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r�ERMIT APPLICATION <br /> BUILDINGIMECHANICALlPLUMBINGISIGN/SPRINKLER/DEMOLiTION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 96201 425-257-8810 FAX 425-257-8857 v✓�w+ everetlwa org <br /> SITE ADDRESS: C PROPCRTV TAX n PERMIT a <br /> l0 / LOC ✓G 00 S O " <br /> LEGAL lor new mr.;lrucbon Sho�t P�allsu6Crv15�on�'� ���1�������o�� (anach ceq ol long ieaal Cesu��o��on1 <br /> OWNER � ` jA✓� 0 �// P�onn;F_�ma�l Zr. Z2-y OU .f f-rD5✓/ �..� <br /> Aaaress C�ry�5late/Z�P <br /> APPUCANT:�,Owner _OwnersAgent Conirador Contractor'sAgent Tenanti�-.nu�>r�9a�e-�•::+��+�=�ncr:+oo»r�::,:�•�:^�^ns��a�! <br /> CONTRACTOR OWNf Sta;e Lic. # CAy �us Lic # <br /> Atltlres, PhonelEmaO <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT .��� <br /> Phcne:��maii L'(Z'r, l-j2y� 1"✓O(7 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_ 33S — _ <br /> [�is'irg Use ol Bulitling R <S �Z< <'�- ___.�5�2 HEAT SOURCE. <br /> Pr000sed Use o(Bu�ICing_QL S r�iY1,,14� 'S�� Gas}� [Icc�nc_ Other_ <br /> �ui'Cing type. �_Singic Famtly _Dup�ee__Townhouse _I."ui;i�Famdy _Commernal <br /> Tyce cf cro�eM Ne.v AddAion Remodei _ Reoa�.r T I __Si�n_Scrin4ler_C'emo!�llcn_Cha^ge cf Use <br /> DESCRIPTIONOFWORK!eam.'�c�arsnace;�o�c�oc%me;.ar.� � <br /> /<���ie� �PMD� 1 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa ol Pro�ecC _New_f`Addn _Altarotlon_Repair ��`� Typo ol ProJecC _New�AdOn _Plleratlon_Repav <br /> ShowNumbcr(M)ollirfurcs �'TVd ShowNumberfp)ollirtures <br /> AiC-air hantli�ng un�ts I TodM <br /> ! Forcetl air 5 stems Balhtub <br /> � Gas p� ing Lavato jwash basin) <br /> VJalrr heater Sho�.ver <br /> Gas flreplace I Kitchen s�nk 8 disposai <br /> Gas ran9e i D�s���.vashr.� <br /> Ciothes dryer Clot��es v.asher _ <br /> Range hood I Vdater healer <br /> Exhaust lan I Sink(servicelbar/mo:,/etc ) <br /> Heat pump I ���4�1ow prevenler <br /> Un�t heatc� I Urinai <br /> ; podcr I Dnn�.ing Fouclain <br /> Rehmcrahon I I'locr drari <br /> Woedsleve Greasc trap <br /> Uachng Roof drains <br /> Otlicr � Metl�cal Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM I Other <br /> Number of Heads � Other. <br /> I OmeL•y cr�11)I hnl I hUre re:d Jn�erarm�`e�I�rs app�,rpnon an�MnoH���e same lo�^Vae 0nd cau9ct All plov�Sons o1laN9 an]o'dinOnces gvveT��.g Ih;IypC Of xY�A will bB W mJ.P�] <br /> wn�nhN.^w sCcufeE terein or not 'Te g�a��ing o�a p.rmn eces nct prescmN.^g�re aumc�iry ro v�c�ate er wnceHne pmvisron of ary c�her siam cr iocal iaw rey�iauna�orsWmm� <br /> ipal i am a�'�onte0�y Uie v a 5 D"�7c�y lo DcM n I.�e wCrA fci w�¢n app"<a1ro��S m2Ec ar01 mmD�Y wtth I�e Sletc ConVaUoO law 18 27 R�W en]756 70.�A lSUC <br /> Z� � �-i3 ��z <br /> OwnorlAuthorizetl Age nt Slgnawm ate lFe��sr,Y J��0�Ji <br />