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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Evered, WA 98201 425-257-8810 FAX 425-257•8857 www.everettwa.org <br /> SI?EADDRESS��� O ^� � PROPE���S'i�...•� PG 'T Z'. <br /> LEGAL lor new constnxliorv Snort PlaVnu�Eivision Loi No._ (etlaU capY ol lonq lepai Oesuiption) <br /> OWNER PhOnNF-m�il 5, -5352 /n� vn ,GQ� <br /> AOOress �� `.,r Cily/SlaleiZip ✓ere � <br /> APPUCANT:�tOwner Owner'cAgenl Conlraclor ConlnctorsAgent Tenenllm�nipo..es�rnnro�.mumuomneawmnoeowaninnw�pwe� <br /> CONTRACTOR Slate Lic. p Cit Bue. Lic. M <br /> AEdress P�onelEmeil <br /> TE USINES E CONfACTFORPERMIT �,L�...jSA 'S�Z <br /> .� ` <br /> P�orM/E�maN �'VIA��'�JOUw•V` /� ,�� <br /> lUILDING PERMIT APPLICATION CONTRACT�fiICE OF WORK <br /> Exisimg Use ol Buildmg HEAT SOURCE <br /> Proposetl Use ol Buildmg �h . Gas_ Electric_ OtAe�_ <br /> Building type�. _Single Femily _ uplex_Townhouse _Multi-Pamily _Commerciel .. <br /> T pr ol vio ecl. KNew Addilion RemoEel Re air T.I. Si n S rinkler emolition Chan e ot Use <br /> DESCRIPTION OF WORK/edodanei space p�ovided on ine oacw) <br /> �O , � � <br /> c�:b���a ,.� coNs;e�� ,v� a��a�,v� c�� <br /> MECNANICAL PERMI APPLICATION PlUM81NG PERMIT APPLICATION <br /> Typa ol PraJecl: ,�C,New_AUdn _Alrorallon_Rep�ir Typs ol Pro�ecr. _New_Addn _�Its�etlon__Rapalr ' <br /> Show Numbcr fNJ ol/lrfuref SAow Number(N)o//Irfuna <br /> AIC-air handlin umis Todel <br /> Forced ah s stems Balhtub <br /> Gas ipin � Lavalor�(wash basin <br /> Weler heater Shower <br /> Gas Greplace Kltchen slnk 8 disposel <br /> Gas range D�shwashei <br /> Clolhes dr er Clolhes washer <br /> Ran e hood Water hea�er <br /> Exhaust lan Sink(servlcemerlmo /elc <br /> Heal pump 9ackBow preventer <br /> Uml heater Urinal <br /> Bo�ler Di�nkin Founlain <br /> Reln erefion Roxdrain , <br /> Woodslove Grerse t�ap � <br /> Ductin Rool irains <br /> Other Medict�l Gas <br /> srRINKLER I SUrPRE8810ri sYBTEM Olher: <br /> Numher ol Heads Olher. <br /> I OmEy cenM I�el l Mve reeC�nU eaemmeOl�i�epr'.uMn aM lnow�Ae aeme lo Oe�me end carrtp Atl povMlom al I�wf�nG orQlnences qoveminq thi�lype d vrorM wil M comphe0 <br /> w�11 w1w111a fp�CRNa nerbn a nol.Tlie Onn1Yq d�p�mN 00l��d pssum�lo ONs�utlwreY lo nW�la a uM�l lhe pOvhbn ol ony olnU s11�1 oi bul law nQuNM1np conslNctan <br /> T��1 I�m�uMm[�E Oy I�e owner of I�b propM lo psrlam I�e wo�M loi whc��pPlrtalan if ineEe�n01 mmpl/wll�IM$I�le ConlrMon l�w 1A 71 RC W�n0 T98 MUA W�C ( <br /> 1�� <br /> J -A <br /> �� <br /> Ownsr/Authorizs g�nt8� un Data (Revised3�101JJ <br />