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� ` <br /> PERMIT APPLIGATION <br />' • BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />, CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar 51., Evereri, WA 98201 425-257-8810 FAX 425•257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO d PM �-�p b—I Z <br /> SITEADDRESS: PROVERTYTA%N V RMIT�)1 �_ <br /> Z I1 4 e C04� d L+o �-'V ' <br /> LEGAL lor new mn,IrucLon. Sho�1 Plal/subarvis�on Lol No L� IetUch Copy ot long IeBa�OesmD���on) <br /> OWNER �� �jr PhonelE•ma�lU'�L� •�'5�=,�U-�'itl(V(tj.f� ���'»'� • <br /> nooress''�. C7 ��� li��. �iM11�L � c�ryis�e�erz�o ��-- — I� C9Q1A(v <br /> APVLICANT: Owner OwnefsAgeN Contrettw ConVadoYSAgent TCnBn�(mnl¢�wtle�bRracroseMrt¢�nMw.rercCn+.�nt�neeDarnl <br /> CONTRACTOR V�C— ~ tf�.i. L 8 I Lic.p � �ia � ` C,f' ll COE Bus. Lic.q (, <br /> naaress CiSG, ' � ACc� �1✓ � It �11 (�� � ��yl�� Pnonc/Emxil (�- �L} .."] J ,g4' <br /> TENANT BUSINESS NAME CONTAGT FOR PERfAIT <br /> 'L r /_� / <br /> kQ••.a A'iyV G'r'��e�L Phone/E-mi.l �{LS.. ' X G K/(�C'� (i1��1� � ', <br /> BUILDING PERMIT APPLIGATION CONTRACT PRICE OF WORN x�{�l�2� <br /> Ezisling Use ol Building HEAT SOURCE: <br /> Proposod Use ol8wlding Gas [lec(nc Omer <br /> Building rype�. _Single Family _Duplex_Townhouse _MuIU-Family _Commercial <br /> T e ol ro ecl�. New Addibon Remodel Re aii T.I. Si n S nnkle� Demoiition Chan e of Use <br /> • OESCRIPTIONOFWORK(eeart�oneispacepro��dedonmeoectr): <br /> Itiy1� i� T'tA6 I k��le�e.. Iwe�.l � E.l..we�r'd,oi.��..5 -�o tst,aurV f•cr � N��ceiapai� t.��e1i� '�-� <br /> Htka up a:r�w•. � F:�c So��L�;e.n fyJ�%..... � �hi�l�S eX�-a.r�i' �,� e... roe�-Gu�b � <br /> I`�u�Cc. uP 5.�•�wn e.-, C�✓h <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type o1 P�o�ecl: _New_Adtln _Altaration_Fcpair Type oI ProJecl: _New_AEEn _Alteralion_Repelr <br /> ShowNumbcr N olfirtums ShowNumDer p o/firlures <br /> A/C-.irhandlin uniis Toilel <br /> ForceO a�r s stems Bathlu� <br /> Gas i in Lavato wash ba5in <br /> Waler healer Shower <br /> Gas lire laco Kllchen sink 8 tlis sal <br /> Gas ran e Dis�was�er <br /> Clothes d er Cmlhes washer <br /> 1 Ran e hood Water healer <br /> [Mhaust�an Sink servic�Jbadmo lefc. <br /> Hcal um BackOow reveNer <br /> Unit heater Unnal <br /> �odcr Dnnkm FouMain <br /> Retn eration Floor drein <br /> yyoods�ovu Grease tra <br /> Z Ductin Rool drains <br /> Other Mediwl Gas <br /> SPRIHC(LER / SUPPRESSION SYSTEM O�her. <br /> Number ol Heads Other: <br /> �nereer cenb�����e�eea xne e�eintrrea ms nnok:ehon em�irow me beme m ee we e�e m,rea ae pmrRnns c�b..s ano aenances gorcmng U's�ype m.on wr ee compwea <br /> � �tlhrvhelMrs(MtlrCEnem�nanol.ThOB��Urg0lepCrmlOcesrolpmsumeingXoeuVwNyloridat0o/UnaJNoprDmunolBnyoTMClBtombCBlUwrigulaingconsWdun <br /> Thnl I e�n eNhomed M IAe ownor of l�s P�O�'�V�o Oer�am IAe wAlr�whM epDlieMn h ma�e en01 comDH��a SNtn Contractorn Lew 1B 2)RCW enE 2B8 700A WAC <br /> ���` I�-:��M1.'�. �1/7 f/L <br /> �IL <br /> Owner/A�t�oAteAAQeJ�151gnaNre � Dato (RowseU6Q0f2) <br /> � <br />� <br />