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���!���!���f' �,��L�.��,9�3'� <br /> ��ner�irv��m�����9���.�P�.��M�iNci�icrv����ir�������n��n�����ora <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-7_57-8810 FAX 425-257-8857 wv+�v.everettwa.org <br /> SITEADDR[SS: �� � PROP[RTYTAXp ER�•�IDJODZ <br /> LEGAL fot new[onstrvction: Shorl PlaVsubdivislo �ot No._ (attach copy of Ibng legal deSCripiion) <br /> OWNER � Phone/E•mail 5 Vj,J E'LL e � ��L'� �O�S'r/�l/G7/D <br /> aaar�5s 3iao � QA/�Q c�ryisaierz�a �uP�u��E(,{�—� `irs�-O� 'U•N�T <br /> APPLICANT: Owner _OwnersAgent _Coniractcr _ConlradofsAgeM _Tenantlm�uoro.•eeaieanm�ome�drmmi;c�«nerioaowvtinti`esp��c� <br /> CONTRACTOR C� U SSO L- Sta�e Lic, # �1� �jC R' City 6us. Lic. #�j Ip22 <br /> AEdress ,39a—) � Pnonc�emao �1 -"]S 6 <br /> � CON7ACT FOR PERMIT <br /> CJ�,J ( S L' Phone/E-mail - '� — . <br /> BUILDING PERMIT APPLICATION CONTRAC7 PRICE OF WORK���op� <br /> Ezisting Use of Building STOR.�I-/o E � HEAT SOURCE � <br /> Proposed Use of Building Gas_ Eiectne o;ner <br /> Building type: _Single Family _Duplex_Townhouse _Mul;i-Family _Comme�cial <br /> T��pe o(project: New Additior Remodel Repair_T.I. Sign_Spnnkler Demo;ition Change o(Use <br /> DESCRIPTION OF WORK(add�fional space provlded on the back): <br /> �"'"e�.--�'" ".� �,'� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc ol Project: _New_Addn _Alteration_Repair Type of project: _New_Addn _Altcration_Repair <br /> Show Numbcr(#J ol fidures Show Number(t!)ol fiafurcs <br /> A!C-air handling units 7oilel <br /> forced air systems Bathtub <br /> Gas pio�ng Lavatory(wash basin) <br /> 'Nater ticaler � Shower <br /> Gas freplace Kitchen sirk R disposal <br /> Gas rangc Dishv:asher - <br /> Clothes drycr Clotl;es washcr <br /> Ranye hood � Water heater <br /> Exhaust fan - Sink(service/badmop/etc.) <br /> Heal pump Dackflaw prevenlcr(inside bldg) <br /> Unit I;ealer Urinal <br /> �__��oller Drinking Foun�ain <br /> I I�elriycraticn Floor drain <br /> Woods,ove � Grease irap � <br /> I Ducling � Roof drain� - <br /> � Other hledical Gas <br /> SPRINP(LER / SUPP52ESSIOM SYSYEM other. <br /> � Number of Heads Olher. <br /> I hereEy cetl�y Ihal I have rcatl and eaam�ned Ihis appllwtion and know tAe wme lo be bue antl cartecL All pmWslons ol Wws end ortlinances goveming Ih's type ol work w�ll Ue compi rd <br /> wiN whriher spenfeC herr.in ar nol,The g;an�ing ol o perm1 dacs no�p�esume lo give aNOotlfy lo viola�e o�oanccl fhe proyisbn ol any oihc�alale oi lowl law�e9ulaling conslninion <br /> That I am�ulhortzcd by ihe owne�ol lhis piopery to peAoim�he Worklor�M��ch appLcation L matle and I compiy wilh�he Sla!a COMrzclors Law 7827 RCIN antl YB5 2UOA WAC. <br />' ��---��, �o/�/�s � <br /> Ov�neil uthorizedfl nt naturc DaTe (Revlsed4/,�G75J <br />