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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett,WA 98201 425-257-8810 FAX 425-257-8857 tiwnv.everet6va or � <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM � � I� �� <br /> SITE AODRESS' PNOPERTYTAXe PERM1tITa <br /> �olh � � t,l -�3 <br /> LEGAI lo'ne+vi cenSlmtl� St+o�PIaV,o�Crviaon lol No (altach cop�el lon Iegal tleSC�pUon) <br /> OWNER J��L�`fLlf�� FK/✓I � T'��/ Pnorei[�maii qt -zjL-SIiDa ✓�✓VU, SG✓kl!✓ .�CY7'�, <br /> nc±ress � G�7 C'C��� /Ji'!�. �h�� !7� c,p�isiata,z,p �r�u:t�{f tr�.�7 <br /> APPLICANT: Owner _Onner's�gent CONrg`C: CenirdCfo�'SAgent tenantr..iu�.Ko.Mr:�aico�,���m�noo.�cwe,w+.,,na.c,:�� <br /> CONTRACTOR �NlZC7��7 C'7{?ZIlQ�i+. ` 31 Lic.IJ I�IL/f'"/NF''7C���{ COE Bus.Lic. # <br /> ntlCre,s f •�� 3�j3 �1f� (� Pr.one�EmaJ�/L� ".�L'J�'3yrT <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> l�.eLY����(l'�!7' �✓�,1't.��C� PnOnetE�mal -74) -'� s-9�y �S�ICtf� lh��L 1 �� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK .�r � <br /> Er�sfngUseol�ui�ding ix,L-�'�'�_,,, u%l� -9 �_ HEATSOURCE. <br /> Propose�Use ol Bulldinq ��'�'+'"'���J�L � ��a'�� Gas Eiectnc omer__ __ <br /> �uJdmg rype _Smgle Famdy _Duple■_Tormhouse _MuIlrFam�ty _Commerr�al <br /> Tyce ol pro;ecf New Atld�uon ✓Remotlel Repair __T I. Sign_Spnnktcr __Demoiamn Change of Use <br /> �ESCRIPTION OF WORK(a�0�r�onal spare p�ori�ea on tne OacF). <br /> fifif�✓l�llJ� C'� �ft� S:�Jt�J+o3fli�� f'1;7Clr7 . <br /> / v <br /> MECHANICAL PERMITliPPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol ProjecL _New_Atlan __Alleralion_ReOair Type of Pro�ect: _New_AdAn _Alleration__Repalr <br /> Shaw NumEcr(a)ol liiiwes Show NumCCr fd)ol hrfures <br /> A�C-au han�lirg unils To��!el <br /> I'oiced a:r syslems �alnt��b <br /> Ga5 p��Ping lav.tory(wash basn) <br /> 1Vater healer Shower <br /> Gas 5replace Kdchen sink 8 tlisposal <br /> Gas ranpc Uisha�ash^r <br /> Clothes tlryer Clothcs nasher <br /> Ran9e hood Walc•he;�lcr <br /> f�haus�fan S�nh(serv�celbarlmop�e�C 1 <br /> Hea1 Dump �ackf�orv weventer <br /> UnA ncalcr Urmal <br /> [3mler Unnkinq Fountam <br /> RMnqCrahOn �loor drain <br /> Waodslove GteasC Itap <br /> Duchng Roof drams <br /> Olher �deCical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM other <br /> Num7er of Heads OMer <br /> i�eroGy cMRy NJI I n�vo reaE anC e.am�neC U�s appi w:qn ooJ lnow IM10 samo lo Ue buu an�cortecl.A'I provisiom ol law5 and oro nance�povcmnp I�if rype ol woh wll0e con�p;eJ <br /> a^�wTe��erspeafmtl�eminornoi TnaB�•���ingola0e�mnaoeeaoipresamologmenwnonrytoHotaioorwncmlhepmvisronolanyoUiersimeorbwl��vreyvla�mgconsivm�rn <br /> iwt I am aa!�onicC Cy i�o owr�er ol�no pmpc.ry lo petlorm i�o work lor w�¢O nCP'calmn 1�maac nn0 i wmpq wt�ina Siate Canvac�on Lew 18 Pt RCW an0 796 200A WAC <br /> c <br /> �i'' �{ ,�'�1�— �� s' l L I� <br /> Owner/Aul�orizetlAgpr7l�Slgnatwe Oate �f7c�+seyC'i0�7) ` �j <br /> / <br />