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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, V✓A 98201 425-257-8810 FAX A25-257-8857 w�vw everettv+a org <br /> SITEADDRE55: �1 /1,l P�0�3 ' O �0 P ir� � ' Onl <br /> O� `J�� �� <br /> IEGAL br new censt:.r'en S��nrt P'at:_Ja�vnbn Lot No ixltacn coD!ol Ivng i�;zi�^.c.uG>�n', <br /> OWNER r��.) �. •"L -�y Ll.._C phonerE�maA �11 �11�� l�. ��.1/� •p��(3�]w �� -�'^' <br /> FCfr:. �lJ 7 W�M��E '�-_` � _ � �� Gny�51a',c�Z�p �l�C.�t 1� �h1 F�` f 1s d� <br /> APPUCANT: �Cwnei Owikr'sf.yer� _ . �bntractor ConhaebYSPge�t _Tenan:r.,.:-.-n�ea�c.:-:•e�.:��.a-.�•r.^:w.^^r�:ao..n-�ne::a«: <br /> CONTRACTOR �,f �J p�+� OC)pi.1 EA t�n�nnn �a�• Stote I ic # Q(.,7(�� E �4�' Cd 8u5 I.ic b <br /> 4tliress � O. �/(i�l � ' �V Cll � P�orie'�ma- �f�� �� ' 1 I l�' <br /> TENANT BUSINE55 NAME CONT CT FOR PERMIT <br /> Nhonert-rra� <br /> BUILDING PERMIT APPLICATION cONrkACT PRiCE oF WOR!c_ Of1 • _ <br /> Eaislir: Us? cl�.iL'�r3 .___ HFAT SOVRCE. <br /> Pie6osed Use c1 B��ic�q__ Gaz Eiecmc_ C�ner <br /> I3��'.7n3;ype _ S�r�le Fan�i'y _Duplex_Towrhouse _Mu'3i-Fan��ly ._Ccrrm^roal <br /> Ty�e ol pro�ed he++ ACddion Remcdel _Repa;r T� _S�gn SpnnHer emebhcn_Charge ci Use <br /> DE5CRIPTIONOFWORKraaa.r�o�ai aceam�,dedo�rno5a:�r �^ <br /> -p,�,,�t�-��n o� ��rin� �� � P�K �- <br /> 752 � <br /> MECHANICAL PERMiT APPLICATION PLUMBING PERMIT APPLICATION <br /> lypaolPro�ocC _New_�ddn _Altoralion,_Repalr lypeolPro�od: _New_AtlEn _Allorallon_Ropair <br /> Show N'�mbnr(pJ ol lirtures Show Number(�1 0l/iHums <br /> A,'C—au nanahnp units I To��lel <br /> � Facetla��rsystems I, Balh!ub <br /> Gas O�p��9 Lava!ory(wash basm) <br /> � Water haater Showcr <br /> Gas lveplace I Kit�hen sink 8 Aisposal <br /> -- ��� Dishwashcr <br /> Gas rang[ � <br /> Clothes dryer I ClciGes washer <br /> Range hood I Waten c�ater <br /> fahaustlan � Smk(serviceibarlmop/Mt) <br /> Heal pump Llacktlow prevenlcr <br /> � Un�.t heater I Unnai <br /> UoJcr I Dnnkmg Fountain <br /> � Refngc�al!on � Floerdrain <br /> Woo9stove Grease trap <br /> ' I)�chng Roofdra�ns <br /> OIPer � Meaical Gas <br /> SPRINKLER I SUPPRESSION �YSTEM � Other <br /> � Nun���ber of HeaCs � ORicr. <br /> I nvnty ceC�!y I.�a!I�oee�ca!an�nami�ea Inis a;o'"-�'�on aro f�ow t�Mc same�o cre imc ena fArted An DronSrcns N�ans e�a o�Jinances povemmg A6 type ol wrod x^�I Ge:c-p+•9 <br /> wrt���ehetner sprc��eG Dem�m m�ol The qran:ng oi e permA COGs nat p2sumG lo ANe aot�cr:y lo vrolale or fdnul Ne 0«'��'�^ol arry ai�er stale or IMaI l9w requleling fOnslru:�.�'� <br /> 1Ta�i nm a�'�^vi[ea UY'��e�N R �OroGe.�r io pertonn�he woh Iq MicA aGf��T�lmn rv mu0e eno 1 comCM wrt�I�e Siale Commran taw 18 77 RCW anG 7?6.00A N'eL . <br /> i <br /> (� l <br /> �� � �a z���3 , <br /> , <br /> Ownor/Aulhorized Agenl Slgnaturo Uale 1/�^�.�"�370111 <br />