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PERMIT APPLICATION <br /> BUILDINGIMEGHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CI'.Y OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425 257-8810 FAX 425 25i-8257 �vww evrrettwa org <br /> SITE ADDRE55: PROPENTY TA%M P MIT I <br /> 3 Zs�3 C��,nrz S�. <br /> LEGAL lor new conslruUion Short PlaVsuDdrvisir.n I.u�No lalla:h cc0y ol�ong le9al rlesr,rption'� <br /> OWNER �(2./� 1�-V CJ Pnune�E�mad <br /> nAtlrNss LS � 7 C�J/L(L � Ci1y/51ate'1.�D �1I�.2�'�-/�T �`�ZO� <br /> APPLICQNT'. Cvmcr Cvairi'sn9a'! ✓Cunl,ar.tar . _Conhador'sAqent _ _Tena,�l ��., . �. .n.i�n�.,���,,..�.-n.,�.�.,,..,.....� .,..n�� •.sr,,..i <br /> CONTRACTOR � � RooiL4 Crr�-a�(� State Lic n (�Rcol�Cr �`� �7'L,"� c�iY n�5 i�c a � 9 L <br /> �aaress O�O� N1lJl.s /� V_ NC� � Y�-4.vT�`v PnonNfn,a�� 20 � •300 '�/��y <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT t-t ,, ,r <br /> ,L�-F� �y c.O O I'L S <br /> �'Pone'fm;��l {,SlLJolt4� vJW�� � �ftly <br /> BUILDING PERMIT APPLICATION coNrRncr aR�ce oF woRK _____ __ _ <br /> L.ishng Usc ol Awiding _ �-4.9•.t�S �-+T ��'l HCAi SOURCE <br /> Proposed Use ol0udd�ny_____ _ Gas _ Ocanc__ Olher__ <br /> Build�ng type _ _✓Single Fam�iy _ Duple._.Townhouse _MuIn.FTmity _ __Commercial <br /> Type n�prC�ec� New Addtl�on Remodel Repa�r 7 I _Sign�Spnrklnr_D�•mnLhCn_Cnange ol Use <br /> DESCRIPTIONOFWORKnd���cr�niru�c�c�o�:�hrn��� ��•r.r.� <br /> R�• �Jc'�� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projocl: _New _ _Addn _Al(cration_ , Repair Typo 01 Projecl. __New_ AdAn _Allc�ntion_Ropalr <br /> Show Number(MJ ol Ir�furrs Shaw Numbrr�M)ol/irfures <br /> 0.0 au hnndi���q u�its �odel <br /> � I orcrd Nn tiyslems I BaUnub <br /> � Gas p�pmg I Lava'.ory fwash ba5in) <br /> —�—�Wd!ci hcal��i � Shux�e� <br /> ! �;ns faepiace I Kdcren snh R dispusal <br /> Gas i,mqe DiShwashM <br /> Ciothrs A�ycr Glntnes washer <br /> Ran r houd Watzi hea�er . <br /> t.haus� �;�n Sink�service�bnrRnopletc 1 <br /> Ilrat pu��p HacFtlow preventer I <br /> U�,d hrater UrmJl <br /> Bo�ler � DrinFin founlain <br /> Helnyeialion FI00�drein <br /> � Wnodslove GiCdse�rap <br /> Uuci�ng � I Rooldrams <br /> Other IAetl�cai�as <br /> SPRINKLER / SUPPRESSION SYSTEM O�her <br /> Number ol Heads I Othei <br /> i�ne�yr�r1���I�eli�d:Cmddln�r.d^�inP�lll'isApp''ta'icnpn(1Ynfw10e5aqTlaECbue9nU<O��ecl AIIp�OWYOn]cliewSanCC10��ia1'�CCtgovC�n�nqlhislypeolwoAwiipCtnmp4etl <br /> n•n wnpt��er speofiea�eieim m�ol 1nc Q•a�i�ng;r a Cermn Cocs ncl O�esume lo yrve xui���ny lo no�ae or can�e�Inc p�ovisron cl any otne�5'al`oi Icrni law iequlabng ronslmctron <br /> il�al�:vn.�vihorq<C GY�n�•axnv cl I�is pioprqy In pedo'nl ine wOrl lo�xRCM1 i:phULen 6 mdJe nnd I mmply Nilp Ipe$Iale C<�Imcto's l ow 10 1!�C\V.InQ:)5:W�K',1Q <br /> —n 2. � . 1 L� <br /> I. - Ow r ulhodredAgeniSlgnalura Uate �t7ev�sed.U,'O+T <br />