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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Fverett, WA 98201 425-257-881� FAX 425-257-8857 �wnv everettwa org <br /> 3 —i� —/ <br /> SITE A��2ESS:� S� � I VHOPERTY TA%p P MIT A D _ <br /> 9 b ' ero 9 0 � <br /> LEGAL lo�new w�sVucl an S�mn P'aVsuOd�rsion lot No__ 1������copy al leng Iegal descnpLo�l <br /> OWNER <br /> WLN U • [4 ✓MOa � �'AonelF ina�l �— <br /> AOdIC55 <br /> i3o5 ,��, � � . s+� o ��,Y,S,�.�-7o e �; � a <br /> APPLICANT: Owrei Owrer'sf.gent . _Conliactcr �Con!ractois4grr•.I Ienant�-�+�n����ii�,�^r���•,.e-m�Tr•r...r..:�e.�.�����.�•+[.+<•'� <br /> CONTRACTOR 00 I Stale I.�c a W7 7 F� ���Y Bus L�c p OH9757 <br /> a4Aiess '3�S pM JI W 5 O�'s W 1Yl10 �narerFna�� �j� J <br /> TENANT BUSINESS NAME CONTACT FO E MIT <br /> Jo� `�,t va{I <br /> 1'Fone�f ma�1 H ) 7b0- 9 I 6 , I '� <br /> BUILDING PERMIT APPLICATION coHraacr vaice oF woRK_____ ___ .-- <br /> Gi56^•g Usc ol[l���lding ____ N[A7 SOURCf <br /> ProDosed Use of Bwltl r9.. �� I�-_ _�_7— _.-- Gas __ l:leclr¢x Olnw_ <br /> Butld��ng type �Sing c F am���y _..Dap'e� Townhouse _Mulh Famc'y _Com�ierc�a' �. <br /> T pe of pro;ecl New Atldi4on Remodel _Repa�r _T I _ Si n Sonnkie•_Danoi�hon Chan e ol Use <br /> DESCRIPTION1OFWORK,az�',cnaisp.inp'o.arya�r�oenrwi 1 � r oE�l <br /> �,h.pOL � ekis��, �ouyL i�bif�E P,X�ST+`'8 7`0 / , <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Pm�ocl�. LNow_Atldn _Altorauon_Aopalr Typo ol ProJocf �Now_Addn ___Alloratlon_RoOair <br /> Show NumDa�Nl ol lixfurca Show Num6rr INJ o/lufuree <br /> NC-an hanOhng unds Todet <br /> ForceA a�r s stems Halhlub <br /> Gas p�pm t avatory lwash basml <br /> Water heater I Showei <br /> Gas I�replar.c Kqchen sink 8 d�soosal <br /> Gas nnqe i D�shwashcr <br /> Ciuthes dr er C101hl`5 w.lShPf <br /> Range hnod ' Wa�cn c�alcr <br /> Lxhaust lan Smk(Serviceibaumo0lMc � <br /> Heat pump (lachllow pieveNer <br /> Um�healer ' Unnal <br /> 8oder Unnkm f"ountain <br /> Reingeration � f loor drain <br /> Woodstovc Greasc liap <br /> Uuct�n Nool drains <br /> Olher Mca�cal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � other <br /> Number ol Heads � Olher. <br /> I��iebv«�'M��Al l�ave�eaA a�a e�ammeA Na aDC��cannn ara�now Ne same lo oe Ime end mnect Ail Diovmm�s al bwe o�0 eN�nencee qOwmmq mq lype ol worh rA oc mmVnca <br /> rMq wr.el�er�prcAied ne�nn no� �e 9�anung af a prnra aon nol C'����me�0 9rve amnom�io aolaie n ca^ce�1^e Crews¢n M any ot�er slaie o�Wwl i.�n re5ulr,n9 caroWninn <br /> lAai 1 am ausa.ve EY�ne n ol i�n Aoimny io penmm i�e w:,�lor wn�cn nOC��wion n moCe and i cemC7'"'�n me Sla�e Connaaon law 1A 27 RC W mJ 796:OOA N'�C 1 � <br /> \ / � <br /> I z 3 �3 <br /> Owner�_Au�horlxad Agonl Slgnaluro Dalc (Recrsrd.'i?017; <br /> �� <br />