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�ERMIT APPLICATIO� <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA°8201 425-257-8810 FAX 425-257-885i wvnv.everetriva.org <br /> PROPERNTA%p PERMIT i�O ' � <br /> SITE ADDRESS: �, � <br /> � 2.� C � �,. . , <br /> LEGAI lor ne�v eonslmelron: Shon PlaUsubdrvisron <br /> � lot Nu_ (attach eoDr ol long le9al descript�on) <br /> Hhone!E-mail yl t �7S o o(. . G �^� <br /> OWNER �„ d `'� � ""� �/ <br /> I ��_r E✓�. f (✓4. CirylSatelZiD � !l �r ` <br /> Aadress 3!13 4 �F <br /> APPLICANT:_Owner _O�mersAgeM _Cor.tmctcr _Gontracior'sAcent ._?enanl�m.r.v'o��•�'e,.^.0'"'ii0�':'"'.^'reo.�e�uao,c�..,n�•tr�=�� <br /> State Lic # Crty Ous. Lic # <br /> CONTRACTOR OW��� <br /> � Phc"e/Emai� <br /> .�aaress CONTACT FOR PERMIT <br /> PhonerF.�m3d <br /> BUILDING FERMIT APPLICATION <br /> CON7RACT PRICE OF WORK — <br /> �, HEAT SOURCE� <br /> Existmg U=e of Bui�ding5' �ti Eiecv__c__.. o�ner_ <br /> Gas___ <br /> Pmposed Use cf Butlding <br /> Bwld�ng typr. Single Famtly _Ouplez_Tc�.vnhouse _Muil�-Family _Commer k er�Demo�iticn_Change of Use <br /> Tvpe of pro�ect he + Adtl ticn Rer�odel Repa-r 1 I Sign Sp <br /> DESCRIPTION OF WORK lada ro�ai space p�cv+led on me bac�). / <br /> Rv�,.J „< <br /> �x � s -� :N� /d'x �o s�<.:,1� <br /> MECHANICAL PERMIT APPLICATION <br /> PLUMBING PERMIT APPLICATION <br /> T e of Project: _Ncw_FdGn ._Altoretmn_Repair <br /> TypcofProject: _New_Addn _Alterallon_Repair YP ShowNumGer/alallixlures <br /> Shm•Numbrr(a)o!/trtums T�,'�� <br /> A/G- au handhng unds � (�;I�tub - <br /> Porced mr systcros ���3�ory(w�sh basinl <br /> Gas p�pmq SYJwer <br /> i Walen c�ater Kdshen smk&d�;Dosal <br /> � Gas Irtepiace pichmasher <br /> Gas ran9� Clcthes washer <br /> Giolhes d �er Waler heatcr <br /> Range hood Smh Iservice�ba��mop�etc) <br /> Fahaust lan packflo�v preventer(�nsidc bldq) <br /> Fle��l pump Urnal <br /> Umt heatcr Urnkmg Fountain <br /> [3oder Ploor Arain — <br /> Rclnqeratiun Grease trap <br /> � Wootlslave R^,o'drains <br /> � I Uuct�np 61ef�calGas <br /> Olher___ _ Olner. <br /> SPRINKLER I SUPPRESSION SYSTEM p��,er <br /> Ni.�.mber of HeaCs <br /> Iwl�ewnclner'sP�cif OPeieinonnot`The9mnl�nqoCalpe�mldaesnclG�esamelo9voau�cMy�ovio'aleo�wncenheGmv:on�danyolnerstale�mlocall'�nv egula�m9constuacoe� <br /> i ral I am adnonnr�by t�e oMnei et mrs pivpc�y�o OMerm t�e Noik im whc�appicabu��is maJe and�ccmpy+tn 1�c Stale Coi��arois Laa 18 2�RCW antl 29G.2COA WAC <br /> .f� ��� �� 3 3 i b'� (Fer�sed-0/`075) <br /> /// /// U <br /> Owner/Authorized Agent SltJaawre <br /> I/Z <br />