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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM _ a�j--� z <br /> SITE ADDRESS: VNOPERTY TAN p PEPMIT t <br /> 30o w, k ao - g <br /> IEGAL lor new conslructimi Shm�PlaUsuAOrvision Lol No _____ (atlach copr ol long iegal deso��plion� <br /> OWNER '�}� BO (� PhonNt�matl �Q, /J�� <br /> Address �� T' Otyl5lale/lry ! <br /> APPUCANT: Owner OwncrsA9en1 Coniroctor Conlraclor'sAgen� ___Tenanl�.m�nio�o.����.��.rva�.����sr�iu,,,,veo,��.�•oco.on�os�esr+<�i <br /> CONTRACTOR � LEW I L Z I Lic p a COF Aus Lic p <br /> Add�ess �Q7 ��(/G. 7 (,�/ �f Q�d PhonelEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> ,�f^ (�O.Vg�Q- /3 f�HOv�SK/ <br /> ���••� PhoneiE-man - q <br /> BUILOING PERMIT APPLICATION coNrRncr Paice oF woRK___ ____. <br /> Fristing Use cf 8widmg _ �iTf,���r�____ ___. _ _____ HFAT SOURCF <br /> Proposed Use of Bmldmg__STn4f1(�� _______ ___ Gas___ . Fiecu�c otner <br /> dwlding lype. __Single family Uuplex___TowMouse Mult�-I amdy _Commercral <br /> Typc ol pro ed New Add�M1on Remodel Re ar T I Sign _Sprinkler �emohtion Chan e ol Use <br /> DESCRIPTION OF WORK(eA�l:tmnal spacenmv�aeaon fhe bacw� <br /> YO '�IO a�EYr £X�g.tX/D.v �D� 7G 7 �'�G�/T/4lG �� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo al Pro�ecl: _Now_Aatln __Alloralion_Repalr 7ypo ol ProJocl: ___Now_Addn _Alloratlon_Ropair <br /> Show Nunrbcr(N)of/iduics S�ow NumDer INl of/irNics <br /> A/C-B�r hand��ny und5 ! Toilel <br /> � Po�ced air syslcros � 13avWb <br /> I Gas pip�ng I avalory Iwash basm) <br /> Watc�hcatcr � Sho�.ver <br /> Gas lur.placc � Kdc nen sink 8 disposal <br /> Gas ran9c UishHasher <br /> Clothes d ef � Clotnry WaSher <br /> Ranqe hood Walcn c�atei <br /> CKhausl fan � SinV.(servicelbar/moplelc) <br /> Heal u�np I BacNIWw preventer <br /> Und hcatcr � Unnal <br /> 13odcr Unn�my Pountain <br /> Rehiyerahon � Floor dran <br /> Woodslovc G�case trap <br /> Du::ling � Ro�J drains <br /> �—— <br /> Olhcr � Med�cal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM otncr <br /> NumDer ol licads Olher <br /> I M1rreOy cenJy II�:�I I�iwr rea�l nnd e.xmmeA I�n appLCUbnn unrl Mnr�w Ihrz l.nnr,e�pe�ii ir;in�l cnrrecl P4 V��nsnn�,cl l:rxs an0 e'�manees qovenunq Inn lype ul wor/mll be�urnpi.�� <br /> w.iM1 wfielne�ipcuM1SJ r�n�o�m m�M Inn 9�;mlun�oi a pmnt Oocf nol pr�sume lu g�ie aVruuly lo vrolale or�.�qUl Ine prmunm ol ar�olr�.��slaln or Inril law�equplrrg c4ntlm�Ymn <br /> I�.dl I,m iple0 LV��t ovmri ul lli• w{mity lo petlM�n tnC wurA br�Muli appboilron Is nmdy eM I wmply w�li�Pc Slulc GuMr�c'ors 1 aw Ifl 1/1tl;V/an�196]DOA N'�+C <br /> / �� I <br /> � ��� 7- J y� �a � <br /> �� <br /> rlAuthorl:ed Agenl Igna�ure Ualc (Pevr,eJ li/10171 <br />