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� � <br /> PERMIT APPLICATIAN <br /> BUILDING/MECHANICALIPLUMBINGISIGNlSPRINKLER/D�MOLITION <br /> CITY OF EVERFTT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 �25-257-8810 FAX 425-257-8857 www.everetiwa org <br /> APPLICATIONS ARE?CCEPTED FROM 8 AM TO 4 PM � — D���� <br /> SITE ADDRESS: f VROPERiY7A%p PERMITp <br /> ' �#v�L• Z I-C� <br /> LEGAL�Dr new conStNd�On' Sho�PIaV5u00rvis�on lol No_ (atlach wpy of lo�g iegal Cesc�n��on� <br /> OWNER S�L FIJ�n �5� Pnone/E-ma�l �J�j -1-sZ-S`�D� (�t�• lle�vlqR��Cqr1• <br /> aaa�es: `�1D�] I 9Y� �N� I�l� c�y�sfx�c�z�o F�/�*-�Ti u'l�' �l.�b <br /> APPLICANT: O..ner O.rneisAger.t Con;.auer Ccnvacmr'sngem ✓ienanttm�,:�o��..e�kr:,�i�..e..�n,-,n�a.�enae�,.:mm�e.psy�� <br /> CONTRACTOR �cqV�C w1 Wc Q I �u L 8 I�ic # �IL � ��Z CCE Bos Lic # ((J�l9d <br /> AOOrcSs �7 V.5 � .L 5�'✓. 7G(jiLmL�[} �rT! �jVy' Phonn�Em3�l �Y� 7� './�� 1 <br /> TENAN7 BUSINESS NAME CONT CT F R P R IT' <br /> (l�cmc�ac�� q��Kd,� r►�a�f n <br /> Pnone/E�ma�i �j - _{�$0 � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK Z S . ! <br /> E.�shnq Use ol BunG�ng� /3�'v HEAT SOURCE. <br /> PropcsedUseotBwltling �� �'- h Gas__ E�eca- oi�c� <br /> Buddmg type� _Smgie Fam�ly _Du0 ex_TcN�nnouse _fdulti-Famdy __ComTercial <br /> T•,��cf pro�ed� New Atldition Remotlel Repa�r_ T 1 S�qn_Spnnkler,Demohhon Change of Use <br /> DES•:RIPTION OF W RK(ay�e�onai s�ace pm�iaea on me paa)�. <br /> �i�s�lk+� 0� l�l¢c✓ ✓t��h �- lnrtr�uss <br /> MECHANICAL PE RMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProJecF: _New_AOGn _Altera�lan_Fepair Type ol ProJect: _New_Addn _Allerahon_Fepai� <br /> Show Number(tl)�I/irfures Show NumDr�(kJ ol hrfures <br /> �iC-an hanOhng units Todet <br /> �orced art 5yslems Da�hlub <br /> Gas p�pinp Lavatory(wash bas�n) <br /> lValer healer S�ower <br /> Gas hrep'�B[e K�tc�en s�nk$Ai5po5al <br /> Gas rargc Urshwasher <br /> Clolhes Cryer C��othes washer <br /> Range hooC Waten c�aler <br /> EMhaust tan Sink(servicc'baUmop/etc) <br /> Heat oump 6ach!�ow O�eventcr <br /> Umt hcaler Unnal <br /> E3,^der Dnnking Founlan <br /> RMriqcra'ion Ploor dian <br /> Wocdstovc Grcase Irap <br /> Oact.ng Rool tlrams <br /> Otner Med�cal Gas <br /> SPRINKLER / SUPPRESSION SYSTEM otner <br /> Number of Heads Other <br /> I nempy ceh'y tl�at i�ave�eaE and eaamneE Ih.s acP"�=���-^P:��new i�o;�imu lo Ue Iruo ana wvecl.NI O�ovis�ons ol lnwa enC oNnancce govemmg I�is NVB of wwk witl bo wmpi�e0 <br /> wr.n wl�cmrr;prriLe��e�em o�nat.Tna B��^�nB ol n perm�l coes ncl prewne�o gne nultrori!y lo violalo or canccl t�o 0/owsron ol enY aUer sUto or IocCl qw 2gubfnB eonsW clion <br /> 1^a�I nm a�Inon:eC Dy Ihe cwner o�i�ia propeM�o eertortn IOe wcA lor wn��ch apc!�A������maae anE I wmpM wdh Ihe Stele Cantrecton Lew 1B t]HC W��J 3BB 2004 WPG. <br /> i� �j�'►� � 3 r t v <br /> 0•.vncr/AuMon:eE Agent gnalure Da!e iWrwsvtl G'.Gi7) <br />