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Get_PDF.aspx hltp://www.everettwa.orglGet_PDF.asp�pdflD=34 <br /> PERMIT APPLICATION . <br /> BUILDING/MECHANICALIPLUMBINGIS4GN/SPRINKLERIDEMOLI710N <br /> CIN OF EVERETT PERh�IT SERVICES <br /> 3200 Cedar St.. Everett. WA 98201 42525+-8810 FAX 42S?57-8857 wv✓w.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROt�A 6 A�d TO 4 PM <br /> SffEADDRESS: 62 y EVt6QEEN NlAJ . P�PERUT'S�U� 8O1 EjOI bUD EWdI7tl <br /> i� <br /> I_EGALfornewconsWaion: S�ortPlaUsuhdivision LmtJo. _ (attachcopyoflcnglegaldescripUon) <br /> OWNER GRAy W�QRI�G""� PhonrJE•rruii 206 -5'z 3-3YS6<oFF,�e� CAr12�LwC C <br /> Address /OS3 N_E 88� ST arv�si�c�rz�P $Pf!-N'�e �i1,f� `�I�//.S— <br /> APPLICANT: C1'mer _O+�nefsAgent _Contraclor _ContraUorsAgent __Tenant(rtustom�tleanneracartsmu�ommemwenodovroiehuexazel <br /> COPffRACTOR S�LF L 8 I Uc. : COE Bus Lic.m <br /> Address PnonelEmail <br /> TENANT BUSINESS PIAIdE CONTACT FOR PER�d1T <br /> N � PhoneJE•rrail <br /> BUILDING PERMIT APPLICATION CONTRACYPRICEOF WOR{C__ _ <br /> Fxlsling Use uf Budding_,_J�i4CAF� �O�F __ _ hIEAT SOURCE' __ <br /> Proposed Uso of Building OYPf�� ________ Gas X Electnc__ �ther__ <br /> Buildinq lype: _Single Famiiy __DuplHx_Townhousa _Mulli�Family ,ZC_Commerdal <br /> TyPe ol project: New Addihon Femodel R?pair__T.I. __Sign__Spnnkler Demolilion_Changs of Use <br /> DESCRIPTION OF WORK/a�rtar,atspace p�o�d�a c�n ina aacw. <br /> /JvvioJis� Q�d ,2Pti,o�e �lsii,.,3 aw/�/,;� <br /> MECHANICAL PERMIT APPLICATION PLUMBI�JG PERMIT APPLICATION <br /> Type af Pro�ect _New_Addn _Alterstion_Rep�ir Type of ProJect: __I�ew_Addn _Alteration_Rep�ir <br /> SMoW Nunrbcr(NJ of liAturct Show tlumbcr(p)of fiMures <br /> � A/C—air handlinn uaits I Toilel <br /> � forced air s ,tems � Cialhlub <br /> � Gos D�ping L�at�iry(wash basm) <br /> � Water heater � Show?r <br /> � Gas Breplace IGtth?n 5ink.5 dis0osal <br /> Gas range Dislmaslier <br /> � Clothes dryor � Clothez washer <br /> Rannehood � Walenc�ator <br /> � Gxhaust lan � Sink(5ervicePoaAmop/etc.) <br /> � Heatpump � Qackllw+prevenlrr <br /> Unil healer Unnal <br /> 6oiler � Drinbng Founlain <br /> � R�(ngeralion Ploor drain <br /> � Woodslovv � Grease IraD <br /> � Ducling � Roof drains <br /> � Olher � Id?dical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Olher: <br /> � Numbrsr o(Heods OUier. <br /> I�eieby ceiUly maU hare rn,:d ana euminnd�his appl¢abon anA knnw O�e,amr,lo n�we and cmien A1 pinvr,ion:nl laws anA m�inanco;goveming Inis type nlwoiY.nil An compti <br /> wlh vfielAoi:petified he�sin oi nat.The g�an6ng o�a De�mE does not piesume to pra aWhonyto vinlala m wncel Ihn p�wf�on ol an}other stalo or 6al I.tw ieaulatng conslmclun <br /> Thal I am aulhoii:ed br I ownei o�Ih;piopeny la pw�o�m Ihe wv�k�orw�i�A�ppFcaion I;made and I compiy�.;th Ihe Shta Conuaclo�s lx«1 U27 Rf,wand 56.20M WAC. <br /> l/Z <br /> ,, ��,,,�J 3 �� /3 <br /> � Q(2 O �l hori:ed Apent Sipnamre Datc 2/251�d'I�S'�?.�i��P�VI <br />