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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, Wn 98201 425-257-t3810 FAX 425-257-F3857 Nnwd.everettuva.org <br /> APPLICATIONS ARE ACCGPTE-D FROh7 6 A�A TO 4 PM <br /> SITEADDRC-SS: PRO R T\ d �' �T� <br /> �t��t �V�6r� w a��roo9�� �C � <br /> LEGAL(orr.ewconstrur.licn� ShodFlaVsuhtlivision Lctldo._ (alfachccpyoflon9legaldescrip!ion) <br /> OWNER GVk4��" �-'� ��i-'T� �/ G �hon^_/I=�ma:I ���i�L��L:���1��.LY-lMJ/J/ I-IUiNd. Caw, <br /> `S�I�] ���2(�Rk� W Y� P �l�L/�, y25.212� V2'JL <br /> AdCress cit ,s;atdzi l Lt/A Zo3 <br /> APpLICANT:' Ovmer Ov:fFiSAgCnI ,�Cenl GCf CGnIf3GGfSAgeN TCnart(mus�pmviaealcr,o:olccnscniecmC.na�mer:oeown's�n���ocpael <br /> COt•lTRACTOR G�EIZGftG�,y STqi E,���' k`��� i-s i u�.;F EVE�2C-SS�1.2oT coe o��s.u�.rF oo�95S <br /> Address 217.o t��1C.11=��- 4�UE.EVE�-( e.)A 98Zo1 Pher.elEm=il �2y� ZSZ -311�f <br /> TENAN7'BUSINESS NAfl�E CONT.ACT FOR PC-RIi71T <br /> M�y`,��@�S,v,wA .cErK <br /> �JUNR�Se S�cQutCesi PhonelE-ma',� zy'. 2ti 2 �'3!/ 4 <br /> BUILDINGPERMITAPPLICATION CONTRACTPRIGEOFWORK �q� OJ . <br /> Cxisting Use of Duilding �r I1E/�T SOURCE: <br /> Proposed Use of Buildiny �F'�F C ND C_NFw15e5) Gxs_. Electric K Olhzr__ <br /> Buildingtype: _SirgleFamily _Duplex_To�.vnhouse _A4Wti-Family _Comm>rcial <br /> Typeofpro;ecC _Plev� _Addilio0 _RErtlad�l �_Renair__..T.I.__..Sign_Sprinkler_Demoiilion_._Change ofUse <br /> DESCRIPTIONOFWORK(adai!icnalsoacepruv:dcdonlYcback):,�M� J �� _�`p�q�CIJG <br /> �r, } Z[pwaCE (��.6 6a.� u k-� NE'� I D. U N�T a N G-Ru <br /> U"X�ST�b vu�T <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type o(ProjecL• _Re:�_Addn _Alferaliun�Repair Typo of Pmjecl: _New_Addn ,_Nlemtion__Repair <br /> Sho��IJanrGer(:)oI li.r(ures Sho:i Nwnber(�)olli.etures <br /> A,'C–airhzrdlinqimfts � Toilel — <br /> � Furceda;rsyslems [3athtub <br /> � Gas piping � Lavalory(�vash basin) <br /> � Waterh�alcr Shov:er <br /> -- �--- �Gas fireniace �---- � --- � i<itcLen sink P�disposal <br /> I_.—_ � <br /> � - Gas rangn Dishe�asher <br /> � Golhes dryer � Clnlhes c�asher <br /> � Ranc�c haod � Walcr hea[cr <br /> —� [xhaust fan Sirk(scriicelbadmop/elc.) _ <br /> Flnal pump 13ac411ow preven�er <br /> Unit hc�lcr Urinal <br /> � Boiler �Jrinking Pouniain <br /> Refri9eration f-leo�drain <br /> � � 4Voodstove Greasc lrap <br /> � Ducling _� Roof drains <br /> I h9etlica�Gas <br /> Olher------- <br /> SPRINKLER/ SUPPRESSION SYSTEM atlicr: <br /> � Num6crofl-le2ds Olher: <br /> I here5y ceiti?/1ha11 have rmJ anJ examiaed WL^appf.cafion anU Mc�v Ilie eamo Io bn ime a-d mrtecl.A!I provisicns al lavr.anA ordiaanu±s�ovem'�ng I�is typo cl v�cik w:�l L•a comp'�cA <br /> wilh r:helher epecifieU herei�cr not.7�e r,ran:lr,g af a pertml does rol presumo lo�i»:au:hrnily to WolaW er wncel Ihe prcvision uf.ny othe�slste cr Iccal lav�re5ulatinp censlrucCon <br /> Thaf 1 nm aulhonzed hy the owne�ol lhis pmpetly lo pe^orm Iha•.voik Ier wh!ch apP��callon Is maCe and I cump:y v:�h lCx SWIa Conlratlors Law It127 RCVf and 27d200A WA4 <br /> f2—R�13 <br /> .f]r�7f'NAulhori d itSignaWre DaL^ (F.evi�_dCv2012) <br />