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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNlSPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32C0 Cedar 5t , [verett, V�,4� 98201 425-257-8810 FAX 425-257-8857 �:n•nv.everethva org <br /> SITEADDRESS: � � �� � PROPFRTYTAXn P ttTn � <br /> . � - U <br /> LEGAL'creericen;;r�:Lon 5`�APIaL'suta�v�sen LOI�Jo._ (a1'aU�ccpyellcr,3legalCe;crc!-rn) <br /> 01NNER Fnonc/Ema�l <br /> Pderess CAyiStafelLp <br /> APPLICANT:_Carcer _Owner'sA,ent , en:rucr ConlradersPgent _Terar�.-._i;.�<.��,a:�-=-accne���:c�r.n�.�e:�;:r..•�.�,��r-,�c.,���. <br /> CONTRACIOR � Siate L�t u C�ty Elus L c # <br /> l.Cress ��Q �/ ' ` � P�'�;,nr��'r3il 7/� .7�� <br /> TENANT BUSINESS NAL7E CONTACT OR PERMIT �jj,h �L o>j„_ <br /> �� I/ .'� <br /> Fncr.e�E�ma;� -��{7 �!! y 0 <br /> BUILDING PERMIT APPLICATION CONTRACTPRICE OF WORK �OaO <br /> [+.c�ing U=_e ol Bw'�7�rg HF�1T SOURCE�. <br /> P;e�:csedUsAcf udCng Gas__ Eiectr�e_ Cincr___ <br /> IE��,a'.�ny I�;,c.�5inyle Fam�iy _Duplex_Toomhouse u Mulh�Fam�iy _Cummerc�ai <br /> i�pc of�raect t:e:+ Add�6cn Remotlel Repa�r._ 71 __Slgn__Sprmkler_Demehtion_ Change ol Use _ <br /> DESCR�IONOFWORK ���'r,ro:�c�snacep�c.'eleven�t�nac4) <br /> /ec�., o� �lX�� � �GSh�� �h-f�� 7�� /� ���' �n <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolPro�ecL __Ne-n_Addn _Alleratlun�Repair TypeolProject: _New_Addn _Alteration_Repair <br /> Show I:umAcr(a1 of/ixfures Shmv Number(N)olliNures <br /> � NC-s�r handhng units I Todet <br /> � F"orced air systems Balhtub <br /> Gas �ping Wvatory(wash basm) <br /> Waler heater Shower <br /> Gas f�reolace � Kitchen sink 8 disposal <br /> Gas iange D�shwashcr _ <br /> � Clolhes dryer � Clothes washer <br /> ; Range hood Walen c�aler <br /> � Exhausl lan � Sink(servicefbar/mopletc) <br /> Hcai pump dach0ow picventer <br /> Urot hcater Urinal <br /> � �mler D�mking FounlOin <br /> Refrigerafion � FloorCra�n <br /> Woodstove Grease Irao <br /> � Duclmq � Roof drams <br /> � othcr Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � Other <br /> LI NumherufHcads � Other. <br /> I hrcCY���'�I��hat 1 h.-ne rcad"e'�4 ceairnc�!h�s ap4�'��tan and Ano,v Ih.e sdmo Io^e!fuC a�d ro�rect A!I p.ewsiens of id-.�s pntl o�drndnces qOvein�ng IMs I�Ce olHoik vn 1 pe�r-�,^.'�c: <br /> rnTnne�herspen4eEh.rm Ttreyra�lingcldpertn1tloesnot0�esusalo9��e���.M1��'yluuci � , .. , _.i_ . . , m� _ i�bl=arCcl' �re:c'aLrqc���•,..:b^� <br /> T1�ntlamaui�ouze4 eo,.nocliPisropetlYmDe�erm��exorAlorvA+rthaFp��cp�cnismaiea�f�cc•;.; , •.�••..<S•.�'cC,n'.'a:•:cL�.v�92lixCt:'n-o1_�2C:f,:.•.,: <br /> � ..i�'L-- � // / <br /> OwnedAulharizetl AgenlSiynaWrc Da'e d�n,s:�J'�'1U'ai <br />