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PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMFIING/SIGN/SPRINKLER/DEMOLITION <br /> ClTY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425•257-8810 FAX 425-257•8857 www.everett¢w7a.org <br /> APPLICATIONS ARE ACCEPTED FR0�7 8 AM TO 4 PM O �— o��D�'�2 <br /> SITEADDRESS:��O�Co1h TV�� W� P�uTYT�l� C�`� PEH Ij� Q` �O^� <br /> c -i 1 :� L r 'J <br /> LEGAL lor new cons�mction�. Shoh PlaVsubdivision Lol No._ (attach copy of long legel description) <br /> OWNER J� a Mu �-va L�—C' PnoneiE-mad !'{Z '1.5'L'S4� U���I'�n t'� <br /> :an«ss PO Poo�C 52 �n�' C�rylStaie;z,o�V�p1wt+1� W °l 420(0 <br /> APPLICANT: Owner OwnersA�eN xComractor Contractor'sAgoN Tenamim�.ia�.w..�.r.>�o��o�.o-.rn�m�•��;+�,��ioa.>+..«��i^.e.n.:ei <br /> CONTRACTOR Y G� I L L 81 Lic.H �J�.0)�J'�O COE Bus. Lic.qO Z�LI D <br /> AddresspZ� ' f�~a } �lW TNQ.I) W a8o12 Phono/Email � {�S TTIc l � <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> �.Qe ��� Phono/E�mail <br /> BUILDINGPERMITAPPLICATION CONTAnC7PRICEOFWORK <br /> Existing Use of�uilding ����L���Y7 _ HEAT SOURCE: �, <br /> Pioposed Use ot Builtling C%��-1 L li� _ Gas Elomric K omer <br /> owlding type: _Singie Family _Duplex_Townhouse _Multi•Family X Commerclal <br /> i e ol �ro'ect: New Addition Remodel Re air T.I. SI n S rinkler Demolltlon Chan e of Use <br /> DESC RI PTION OF W ORK(edoaiona�space pro��den on tho bacw): <br /> ON RPt� <br /> MEGHANICAL PERMIT APPLICATION PLUMBlNG PERMIT APPLICATION <br /> i�pe of Pro�ect: _New_Addn �Alteratlon_Repalr Type of Pro�eu: _New_Addn _Alteretlon_Repalr <br /> Show Number(x)ol lixtures Show Number(N)o!llxlures <br /> I AfC—air hantllin units Toilet <br /> � Forced air s stems Baihtub <br /> Gas i in Lavato wash basin) <br /> Water heater Shower <br /> Gas fire lace Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Glothes d er Clothes washer <br /> i Ran e hood Waler healer <br /> i Exhaust fan Sink service(tar/mo /etc. <br /> , Heat um BacMlow reventer <br /> I Unil healer � Urinal <br /> I Boiler Drinkin Fountain <br /> � Refri eralion Floor tlrain <br /> � Woodstove Grease tra <br /> I Dudin Roof drains <br /> I Olher Medical Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> i nereGy cohRy lhal I I�avo read and eRamnetl t�u applmafron antl Fnow Iho same to be irue an,�eortecl.M Wovaione ol kwf 0nA or0inarKas povemmg thls NW ol work x+l Ce compYod <br /> v;nh xfivMar s{mcAmd homin or not.The grenting of a parmit doM not presuma to grve euthotity to vplele or cancel Ne D����ol any oMer aWte o�bcal Ww reguWLng conslNciron <br /> i hal I am aulhonze0 y Ne owner rMb pmpeM�P Dedo�n No worN for xl�ich apD�bon b mede en01 compty witli tha Steb Conbectore Uw 1B27 RC W anE 296200A WAC. <br /> / <br /> � <br /> Z ✓ <br /> Owm�u uthodzetl AgeN Slgna ura ,Date (Hevised6,�20121 <br />