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��:���� ����.������ �,a <br /> 3�.11L.f.DINC9/M���9/��It:,�l_/P�l1lVlslh(�/SICN/��'F�I�1��.��2/D��il��..l'i'!Oil� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Evereit, WA 98201 425-257-8�10 FAX 425-257-8857 www.evereIIwaorg <br /> -a6-� <br /> SITEAD�RESS: —����� PROPERTYTA%71 P RR71T <br /> �12 LVF�sZ��� V1 ���—�� ���,�.�` <br /> �-�-----�--_ , � <br /> LEGAL far new consfruclion: Shod PlaUsu6divislon Lol Dlo._ (allach capy of IOng Iegal descrption) <br /> OW NER PhonelE-mail <br /> Address City/State/Zip <br /> APPLICANT•_Ovmer _�OvmersAgent X Contractor _Contmclor'sA9eni _Tenanilru�iR�moaien�rcimn=�nitmmmec�nciioa�wo�k��inc:pa�c� <br /> CONTRACTOR �C M��IChI.. LLC State Lic.t� K?�'-C}'� L,861 N� City Bus. Lic.S!i��L— <br /> Address � �x 2�� � �b KJ12� phonc/Email ZC�o E)I�j �3 <br /> CONTACT FOR PERMIT <br /> 9�1 �e�vi,-W S�iaao� ��a 4�vnE zo� gJ8 �3 <br /> Phone/E-mail hovd�kehC�, ��1�• �.G�l\ � <br /> BUILDING PERMITAPPLICATION coN7w+craRiceoFwoRrc9�o•� <br /> Ezisting Use ot Building MULSI �EIJvNT RE'�ol'— HF11T SOURCE: � <br /> Proposed Use of 9ui!ding �X����� RE-T���- Gas_ K Eleclnc__ Other_ , <br /> Building type: _Single Famify _Duplex_To��rnhouse _IJulti-Family X Commercial <br /> Type of project: _IJew _Addition _Remudel X Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(addtronal space provided on the eack): <br /> A���X I° G� P1PI�1L 4 1�1'6T�� K�CK l-ACJ��clq� <br /> NDI�E� TWo Se.�v�U� �I-1F_KE. '�ICo `TcGES�I�� Yfl�RS AGo. SERVIcL-� fi�RE NOl7 <br /> c��r'�^p- eIPE N1WlE ChlariL}� E M6SE2 bf1l..']'. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 7ype of Project: _New_Addn _Alleration x Repair Type of Projeel: _New_Addn ,_Alteration_Repair <br /> Show Number(k)ol fixiu�es Show Num6er(N)of�xtures <br /> NC-�air bandling unifs i oilet <br /> Forced air systems �athtub <br /> 1 Gas piping L7vaiory(wash basiN <br /> Wa1cr heater � Shower � <br /> Gas freplace Kitchen sink 8 disposal <br /> Gas range Cish�vasher � <br /> Clolhes dryer CloUtes tvasher <br /> Rangc hood SVale�hcatcr <br /> F�haust lan ' Sink(serviceNadmop/efc.) <br /> I Icat pump Gack�o�v preveNer(insidc bld9) <br /> Unif heatcr Urinal <br /> l3oilcr _� Drinking FouNain � <br /> Re(rigeration F;oor drain <br /> � Woodstove _ Grease Irap <br /> Ducting I Roof drains <br /> � Olher_ �— t:iedical Gas <br /> SPRIPIi(l_ER / SUP�PR�SS�OM SYSTEM O�her. <br /> Number of Heads Other. <br /> I here6y cerity Ihal I h:ivc read and ezamined Ihis applicstlon�r,d know ttle s�me to be tiue and cortttL AII piovis!ons o11aw.oni ordinances rovemin9 O�s lype of work will be campticd <br /> with w r speciGed hercin onnt.The grnNin9 ot a pertnil does nol pre;ume lo give authoAly lo violale or wncel Ihe provision ol any oiher slale or Iac�l law regulaP�n9 conslmcliun <br /> 7h. ama�hoi edbylheowne�oltyispiopeirytopedr.rtnlheµvrkfonv�ichappGca6oni,fnadeandlcamp')withlhe5latuCo;ilrr.clorsLaNt�Z7HCNand296.:00AWqC. <br /> I �j� <br /> I� C-t�'��� <br /> O crfAu❑ izetl Agent SI9nalure Da�e (revised 42075,' <br />