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. • � � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CeCar St , Everett, WA 98201 425-257•8870 FAX 425-257-8857 �rotivwevc�eitwa org I / <br /> APPLICATIONS ARE ACLEPTED FROM 8 AM TO 4 PM S �Z� —JY <br /> SIIEADDRESS: vaovtarrtwtM P fiMT <br /> I`�U� `;F TVC�C� MA�� 411J �.��Q a 0 � 4 �ISOO —�� <br /> IEGAL 1y n�w cc-�stm;.��o� Shc^PWUsubO�r�.s�on Lc!�.o • lattach ccy✓o/ia^�Inga Cc;v�;'.o^'. <br /> OWNER � �,� P P�) �S`���� (�J ea Pho^.a'E-rr�a�� <br /> `��,,,.. a �i s�a 5 t� ,� �,,�5,a�e:Z o a o <br /> APPUCANT: O�.*•er Pwrefs Aq�- Convact�. Co�'ia[Io�.Agr^I _ ana��.-:;iro.a�a.� .. , v. ..-i n m...-, u_e� + . . ,v, <br />, LONTRACTOR 1�I ST� P�1 ���1 L81L¢ �+ � �- = 5? �� Ppy4�TK COFB�s lic # 3 SS <br /> A�OfGS. 1 V. �O • (�II V1�� � �l O� �no�e:[�na�V,� dad �G.�i� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> o�.i i�,x s{,o�, p,,;�t��r �o.,�e�-� <br /> ����.� ��,� f�ra�ck A nlls�aR—Nu�ac,cc,� <br /> BUILDING PERMIT APPlICA710N CONTRACT PRICE OF WORK R,S,_,�,3 <br /> Ez�st�ng Use ol Bu�,lO�ng J hp(1_ _ HEAT SOURCE <br /> T <br /> ProVosed Use cf Bwid�ng_��ijn� Gas benr�cx_ OfM1er__ <br /> 6��!dm9lyve _S�ngie famdy _Duplet_7cwohouse _M�INFamay � Commerc:al <br /> T pc ol Grolect ��ew � Addihon Remodei � Repa�r_ T I S�qn SD��nFle� pe�-�ol�hon Giang? of Use <br /> DESCRIPTION OF WORK(a<!e-no�arsa��e v�o�•�n^���u�°1,a�h� �• <br /> P.eMo�e E�,,i�� 5 ro�� Ncn7 �,�P 7��r�� IS Nui wo�l: (�nf� cA� ;No� C�-} P�2T3 %o <br /> F�X� 1vsYn11 Ne�� s ro�� HehTp�n,P r���l� E(U�Jo^��C2 , ��i.l�� RePIrC�R�erJ� �N�l/. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projecl _New_ Addn , Allerabon___Repair Type ol�roject _New_ Atldn _Alleratmn_ReOa�r <br /> Show Numbrr(MJ ol lixfuros Show Numbw(a)o!/iriures <br /> NC �-au handl�ng und; Todcl <br /> ForCeC art 5y5tems �athtuU <br /> Gac p�pm� 1 avatory(wash 6asin� <br /> 6'J.ltni �iaa!rr $110wPr <br /> Gas fireplacr Kdchen s�nk A da(wsal <br /> Gac ranqe � DiShwashcr <br /> C�othes dryer G!o�hrs washe� <br /> RBnqe h0od Wale'healcr <br /> Evhaustfan I S��k :ervice/barlmop%ela) <br /> Hr.at pump Bar,kfow prweNer <br /> Un�t hCale� Unnal <br /> Do�lcr Dnnking Founla�n <br /> Re!n eral�on Floor tliain <br /> Wootlstove Grease trap <br /> Ouctm Rool drams <br /> Other MeA�r.al Gas <br /> SPRINKLER / SUPPRESSION SYSTEM otr,e� <br /> Number of Heaas Olher. <br /> I�ereCy certAy ai i�a. ea0 ena -wmneE tNs aoP��calon ai.d rnow the sTme to be vue ana w�ec1 W�o�o.uons o�ia�s e�E o�0�nanws gmeminq m�s�yoe o�wo��.ri be w•�m'��� <br /> w����:'+��!H'� OeoLn e�e�nornol �egranl��go�apmm�IMn;notC�esumobgwoON'wreylovqiatBarrancclMBp�orrs�ona�anyolhorsbleorbce�lnw�egu�aiingconslru�'����� <br /> Thal i am iho•�xe �I�e ownne o� ��s O�We�Y�o�edo�r t�e wo�4lvr whKn app�¢atqn n mrCe a�E I comny wXh Ihe Slaln Co�t�ac�ors law 1B Y7 RCW a�0 796 i00A WA� <br /> � , S h cy <br /> �(z <br /> OwnedAulhorizedAgentSignaturo D �e ;Rev,ed674'2; <br />