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� � � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLt1MBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257-8857 vaww everettv+a org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 Pt�l <br /> SITE ADORESS: 7qOPERTviA%u PE �i� <br /> 57/(v �`vEeG2�=c�1 4`� (b 3LC��(U4Gop � `v' l�0 -O! <br /> LEGAL!or new co�struu��on Sron P�av;�.,Daiv�son lat No ;auacn ccOY of Icr.g�ega��desa�cnonl <br /> OWNER,s:)�tn(('�ZT.<f/�l/`t�J-\ PnorerE-ma�i �(,,—SZ�'�j7 <br /> ncaress/0339Qu:Z��Z4.GVE�.St7� cnrrswie.2o . " tf .� /j- fi/� <br /> APPLICANT: _Oeaer O.�rersagen� �Con:•actor _Co^'�a-:c'sP9enl ienan;�r:..:icaee�ce���mi-.,-�Fy^.�r�o�.-.-�oao.>. .+e. ,.�.,. <br /> CONTRACTOR Sl�i���st�"% L81Lic tt EC�iG./M[L.95G13J COE�us Lic x4YL`JQL <br /> c.aaess 5/S-�-n2tcw,ay J,2 �A MrJra�oJ W.s 9�Z7 ��o�e,=md�: 3Go-U�-4�95 �'mL51G�NARiuY.. [:cti�t <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT P4��c� �o�JE <br /> �YE Zo.( 3Lu-ULE:- 4�'RS <br /> �- � pnonelE�ma�i ;.17'�SIGr1�M1fr! US.I�.LOti'1 <br /> BUILDING PERMIT APPLICATION CONTRACTPRICEOFWORK O. J <br /> E■.sUng Use o`Bu��IC�n3 /� rA��. HEA7 SOURCE _ <br /> ' Propose�Use of Bu.ld�ng ,�%'¢�L Gas_ Eiectnc__ O;ner_ <br /> -- Bu:IC�ng type _Smg�e Family _Duplez_Townhcuse _MultrFamtly �Commerual <br /> T oe of ro�ect New AdC�Uon Remodel _Re a��r_TJ �Si n Sonnkler_.Demo!dion_Cnar e of Use <br /> �ESCRIPTION OF WORK iea0inonu�sc�=e pr�.�aed cn;ne eace�. <br /> MECHANICAL PERMIT APPLI�ATION PLUMBING PERMIT APPIICATION <br /> Type o(ProJecC ew_Addn _Alleration_Repair Type al ProjecC _New_AdCn _Alleralion_Repair <br /> Show NumDcr(al al firtures Show Numbri(b)ollirtures <br /> I A/C-av hardlm untls I Todel <br /> Fotcetl air 5 stems Bathtub <br /> I Gas � ma Lavaro (wash basin) <br /> Water hea!er Shower <br /> Gas luep'ace Kdchen sink 8 dis osal <br /> Gas ran e I Dishwasher .�1 <br /> Clolhes d er ! Clothes washer <br /> Ran e hootl '' Water heater <br /> Exhaust lan � Smk seroicGbadmo letc) <br /> Heat um� I �ackflow revenfer <br /> Unit heater I Unnal <br /> Bmler � ❑nnkin Founlain <br /> Relr� erat�on floor dra�n <br /> WoodslOve � Grease Va � <br /> Duam Roof drams <br /> Other fG W4lL MeCicaiGas <br /> SPRINKLER ISUPPRESSION SYSTEM other <br /> � Number of Heads � Othec <br /> I nemoy cert:y Ina�1 nare maU ana eaamme0 Ois av�'�'���an antl I.now Ine same Io�r Ime a^a cOrtecl Au p'on;io^.s cl luw;and oN:nanCr.s po+eming�nis type o1 wert.wJl Ce rnmp'etl <br /> wnpwPri9e�sp?GM1eC emmarnel Thegran::��otapertnrt4aesnolOre;umeloq�.vr,a�InorYlor:ob'eo•�Inu����c0'o�u�,enalanycl�er;Li;ecrle:�IlvwreG�.lA1n.lUT�;imclicn <br /> TTd:lamJu:'109tB Y ^�eownero11�6DrcGCflylOpC�ofrtll�ewoAlufw1m11ap��.FL+1G�"IPL'.1r.01CC��.p'ywd^Ine51dlCCnrVd[!c�;La�i1b:;FCCIa-]755:0941VFC <br /> l ��� 1Li /�I <br /> OwnerlA Ihorized Agent Signaturc Da:e (Fo��sed 6:Of:l <br /> �`Z <br />