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F'ERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3?00 Cedar St , Everett, W!� 98201 425 257-d810 FN( 47_5-257-8857 w�nn�v evereltwa.org <br /> SIT[ADDkBSS: ��{ PROPfRTYTA%fl�C'�:��u�7���.ri� ��t�krair <br /> ?r3t o= � '"f.�EG�'*� ��l ct�v3�c�o[c ov �� � %� � <br /> • / - - - --- <br /> IEGAL tor r.ew Wnsimd����. Short Plat/,u alv�s,on __ __ et No,___ _ �atlach crpy o!inrg'egal acscriplion) <br /> (�.Al l!iH.cAlOt�l ��Z-S� Z`.�7 '� � �(O <br /> OWNFR �7 �L,TQ - �' , (�C�f`� PnonaF�ma'i <br /> nddre,s ��j�L �' - ,.S'(- -_ �—�— City/51ate/Lp ��L ,� ^� LU��' <br /> � APPLICANT:__Ov..^a �,Owne'sAge�t ___Con!raclor __Co�IraclufsAgcnt _Tena-I�+�nec.'aea'rr.�oico�+��nAmm.o..n.ri�ao..��x .i��•,a��� <br /> CONTRACTOR ��R���{'�ll�t� SIa�eLic #� _ City�us I-ic N <br /> , _ ,. <br /> �tldress Phone�Emad <br /> TENANT BUSINESS NAtdE CONTACT FOR AERMIT��� C�� ��� <br /> Gj�a>1T�.G(�c.�jj"��-IrSI;.�[:, �p, 7�.1'L hPt+hrC�fU� �?_$ ' 252 ' ZI 5� <br /> PnoneiF�mai "?Y��`+N�' 2 7_���.c F1�� — Z: =�CC <br /> BUI�DING PERMIT APPLICATION CONinnCT PRIGE OF WORK' L'�D"' <br /> Ez�sling Use of Awldmg�/� _ . HEAT SOURCE <br /> Praposr.d Use al Buildin3�,3,��_____-- Gas _ Elect�ic Ot�er <br /> �wlding rype� _Singie Fam�ly _Dup'ea__Townhouse _Mulli�Family _'1[Commercial <br /> T e cf ro�eci. Neei AtldiPon Remodel Re air T I. STn 5 rinkler Demali6on Cha� e of Use <br /> D[SCRIPTIONOFWORK(add�nona�spacep�o�dedonmeeack)' �YP�*10 CfiRx—L�.��Y UU}?> j�{p)• I/lKA+S� �.C�'. <br /> iuS�w �Ew A���o�, oF s,..�f�---r� s��, C� r i� �� Rc��sw��-� �Z� NQ.s <br /> �('j(�IkOPC�l.)�1�lcJ �C2 �� �S �TG1EErJ �5� :�►�Ek, (.t�(��t�'�l� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc of Pioject: _ New_ Addn __ Mteration__Rrpair 7ype of Pro�e:t: _. Nnw_ AdAn __Altrralion _ Repair <br /> Show Numbr.(�l�������+�es Show Nunrber(a�n//i rhnes <br /> NC -a�r hanAllny tmds � 7o0ct <br /> I�orced ai�syste.ms — � �lalhtub <br /> � _ Gas piPmg '_'_ _ l.avaloi wash basm____ <br /> Water heater Shovrer <br /> Gas luenlace Klchen slnk 6 dis osal <br /> Gas ran e Uishwasher <br /> Clothes tlryer Clothes washer <br /> Ran r hootl Wali�r he2ter <br /> Lxhaust fan Smk(serv¢elbar/mop�etc.) <br /> Ilr„it�m Backllow reventer <br /> Und heater Urmal <br /> I Boder _ __ _ -- _ Drinking Founlaln <br /> --�- -�� Reln�eret�un _ - — — ' I�loor drain <br /> —�"Woodstwo Grcaselrap _ ______ <br /> ---�-{-- �Duclin —'--�--- -� --�'-- RoofArams .. <br /> pp��� MeAical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM 2 Olher ��['{F' .�.{1� <br /> Numbe.r ol Heads Other <br /> 1 hereLy ce�l.y Ihal I liam rcad:m:1 eiamiqea Rfs apphctlivn,n��1nov�IM1e 5ame la pu hve an�cencU 0.N provulon,ol lawa en0 onfinonces govem��y IMs IYPe ol wwM�ail Ce mniy: <br /> .vm n�enier s ec f�eJ�re��'t or n/ol.l�c 9ranlnq I v ePLI C�rs no�prrsmne lo gwr uulhmuy lo vnlp!r or cmcal ICe p�ovis!nn ol onY ol�er slnle oi lxel l.iw m9ula�.ing unr!mr'.nn <br /> iTal l an ul n[etl�y I�e on ¢1 0l Iqly pmpn 1 pe�lmm�lic woq furµMrp upV��ali0n is made:mE I mnifly�ypti iM1r Sla!o fcn4aclors Law 1 B P RC W xntl�96 700A�74f. <br /> , /� ZJ�7ir.--/� <br /> ��-C'� <br /> OwnerlAu 1 o ired A9enl5ignatwc Uatr (RovisPd 9/:014) <br />