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PERMIT A,PPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Evereri, WA 96201 425-257-8810 FAX 425-257-8857 www.evere!twa.org <br /> APPIICAT10N5 ARE ACCEPTED FROM B AM TO 4 PM <br /> SITE ADDRESS: I I � ' I Or} PROPERTV TAX tl P RM T p <br /> �vea�-r , w�1�b�o4_ oc oo z o0 4oZ4o� 140 - D <br /> LEGAL far new constructmn Snorl PlaUsubtlnision Lal No_ (atfaU coDY uf long iegal tlescnptwn) <br /> p fc RO�RTtES 1 , <br /> OWNER ,� �,,, Phon�J[-md��� �6•5'�6.0083 'olla��bfi e33cA 'ik . com <br /> ndc�ess '7A5 BEu.�VuE AVE �F lo c�ryisu�e�au �ltE/�N�l�19Ioy <br /> APPLICANT: Owner OwnefSAgem _Centiaetor _CqntractorsAgent �7enar.t���+�>�...:.+rann�se��na�mrm.�e�iom.a*r.m+cace� <br /> CONTRACTOR M �� �a i ��c. a AMRuYRI� Z�,7 COE Bus Lic. a 0�2 <br /> �.ad�eu 2! 51 WE/L�RES( D4. MILL C �"1A 9$OI� PhanelEmaii 4�"5•6 96. 31� <br /> 3 q nnron n.rv�u cll� c�om <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT C��V.1 P.APS� I�lL-- <br /> vJl�-1,1o�M '^���L�( nDS A�rrµ : t,o.rco�.iaE �� <br /> anor,e�E-rnae Z5. 52. caroline8 'ce.Wr .cow� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WbRK_'� 7g. 3qo <br /> Ezisung Use of 8udding 6�A1— R�TlNC.— HEAT SOURCE�. <br /> SUfTE <br /> Proposed Use oL&�� �— n�TM,•O�l� Gas_ EleCnc_ Ol�et_ <br /> BwlAing rype�. _Single Famdy _Duplex_Ibwnhouse Mul6•Family �Commercial <br /> T e cf FrojecY. New Adddion Remodel Repair X T.I Sign_Spnniler_Oemolltion Chan e ol Use <br /> DESCRIPTION OF WORK(ada�oonai sonce prov�eea on Me bacel. <br /> �NTER10� Ohll�(� hlOn� —67 RLtL.TUVLAI-� TENhhI,C IMPKO�dEMET1-�(' �'o� A 2�613 5� . <br /> D�tTAt-- �j�lcE• <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 7ypc ol Froject: _New_AdAn _Altcration_Repair 7ype of PmjeCk _New_Addn _Alte2tion_Repair <br /> S�ow Number(0)o!firtums Show Number�tl)ol lixiu�es <br /> � AIC—av handhn umts i Toilet <br /> � Forced av 5 stems � Bathtub <br /> I Gas piping I lavatory(wash basin) <br /> � Water�eater I Shower <br /> I Ga5(re lace I Kdchen sink 8 disposal <br /> asran e I shwasher <br /> C hes d er � Clo es washer <br /> Ran hood ( Wate eater <br /> Exhaust n Sink(se /bar/mo /etc.) <br /> � Heal um � BackOow re ter <br /> Umt healer � Urinal <br /> Ooiler Drinkm Fountam <br /> Refn eration � FloorAram <br /> Woodslove Grease lra <br /> Ducting Rool drains <br /> � Olher � Medical Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM � otner <br /> I Number ot Heads Other: <br /> I�erepY ceNiy t�al I p�vc ica�aud craimnc0��is applrainn and Mow I�e samr lo Wr true and cort^d M p�onvons ol I:Ww:an0 aNinan¢+5 govemmg ttns lypc ol v.o�k wdl Lc rompLca <br /> wi,n wi�eVicr speWeW�e�ein or noi iM1c granting o/a OenM does no�presume lo gne aul�or.ty ro vwqle or tanal Nc pmvuion ol any otncr sta�c or local Liw reputabny mns�rvdnn <br /> Riat I arn auV�onzed�y i�e ormer ol t�u poperry lo petlorm Ne woik lor wl�icli appbcaUon is ma0e an01 mmply wM tbe Stale Contradars Ww Ifl 27 RCW an0 79fi YOOA WAC. <br /> Owne Authorizetl Agent Signa Uale� / (ReviseA 62072J1� <br />