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� � <br /> PERMIT APPLICATiON <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Fverett, WA 98201 425-257-8810 FAX 425-7.57-8857 �wnv.everettwa.org <br /> SITE ADDRESS: �ROPER7YTA)In PFp"""' <br /> � Q G� � <br /> LEGAL!or new conslruchon. Shad FlaVsubdrvnwn__ 1 al No_I(� (anac�copy of long iegal tlescnD��on) <br /> OWNER �Q� �j 1� u � PhoneiF.�maJ�(�_ �.� ��•,�� _ <br /> aaa�ess � c�ryis�aie�z�p � <br /> APPLICANT: Ownei OwnefsAgen: Conuaclor Contracto�sAgent TCfIdfll�Tvt�D'�����k�flG16NC�Fpn�'I�prlIIOOOwpA��UN{PJ'e) <br /> CONTRACTOR e� Slalc I ic.k 91D_L3__ c�ry��5 Lia M <br /> — lel�.di�cln�miiil�,iiini.a't �_I <br /> Addiess °�`�B GId7_ 13100 Bot�el�f verrtt N\4v,So�tP 303,Mdl(�eeM.WA 99012 p�one�Email ;(�O�F63Q051 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT -�—i,.,i,,—,i, , ,, i , ,.i i <br /> 3G0-R(il ?053 -�-------- <br /> Phone/E�mad <br /> BUILDING PERMIT APPLICATION CONTRACT PR�CE OF WORK <br /> Existing Use al Bwldirg___ ___ HF.AT SOUftCE <br /> Proposed Use cl Bwlo�ng___ ___ Gas __ Ctectnc.__ Cmer___ _ <br /> �widm9 type �C Single Pam iy _Dupie._Townho�sc _ _A4�iti FamJy _Commeroal <br /> Typc of pro�ecl Ner+ _ Aatl�hon _ _Remodel „__Repan___ T I __ S�yn_Spnnkler ., .DemoLUon__Change oi Use <br /> DESCRIPTION OF WORK(aee�nonui spucrcro.�erac�r,ac Cacwl <br /> �flr Fi1�al .Zns peefio ns <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo al Pro�ecl: _Now_Addn _Alleralion_Repair Type ol ProJecl: _Now_Addn _Altvrallon_Repair <br /> ShowNamber(MJollirtums ShowNumAcr(NJo/Iiaiures _ <br /> A/C-air handling �mts � Totic� <br /> � Forced air syslems Bathlub <br /> Gas pi mg Lavatury(wash hasin) <br /> Water heater S�ower <br /> Gas 6re laco Kitchen smk 8 Alsposal <br /> Gas ran e Oishwasher <br /> � Clothes dryer Ctothes washer <br /> � ; Ran e hood Water healer <br /> EMhausl fan Sink(scrvitr./badmop/elt) <br /> Heat ump BatMOow pmven!er <br /> Unit hcater I Unnal <br /> � daler Onnkin Founlam <br /> Reingcration Floor dram <br /> Waodstove Grease�ra <br /> Duciin Rool dia�ns <br /> Olh?r Medicat Gas <br /> SPRINKLER /SUPPRESSION SYSTEM otncr. <br /> Numbcr ol Heads � Othcr. <br /> I�ereEy cen�ty Nal I�aro rta0 an0 memined IMa apD'�����on enE 4nawll+a samc lo Ce irue end mrtect All pmnsons al lan anE o�0�nence�qovemmq thia l�Ce ol hoA wnl De mmpr�eJ <br /> wnq w�HOer sptcmeOlfeRin or nol.llto pMlinp ol�pertn�doea nol pmaumC to qrve YNhortly la vlo�ale o�W�cei l�e D�ovition ol anY aNer st.H�rn lootl la.v repu4ling COntwclron <br /> That I am ew�anrr0 Ey i�e ormm c11H�propeM�o Oerlorm N�worl far,n�Ui appncatron 6 mada anE�comDy wnn Ne Siaie ConVadon ls.U 27 PCW aM 7%700A WAC. <br />' ���- ���ji���y <br /> ..._..,. ...._.. ._........... .. , ...,_ , .o...,._„�,,.,, <br />