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1 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALlPLUMBINGlSIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32C0 Cedar St., Gverett, WA 9a201 425-257-8II10 FAX 425-257-BII57 �w�nv.evereltv✓a.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 Afi7 TO•1 Pht <br /> SITEAD RESS: PROP[IiNiARA � MT� �^_O ( <br /> 35p2y Cv�B Av6 A�'f i4cb7o( o �: <br /> LHGAL for rcw ccn=!ruaion: 5hcd f=laVsubdivisien Lct No._ (attadi copy of Icng lagal descriplion) <br /> OWN[R /`�OL��T ��1V. �r PhonclGmeil� Z`J� 3'��' `J�7A <br /> Address C•O• �L`f�$U CilY/StatrJZ:p LV111.�� k'/! QBTD� <br /> APPLICANi:_Ovncr O�ar.�=i'sFl�cnt Ccnirac;or ,_Ccnlractci'aAgcr�t ,_Tcri;ntb�-��n���'�a�^-"=rorcu�.��:uronmec,ncr��m��.o.kian����;0=-1 <br /> CONTRACTOR CUCIiGlzG�,ti ST�T����T '�'�t�t' �-&I Lic.# EVE�GS5 oaa�T CO[6us.Lfa iF b�'lQSri <br /> ,,.d���,s 2czo Pau�-« �t.EvEr� c.�A 9aaoi �_�,��,�-��„�� `�2>� 252 -3114 <br /> TENANTI3USINESStJAME CONTACTFORPERMI7 Mq��C�MWA �p <br /> 32EwE c.c�ywtA.✓ �=n��,�;�-�,,:;i ►�lAp.lr-- zS-z52•�i <br /> BUILDINGPERMITAPPLICATION coNTRt�CTPRIceoFWORK_,�,`Fuo= <br /> Exisling Uso of f3uilding �� C�V�� _ HEAT SOURCE: <br /> Proposed Uso of 8uilding ��� C���s _ Gas1 Electric_ Other_ <br /> Buildingtype: _SingloFamily _Dupiex_Townhouse _�1WG-Family /�Comm.rcial <br /> T eof ro'ecL• Neei Addition Femodel '� Re air_T.L__Sign_Sprinkler Demolitien_Chznro ofUse <br /> DESCRIPTION OF WORK(addi�ional sFaco prov7ded on lho Gach): <br /> 2� (Z G.Y�{si�Wb �PS �I.N� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypuofProjecL _Rew_Ad�in _Allerclion�._Repair TYPoo(PmJecl: _Nmv_Addn _Alterallon_Repair <br /> Show fliunGcr('�)ol fixfures ",ho�v�:mu6cr(k)o(fiz(ures <br /> � �L'C—airliandlingunils � Toitet <br /> � Forcedairs stems Dalhtub <br /> Gas i in Lavafory(wash basin <br /> � Walerheafer Shc::er <br /> � �. Gas fireplac� ( I<ilclien sink&dis•�osal <br /> � - Gas r,ngo Disheiasher <br /> � Ciothes d�•er C�olhes washer <br /> � Ranqehood Waterhealer <br /> —� Exh:wstfan Sink(servicel6admo /etc. <br /> �{ �rii��� �ack(lowpreventer <br /> Unit heafer Urinal <br /> [3oile� Drinking Four,laln <br /> Refrigeratlon Ploor dmin <br /> Woodstovo Grea<_o lrap <br /> Ducling Roof dr2ins . <br /> I v����� __ . _ h7edical Gas <br /> SPRINKLER/SUPPRESSION 3YSTEM oihcr: <br /> I Num6er of I-leads Other. <br /> I hrrcby cer;IN thal l 1'�aca read anJ ex:mLicJ Ihi:app7<aiion:�nJ 1 ncri Ihe camo l0 6o W o and earted.NI provislons of laws and oM1fnaneas paveming ihis ppo of waik wLi bn wmpiled <br /> r:,th whelhcr speci^eA hcain a ncl.ilw Graming of a permil does nct precumo W givo nuthoriry Io vlotafo or e3neel iho pmvfsien af any olher slalo erlowi la�v regulatin0�nsiniGion <br /> 7hat I an1 nuthod:ed 6y Iho c:.Tcr o(Ihis property lo pedoim Iha a'uik fcnvhldi appGralbn Is mado nnd I rnmpy wi:h Iho Slate ConhaGore Law 18 27 RCW end 280200A WAC. <br /> �J/ �/ ^'�—� f�L� µ ZV I3 (Rovised 6�'7.012) <br /> puwa}Ruthor A7enlSlpnalum Dato <br />