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. � � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sf , Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvnv everettwa org <br /> s"� 3 '��3 <br /> SITEADD?EZ�� Co�� X��P PROGCRTVTAXu Mlia _ <br /> 4 <br /> LEGAL lor new[onsir�ciio�'� ShcR PIaVs�GaVwsion Lot No (ailach ccay ol lora'cya'7esu q�cn) <br /> OWNER �/{ ( , : PnonelE-ma i 360 ' �S p — 1� � <br /> AEAress GtylState�Z�p <br /> APPUCANT: Owner Owner'sAgen� _Conl�acter Con;ractorsAgent Tnnan��.m.;io•oaaee�«��o'mm��i��o�.vu�vmao+cr�-�ee;;:r.��i <br /> CONTRACTOR ,,JCv{ ( o'v�/ti� �.. Stale Lic k �Y�S C'�� � �p� Cey 6us Lic tt <br /> FaO�es; W �M'11r`\ h .l� PhCne�E.ma��l 'U-��� ' IS.Jb <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT��� �v\' S <br /> Fhene'C�^�a�i -l(_>-S� � � I ss� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK IJ �� <br /> Erist�ng Use o18�ildmg ' P HEAT SOURCE <br /> Proposed Use cf DuJd�ng Gas_ Eiecmc_ Otn=r__ <br /> p�ddmg type� _Single Famdy _Dup� 7ownhouse _tdu'ti-Family _Ccmmeraal <br /> Type of pro�ed�. New Add�hon �RemoCel _Reoair_T L Sign SDrmk!er Demold�on Change o1 Use <br /> QESCRIP710N UF WORK racd�oona�.;pace p�o��eeo o�rne tacx�. <br /> �t.����� ���.y s�g:�s <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Project: _New�Atldn _Anoration_Repsir Type af Pro�ect: _Now_Addn _Altoration_Repair <br /> Show Nomber(a)ol Gktures Show Numbrr(M/o!!a f✓res <br /> NC - art handi�ng unds Todet <br /> Forced air systems Bathtub <br /> Gas p�pmg i I.avalory(wash basm) <br /> Water healer i Shower <br /> Gas lireplace I KAchen smN 8 disposal <br /> Gasrange I O�shwasher <br /> CIoO�es tlryer � Clothes washer <br /> Range hood ' Waten c�a�er <br /> Exhaust fan S�nk (serv�r,elbadmoD�etc) <br /> Hea�pump [3achfiow preveNer <br /> Unit hea1C� Urinal <br /> �oder � Drmk�ng Founlam <br /> IReingeraUon Poor dra�n <br /> Woodstove Grease trap <br /> Uucimg Roof drams <br /> � O�her � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I Other <br /> � tJumbe�01 Heads i Other. <br /> I Feirty coniy Ihal I hBro iead a�d erammea ih,app c�'ioa anJ 1n^.0 Rie som0lu Ue hbe am]cored A�I pimn:�ons cl la�ns Ontl oid�naners yu�enurg I"�a lype ui waiA w�l bC con�p:Cd <br /> c�h v��eR�e�specilrc0 nerem of no� T�o qranhn9 0l a permA Eoes nef p•esume to grva aulnur�y U rola�^or ca��_ei Ih^o•ovn�on cl any olner,Iatn r•e•ra1 larv reg Weung co�sW cnon <br /> inal i am aul�onre0 by I�e ownei ni IPis ptape�y"�yCrloim I�e wod lof wMtn BppiiCdLOn�5 maCe�nC I cpmply w:��'�e Slatc Co�lraclo•s la�n t e.7 Rp^d e��1Pd PpA WP� � <br /> L � <br /> y -Zs'�I 3 <br /> Own rl orizoE Agont Signature Dale (Pense07:407J1 <br />