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.� , ( ( <br /> y <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425-257-8857-www.everettwa.or <br /> APPLICATIONS ARE ACCEPTE�FROM 8 AM TO 4 PM �( 3Q <br /> SITEADDRESS: 07 ALI o N�q ST2EtiT PROPERTYTA%R R ITp <br /> 2723 2725 272� 2�29 2733 Co�aY Av�NuE - D�n <br /> LEGAL for newconstruction: Short PlaVsubdivislon 6�..�� �D 2� �7 'OD Lot No.�2=�b (attach copy of Iong Iepai desaiptlonj <br /> OWNER LLE'N ����1/AR� ,-�EM1►lA 1 PhondE-mail �ZS�.3B7�733(� <br /> Address 2(0/� : COL i3 y Av'� Prtti 3-z.zb CItY/SlaIe/ZIP EVG2�.��'f W/1 98 20 1 <br /> CONTRACTOR TLJ7 L 8 1 Lic.# <br /> Address phoneJEmall <br /> TENANT BUSINESS NAME Ey�� y,/{(J-foRS A20Ft3tlw/� CO TACT FOR PERMIT <br /> /ti0oo2 FOJT�/}L�,� CO�.(�Y CLIANtRS� �/Kn+iNE /�E1�2�( f; Scy2J���2 42S'ZS'7'837 <br /> n� Cu�S�n,E P�2itirt,rt iti� SarzcE R6fEnFr,cFrAE i PhoneJ[-mail hSCtiro @��, evere{t. �„a. us <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK_ESTIM/a'rGD �4000 <br /> ExislingUsaofBuilding /_oMME2C1Al SMAu �uS�NESSES HEATSOURCE: <br /> ProposedUsooBuilding CoMME2C�AL SMA�� QVS�NtSSt'� Gas eiectric o�her <br /> Building type: _Single Family _Ouplcx_Tmvnhouse _Multl•Family ✓Commercfal <br /> TypeofproJect: _New _Additlon _Remodel _Repaf��T.l,_Sign_Sprinkler_Demaiilion_Changa ofUse <br /> DescriptlonofWork(additlonalspaceprov/dedonlheback): [;pNV�(L'j� TELECOMMvn���ATiv��s [NT2�E5 <br /> F'(LoM p✓r2��CAD -ro �NDr2b2w�vD � NC;v✓ '�ELCCOH (3/dC�c�3p/aiL�� <br /> �c-�oCA'�'E TELCccr� DEM/�2��r'ioti5� N�l.c7 EL�crrL�Cffc_ Ci2Gv �r Fo2 <br /> HaveyousWrtedworkingwlthoutapermit7 _YES �NO Tw� �0�lf3Lt' D�nL�x aJTi.I:T$ <br /> lY7ECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProJect: _New_Addn _Alterallan_Repair Typn of ProJoet: _New_Addn _Alteratlon_Repalr <br /> ShowNumber(tqotBxNrcs � ShowNum6er(tt)olAirtums <br /> NC—airhandlin unils Toilet <br /> Forced air s slems Balh�ub <br /> Gas pi in Lavalo (wash basin <br /> Waler heater Shower <br /> Gas fire laco Kitchen sink 8 dis osal • <br /> Gas ran e Dishwasher <br /> Clolhes dryer Clothes washer <br /> Range hood Water heater <br /> Exhauslfan Sink service/bar/mo /etc. <br /> Heat pum Backflow reventer <br /> Unit healer Urinal � <br /> � Boiler Drinkin Fountain I <br /> Refrigeralion Floor drain � <br /> Woodslove Grease lra i <br /> Ducling Roof drains • <br /> Other Mediral Gas � <br /> SPRINKLER/SUPPRESSION SYSTEM other: <br /> Number oi Heads Othor: , <br /> I hereby cetliry Ihat I have read and examined Ihls applicalion and knowthe srme to be Wa and correct.AII provislons of laws end ordinances goveming I <br /> this type of work will be complied wilh wfiefher spedfed hemin or nol.The y�nnUng ol a permit does not presume to gNe authority lo vioiate or cancel � <br /> the provislon of any oiher slate or local awregulatin8�nsWctlon or the pertormance of canstrvction.Thal I am eulhorized by the oxner of Ihis propeity ,I <br /> to p�r(ortn the wo fw which pliwl is ado and 1 comply vnth Ihe SWte Contractors Law 18.27 RCW and 288.200 WAC � <br /> 1 I ,' pi2•, I� . <br /> 7 /OwnedAutho Iz�dAgeutSignat re Date (RevkedYt011) � <br /> I <br />