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PERMIT APPLICATION <br />BUIL NG/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERET T PERMIT SERVICES <br />32 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wrnv everettwa.org <br />APPLICATIONS ARE ACCFPTFD FROM R AM TO A Dk l <br />SITE ACDRES&. <br />r V� <br />PROPERTY tAX7 <br />pFR <br />ITa `0 <br />LEGAL for newtvd,on: <br />Srart plaVsupClxisio0 <br />tot No._ tanaohrxpy el lcng legal dcscnpyo^) <br />OWNER <br />L (.re-nr,(� <br />i <br />V()txnqPhonClE-meA <br />— — r / <br />4ddress yG <br />Lo C� <br />Cify/$Utd2ip Gvere+-7-- U <br />APPLICANT:` )weer _Owner's Agent Contractor <br />Contractor's Agent Tenant lm,r. orwa.,bm. aroo�rnrmm de e-+e ronarn tr+wm; <br />CONTRACTOR <br />IMi roLux f I <br />LQfl I Uc A . rS GU( 1� COE Btu. LfC a0 9ey <br />h^,mss ^0 1 <br />TENANT BU5IN <br />d CJ J i <br />5NAME <br />/IL <br />ld i! % I PhorM�Em®1 0 —$ I S —ti .jci <br />CONTACT FOR PERMIT <br />LowrP1xl; yvun <br />IPIMOMCIE.mad 000��� <br />BUILDING F <br />Exist,rg Use of Bi <br />Proposed Use of <br />Bu lding type: <br />T>pe of lotolea <br />ERMIT APPLICATION CONTRACT PRICE OF WORK <br />Iding _ HEAT SOJRCE- _ <br />vilding Gas EI¢•nc CrFer <br />Single Family _ Duplex _Townhouse _Mu114Family _Commeroal <br />New Addition _ Remodel _ Repair T.I. _ Sign Sprinkler DemoBbon_ Chango of Use <br />DESCRIPTION <br />� o gall <br />FWORK reaaRanelspaaprovidedon the bee*)- <br />ri el e c+-vi r- waj-e.r KE Cat' <br />MECHAINICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typn of Project: _ <br />S <br />_faew_Addn _Alterallen_Fr,pair <br />w N�mnpr (dJ al /iat�re5 <br />ty pe ct Project: _Now`Addn _Alleratler_Prpalr <br />Show Number (e) or r,rur" <br />A/C —air handling units <br />Toilet <br />Forced air systems <br />Bathtub <br />_ <br />Gag ploinq <br />Lavatory (wash bash) <br />l <br />Walerhealer <br />__ __ Shower <br />Kitchen sink 8 dispoisal - --- --- <br />Gas fiiro law <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Washer <br />Range hood <br />k Water heater <br />Exhaust fan <br />Sm c vice/barlmo /e1C. <br />l0al ump <br />Backflow preventer <br />Unit healer <br />Unnal <br />Roper <br />Drinking Fountain <br />Refrl erasion <br />Floor drain <br />Woodslove <br />Grease trap <br />Ductirg <br />Roof drains <br />Other <br />Medical Gas <br />SPRIMP LER I SUPPRESSION SYSTEM <br />Other. <br />Number of Ifeads <br />Other. <br />I hemov wirylbat I h4a mad aadexamined Ins apPsraldn and Mowthe Same to 0o Duo aid inn et. AlpMv1,1W5 Of litwsaid ordiaanmsgaveminge-is type of wort wit be potpie, <br />wt4 ehemer soerdNd e2in or net. The Qnming ClapemAt does nelpmfums to glee eulnordytpv(chfe pr Upt:BINe prOYLUtll of a ny0ilf 61Ate M1o4n11lw reQuUSaQ constructer, <br />That Iam,uthoriLM h the owner of lhly pmpary 10 pedomr Na woA /otwNim appsranon iS made a,d I ComplywNN the Sate Conbadors lmv Is 27 ACW and 20e 2ODA WAC <br />(Revised r✓2O f 2) <br />td 089IZ91l,90Z sJeleeHdeleMjunoosia dy£t70I,tbtddV <br />