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C ( <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUNiBING/SIGNISPRINKLERIDEMO!.ITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> nPaucana+s nr�ncc�o Frtoir e nr ro�� 7 - 1 —/Z <br /> SITE ADDRESS: PNOPENTY TAI(N ��� <br /> ��/o �� �2 R�� l✓� oo-ro 780 600io - <br /> LEGAL tor new conswcGon: S1art Poatlsubdivision Lot No._ (atledi copY of bnq lepal dewip6on) A�IuG . <br /> owNeR bD�� O � .Sc�cK LL 'L Pho�elE-mall �i'�- ���c� — �� � <br /> �lassin C�a� C'�� C� � �m��s��p �SR��ft� l+� �ias- <br /> APPUCANT:_Ovmer Owr�efsAgent �Contractor ContractofsAgent Tenantcmuuprw�e..�rracm.xa�mnm.o.narroaowan��nm.p.o.l <br /> CONTRACTOR SSLY/{�7TD /LI— L&I Lfc.S ;fXY.���ZCJ COE Bus. Lic.#�1/�'+� <br /> resa ��'h��'2�5g i/ f-+"�"�-� `C'�7 /o�?� PhonalEmail 07�' ��' �" ��.� <br /> CONTACTFO PERMIT /j� ,9��Sf/Tfi�� <br /> pAf{��'Ci� !f�/iJq � 3(r4• 4Yys <br /> �J PMnME-meil PEARCUT Asscr+�++p�'R�o�ia�i1�- [�m <br /> BUILD/NO PERMIT APPL/CATION CON7RACT PrtICE OF woRK �7��� e9 <br /> Existing Use of Building 9 r(`1Q � � f'���i HEAT SOURCE: <br /> Proposed Use of Buildin��ll'11}1EILC/R L — L°TI-�.0 L� _ cag � ou�� <br /> Building type: _Single Family _Duplex Townhouse _Mulfi-Family Commercial <br /> T of ro'ect: New Addition Remodel e ir T.I. i n S rinkter Demolitlon Cha a o}Use <br /> DES RIPTION F WORK(addrtione�space r�vi on the 6ack): � ���� � <br /> � �2• m� �xc�fiN� �cc°F�in u,�ul�N� l(� <br /> �/L�l,,,� mCY-���F'i-EI� .�t�i��2ti� �� �S�errn c�s C�-Nac�l.L�.t <br /> MECHANICAL PERMIT APRLICATION PLUMBIN6 PERMIT APPLICATION <br /> TypeWProJ • New_Addn _Altaratlon_Repair TypeofProj L• _New_Addn _AkaraUon_Rapalr <br /> ShowNumbx(M)o/flxfurva ShowNumWr o/flxturvs <br /> AIC—airhandlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas i in Lavato wash basin <br /> Water healer Shower <br /> Gas fire lace Kitchen sink 8 dis osai <br /> Gas ren e Dishwasher <br /> Clothes d er C thes washer <br /> n e hood Wa r healer <br /> Ex ust fan Sink rvice/barlmo /etc. <br /> Heat m BadcFlo revenler <br /> Unit hea r Urinal <br /> Boiler Drinkin Fo tain <br /> Refn eration Floordrain <br /> Woodstove Grease tm <br /> Dudin Root drains <br /> Olher Mediql Gas <br /> SPRINKLER / SUPPRESSIO SYSTEM Other: <br /> Number of Heads Other: <br /> t nereby ceNy tl�at I neve ieaC enE ezemine0 tl�la eppllcatlon enC knaw tl�e seme lo be W n end mrtect.AC pmvlebns of lewa and atllnxncae govemYp Nls lype of wak vA be�anMaE <br /> wll�whel�er cpeclAed haieln w nd.ll�e grenling ol a pertnll Aoea not qasume lo qNe autl�o'py lo videle a wncel Ihe qovlabn of any otlix slete or bal law regulaUnq conqrutllon <br /> Thal l am autl�orixed Dy Ne owner of tlile poperly to pertorm tl�e work for vfild�appFraEon b metle end I mmply Mlh Ihe Slete Coniredon law 1827 RCW and 288.t00h WAC. <br /> � (I ' J / � 9 Z <br /> Owner/Authorized A nt 9lgnatu'e Dete (Revised 82012) <br />