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�ERMIT APPLICATI� <br /> BUILDINGlMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SEr'JICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 en�nv everettwa.org <br /> 6 -r7--r.S� <br /> SITE ADDRESS: PROPER7Y TAX p PERMIT n <br /> � o s� ��o 00o a� -ao <br /> LEGAL for ne�v constmcLon: ..�oq PlaVsuLtlrcaion Lol No._ (aitach copy ol long legal tlesuiption) <br /> OWNER �y[�� � � �Q��_ � �, PhonefE�ma;; <br /> Atldress / � s� � r'` q Crty/51ate/2�p � � �D3 � <br /> APPLICANT:_Owner _Cwncr',Ayenl _Conir.C�o� _Ccnirt[!GrSAgep1 Ten�nlln..;lv,o.�oea�r.'rrwco�neni';a�neo.-.ei��acv�u*nmc;;•r.c� <br /> CONTRACTOR �j W � Stale Lic. � Cdy Bus. Lic. a <br /> Addicss PF�one/Emal <br /> i 11Qb�+ � Q�L �Ma1'�C �OA r�� GONTAGT FOR PER�iIT SH4-R\'��� /'T �� l�.U� <br /> L.G� <br /> U AhonelE�mad 3a. . q 0 <br /> BUILDING PERMIT APPLICATION C6NTRACT PRICE OF WORK���QOQ•�� <br /> Exrsting Use ot 6viiding HEr1T SOURCE: <br /> Proposed Use e!Bci:d;ng cas Electnc_, otner___. <br /> E3wlding typc. _Singie Pamity _DupleX_Townhouse _A1ulli�Family x Commerciai <br /> Type of pro�ecC New Adtlition RemedN Repair_ T I. Sign_.Sonnkler �emol��t�on Change ol Use <br /> DESCRIPTIONOFWORK(aee-nonaispacepro�;�eecnrneeacal S/r.�D1GlL .'�/�OP � V/� <br /> l�dd► Ce�•.�cu wAlls t3q-4�,v.co� , s�Nks , �46�,,�. 7'.*►+�k <br /> �k,oa�as , wn1k�N Cbe1� <br /> MECHANICAL PERMIT APPLICATION PI_UMBING PERMIT APPLICATION <br /> Type ol ProJect: _New_Addn �Alteralion_Repair Type ot Project: _New_Addn �L Alteration_Repair <br /> Show Numbcr(H)ol lixtures Show Number(AJ ol/7xtures <br /> FVC-av handlmq units inilet <br /> FOfCBtl a�f Sy518m5 I38IMub <br /> Gas piping Lavatcry(wasb Dasm) <br /> I Waten c�ater Shower <br /> Gas nreplace Kitchen sink 8 disposal <br /> G�5 fBnf�C �1511\v�5�1B( <br /> C., es dryer lothes washer <br /> ran9 ocd 'cr healcr <br /> Lxhausl Snk �ervice/bar/moplelcJ <br /> lieat pun��p [3ackllo reventcr pnside Uld ) <br /> UrJ hcatcr Unnal <br /> f3o�.ler Drmking Foun m <br /> Rcingeralion Floor dram <br /> Wuudstove Grease Irap <br /> � Duct�n9 Rool tlra�ns <br /> �Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM otner. <br /> I Nurnbcr ot Heads Olher: <br /> I�ereby ceNly Ihat I han le:»and eaaminea I�is BppLcalion ana know Ihe same lo De INr anC mrretl All prov�s!ons o1 Idwz C.nd al0inances 9overmng I�is lype ol worl Ni I Ee camF��tl <br /> w'n whelhci specdeE�erein n;nol.'Y�r.gidnting ef a permA Coes nol presume fa give aul�oMy to vlo�ale or canttl I�e provis�on ol any ol�cr slate or luwl iax re9ulaUng consVvcl on <br /> Tnal I nm aulhsrsed by Ihe o�mci ol m��.,propeny fo peHorm Ih.e w�ork Icr wp�ch apFl:wUon is matle anE 1 comply x�.ih IOe St.i!e Conlractoa l aw 70 27 RCIV antl 296 700A WAC <br /> � ' I� r(11,��T ' � �'� � �S' <br /> ne M nzed Agent Signalure �ale (Revise0=i70751 <br /> Y� <br />