /> Othcr Modir.al Gas <br /> SPRINKLER I SUPPRESSION SYSTEM om�� <br /> Number M Heads Othei. <br /> 1�ve�y ceh�i�dl l�eve rcaC��J e�amine0 V�n BpPMw�ron e�0 knuw Re samp!����e We enE corteit PA pmvnam nl lan�nnif rodinances goveming 10n lype nl mnh vnu ba ttimpPeU <br /> nnn wfielAe�so���d�ern n o�nn1 Tn�9ram�np ol r pem+A E�e�rnt p�esune In gvn eu!na�ry lo vM4�ie v omc�i Ne prornio�ol o�y emrr r.av o�lo��Ww rtg�Daling rans�mctan <br /> al I em nut�nvo�Cy Me o..�e�N 1��M1 pr�peT���prdo�m V�e waM1 lo�r^c�a,u�r.�i�on Iz madr pcd i cnmpry wnn inc Siale Cenirednn Lrvw IB 7/NC W nn�i9F 700R WAL <br /> �f� �`►I ZII�� <br /> wnerlAut orltadAqenlSlp uro DAte 1Revised6'!DI?J <br />