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� • <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St . [verett. WA 98201 425-257•8810 FAX 425•257-8857 ww�v everetriva org <br /> 0 5 6 . �6—��( <br /> SITE AODRESS: VROPERTY TAK u PERMIT C <br /> � c�� ,�,���,WA �� i 5 -o I 8 <br /> LEGAL�or revi cons!n�cLcn ShcR PlaVsuD�:vSron l ol No (auac��cepy ollo�g�egal descripl;onl <br /> - -- .�MM1 [I Co .eS <br /> owNeR E�erQ�1 Sr�d D�S�r(c.+ No.2 Fnonerf-nail � i„�� e e .er <br /> � , <br /> A�oress �00 aadwa fie�a�{ 'nh1 ^�97�f GtyiSlatelZ��o " <br /> APPUCANT: Cwner .�[O.vnersFgem Co�trar.tor __ Con'raziorsPgent Tenani�r•,•ec•o.a.airro�m�:e�+rom�row.�.�nao.�+���n•�:,-.i <br /> CONTRACTOR L 3 I L�c # COE Bus Lic � <br /> Pa0•ess PhcnolEma.l � <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIi <br /> EJerc{L 1��51� ScY�ool Brfle.v..,Nns�.'�Ho��lA.�c.�,;leds <br /> P�cnGLmad4z5 -25`1-oBNb <�s.rc�eF n�larc�+.�x� <br /> BUILDING PERMIT APPLICATION GONTRACT PRICE OF WORK t'r D(� I <br /> Er�st�ng Use ot Dwld�n3lj;,�,��,�_ , HFAT SOURC[ <br /> Proposed Use of B�'d n�_ _ Gas__ Eiedre__ Ctncr___ <br /> Builtlmg type� S��ngle Fam�,y _Dup'�eK_Townhouse _fdv�ii-Famly _Commeraal / <br /> Type cl pro ect New P.ddd�on Remodel Repart_T I _S�gn_Spnnkler Demo'�lion_Chan e ot Use y dM.� <br /> DESCRIPTION OF WORK rr.���r�o��si;,ace prov�de�on!r,o bacw/ <br /> .rE rrcr o . xi. ovw � N` o <br /> 1 � F� «����,� ,c�jw ,-kr, <br /> t3� c�1�.�W ��1\�_ fCnco RY�C� YL"V'.�ns c,fi5�-.� Ic.11C�9ct�+ �S <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERM17 APPLICATION <br /> Typo ol Pro�ecC _Nuw_Addn _Al(eralion__Repair Typo ol Pro)ecl: _Now_Addn _Alteration_Repxir <br /> Show Numbcr(u)o//ntures Show Num6er Ip)o!lirfures <br /> NC - dir hendling ends ToJC+I <br /> Ibrced a�r systems 6alht�b <br /> Gas p�pmq Lavalory �wash basin� <br /> VJater heafer Shower <br /> Gas tireplace Kdchen smk 8 disposal <br /> Gas range Dishwasher <br /> Clolhes d er Glothes washer <br /> Rangc hood I Watcn c�ater <br /> [.haust tan Smk (semceR>ar/mo letc <br /> Heat pump Backflow preveMer <br /> Urnt heater Uunal <br /> Bodcr Drinking Fcuntain <br /> Relr��qer,hon Floor drain <br /> VJoodstove Grcase trao <br /> Duc6ng Roof dra�ns <br /> p���,�� Mcdiwl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> Numbcr ol Heads Other. <br /> 1 no�c�y cendy thal 1 have�ea!dne eaamined Ih�i applwbon ane 1 now t�e saT.e ID 9e tNe anE mRM.Fn orov4�Ons of laws B�C o•e�.nan[es qovCm��ng m�s lype cl wmk w�A be tornpbeo <br /> w^��Not�ei:�ec��eC here��m m�ol IDe granlMg of a permd Ooes not Fresume to glve a�t�ortly lo v�oiate o;ca�ce�Ihv provls�.o�c'nny cthr�s'ate a bU'��a•requ a6nq cemin+H�on . <br /> TCoI I Bm aul�anle0�y Ine oxntr o11N5 pmpetlY io peNorm t�B woM lor whl[�epD�'�Ixn is rna0e e�C I rn�npiy wn�1'+a Slate LOnbdCo�s Ldrv'�8 21 NGYl n^.d 296 IOOA V1AC <br /> '" \\Ih1�i s/�a/14 /� <br /> Owner/AulharizodAgent Ignaturo �Ddle i�'cor;eC3�:DU� <br />