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PERMIT APPLICATION <br /> BUlLDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITIO�i <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FA;(425-257 8657 www.everettwa.org <br /> � � � - (- APPLICATIONS ARC ACCEPTED FROM 8 AM TO 4 PM i a- as-/2 <br /> SI7�EA�DRE55' . _ � _ VNOPENTYj%p� I����, P:QMITp _ �� <br /> LEGAL lor new wnsiroc6on. Shod PlaUsubOivisian Lot No. (altach copy ol long Iepal�ecc�iption) <br /> OWNER }- �, Pnone/E�mail <br /> Adtlres. Ctly/StalrJZip <br /> APPLICANT: Owner �Owrer'sAgent ConVacior Conirac�or'sAp^nt Tenan��mutam.,aa.ktmromamem�mr..maa.Kr�oeo.nmm�a.o.ce1 <br /> CONTRACTOR � � ' L&I Lic.# � -f)L�' ,^ (a <br /> / ZZ COE 8us.Lic.# <br /> Address£ C R-� — �" ,i j �r. PhonMEmail L-- �� <br /> TENANT BUSINESS NAME CONj/1CT FOR PERMIi <br /> �I'. ' 7 i"'- � 1 i �.j'i% Pho e E-�ail�, �$ _, l _ .i ,r�( ' .�}y' .CC. <br /> BUILDING PERMIT /�PPLICATION CONTRACT PRICE OF WORK ��- `,�' " J ~ <br /> Exisling Use of Building HEAT SOURCE <br /> Proposed Use o(Building Gas '� [iecv�c� om=r_ <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Famlly �Commercial <br /> T pe of pro'ed� New Addition Remodel Repelr T.I. Si n 5 rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(adaitiona�spaca piov�ded on rhe bacN): <br /> � 1 , /; <br /> �"{"./�:J.:.._ <br /> 7� �<'..�i�R:: �>C�J l�'�-. <br /> MECHANICAL PERMIT APPLICATIOH PLUMBING PERMIT APPLICATION <br /> Type ol ProJecl: _New_Addn _Alleration_Repalr Type ol ProJec�: _New_Addn _Altera0on_Repalr <br /> Slraw Numbei(BJ o//4�ures Show Num6er(MJ o//Lr1u25 <br /> A�'C-airhanAlin units Toilel <br /> Forced air s stems Bafhtub <br /> Gas piping Levato wash basin) <br /> Water heater Shower <br /> Gas fireplar_e Kitchen sink 8 tlisposal <br /> Gas range Oi:hwasher <br /> Clothes dryer Clothes washer <br /> Ran e hood Water heater <br /> [xhausl fan Sink(serwcelbarlmop/etc. ., <br /> Heal pum 6ack(icw preventer <br /> Unil healer Utinal <br /> Ooiler Drinkin Fountain <br /> Refngeralion Floor tlrain <br /> Woodslove Grease ira I <br /> Ducling ROof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION .''iYSTEM Olher: <br /> Number ot Heads Olher. <br /> t herehy cerlMy��al I hme reed cnd ewn:nea ihis app�ca§on ona know Iha samo la F+Imo eatl corted.M provhione ol lawa entl orChence�govemhp Ihh type olrmd vn9 bv comDfieC <br /> vicli rAether npedlrtA herein w noL Tho preNinp a1 e permil tlom nol prt�ume to Oh�euNorlty lo Woble or cencN Ne OraNebn oi nny alher slale m local Yw repulelNp conalrbdion <br /> T nat i sm eulhmixed by Ne ovmer of�hl�propMy to DeNonn the work Iw whkh epplkNbn b meEe ena 1 compN��e Skle ContrecWn Lew 18.77 RC W en0 Y98.POOA WAC. <br /> _��j'�._� �/--k _ % /O-Ca`/Z <br /> OvirteTtAuthorized Agent SignaW e Dafe (ReNseO N2072) <br />