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PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SI., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vwvw everettwa.org <br /> C o -oa P <br /> SITE ADORESS: pROPEFTY iAlf p PERMIT t <br /> LEGAL lor new wn5trucLore. Shoh PlaUsuDdrvis��on lot No� (atlenc�opy cl lonq iepal Eescnplion) <br /> OWNER 5 f+non�JE maii 2Q (o� rn <br /> AJCress �j2 Ciry�5latoZp s <br /> APPUCANT: Uvncr _ _OwnMSApenl Conhaqor ContrncioreAgenl Tenenl�-.a�poa�.�.scrm�wn�e.eo..rmm.a.rr.a�� <br /> CONTRACTOR e� State Lic. p dC Ci Bus Uc. N <br /> ACtlress P�one.'Finad . � <br /> TENANT BUu1NESS N ME CONTA FOR PERMIT �'k,} <br /> P�onNE�mad <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WOIU( _ <br /> E.isting Use ol 9wtding HEAT SOURCE <br /> ProOosetl Us^_01 UuAding Ges Geanc Olher <br /> f3widmg rype _Smgle Famdy _Duplen_Townnouse _Multi-Famdy ___Commeraal <br /> T pe of pro ep New Addition Remodel Repair T I S� n Spnnkler pemoliLon Chan e ot Use <br /> DESCRIPTIONOFWORK�eaahonaisparoc�o��oeaontnee�cwl `_, e ' <br /> �,1��.-�- r� ,i,l� �'1 w,�-7 -� ��P.�- , r_i►'lt�"� <br /> � r..,,�.� Z <br /> MECMANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TyOe ol Pro�oct: _New_Addn _Allentlon_Rapalr Typ�ol P�o�ecl: _New_AAdn _All�ntlon_R�palr <br /> Show Namber �J o/flrfum S�ow NumDer(/)ol ltrtuna <br />, A/C-air handlin unds Toibt <br /> I�orceC alr s stems Bathtub <br />' Gas � �n Lavato wash Gasinl <br /> � Water heater Shower <br /> ' Gas fire lacc Kilthen smk d tlis sal <br /> Gas ran e Dishwasher <br /> pothes Aryer Clothee wesher <br /> Ran e hood Waler Mater <br /> I.ehausllan Smk semcrlbar/mo /etc <br /> � Hcat ump 8dckflOw preventer <br /> Umt�eatcr Unnol <br /> �odcr Dnnkm Foun�am <br /> Rcfn ere�ion I Floo�drain <br /> ' Woodstove Grease trap <br /> Dudm Roof drame <br /> Other Medipl Ges <br /> SPRINKLER / SUPPRESSION SYSTEM I Other <br /> NumberolHeads Oiher <br /> �M�eb�u�rlRy Intl I nerc re.�A an0 eum�nlA I�rs aDp��n Bn�Mav Ns u�re t0 Ds We anE mrrctl A1 provwon�ol irn enU wC�ln'Kna pOvemxp Mq type d rait vnli M rompneA <br /> wM wneNer ape[TeG Mrein a na lAe prvnLny ol�pnm�pee�rp�pp�vms lo gAe�Ntw�ly lo rloVls a u�cel Ne prWnm pl�n�oNa tlele a bCN law rtpubleip consW nron <br /> Tnat I am]�tt�wuea Ey mt ormer W Ino p�operry lo perhxm Uro rvx la wtikn appNulm 4 maae viG 1 wmpy wCn N�SV!�CanVadm u+11 77 PCW W 3W 200A W�C <br /> -��� y-7-�y <br /> OwnorlAUNOAud Apenl Signalure Date (RensM 1Q013) <br />