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��� <br /> . <br /> PERMIT APPLICATION <br /> 13111LDINGIMECHANIC�4�./PLUMBINGISIGNISPRINYLER/DEN�OLITION <br /> CITY Oi EVERETT PERMIT SERVICES <br /> 3200 Cedar St., EvereU. WA 98201 425-257-8810 FAX 425-257-8857 vrrw✓.everettw�.org � <br /> APPLICATIONS ARE ACCEPTE�FROM 8 A7d TO 4 PM <br /> SITE AD�RESS: .� PROPEPTY TAX p PERIAIT d <br /> 6�r 2� � �r, cv z y� o o. o0 7 - 3� <br /> LEGAL Icr eew conslmcl�,on. Short PlaUsubaiv�s�on SL�s�{���i�Lot No. (a�tach copy ol long Ir.gal UescnpLon) <br /> OWNER��'� m�.= �C 1z--F hu��5��� �honelE-mail �2`)— �3(J '�C�25 <br /> ned���s��2�j �� (�c'2i� I.Ja� 542.�C70 c�iy�sc��c�z�o �Q�+'2� WA 9g2Ug <br /> APPLICANT: __Ov.ner �Oene!sngem Contrauor Comractor'sAgent _Tenantim�vm:.we++,�������-+��.��=m.r��•^��'>eo.on����,:n,:�•, <br /> CONTRACTOR � V� L 8 I L�c. # COE Bus. Lic. # <br /> AdAre;s Phone;Emml <br /> 7ENANT BUSINESS NAME CONTACT FOR PERMIT <br /> /"�F5 ScI�T�"lc�'►S AQr'� I ICiSSGU-i�/ n� ��';IiLronn�IlclrS��i1.�c <br /> Pnor.elE�mail � — "7Q—�p7�nu <br /> BUILDING PERMtT APPLECATIOk CONTRACT PRICE OF WORK �,G <br /> cxisting Use of Buiiding Q� d � / (y� �ci( HEAT SOURCE: <br /> Proposetl Use of Bwlding�� VLtQ CllCG.� OI�!�!ZC' Gas _ E�ean�� Ome� <br /> B�ilding type: _Sing'c Family _Duplex_Townhouse _Multi•Famity�Commercial <br /> T pc ol pro'ecl: Nex Addition Remodel Repair .I. Si n Spnnkler_DemoliUon ;han e ol Use <br /> GESCRIPTION OF WORK(aad�tianal sA�ce prov�ded on th�hack): <br /> ,Nl;r,csr lvt-k�✓i o� �.Q�yv�d�i�lUYl, j�(Q,I.0 IY�1-le�'ivr �r'C1t10Y1S� �OOYS� <br /> �,,,,,-1 �'a I�s r cti.4,w� �,�V1�S <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ot Project. _Nuw_Addn _Alteralion_Repair Type o1 P-oject _New_Addn _Alterallon_Repair <br /> r—. Show Numbcr(p)ol�#ures Show Numbor(dJ ol fiifuros <br /> �� NG—air handlin unils Toilel <br /> ForceA a�r s stems 6al'ntub <br /> Gas pip�n Lavato (wash basin) <br /> Waten c�ater Shower <br /> 6as fireplace Kitchen sink 8 dispos�l <br /> Ga3vanqc �Isherasher <br /> Gloth��y d cr \Clothes washer <br /> Ran e hbod Waler heater <br /> Exhauslla Si k�servicelbadmop/etc,) <br /> Hr.at pump BacA!low preveNer <br /> Unit heater Urmal <br /> Boiier Dnnkin Pountain <br /> Refngeration � Floor drail� <br /> Woodstove Grease Irap <br /> Ductin Roofdrams \ <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I b?iet�vrady tha�I Oave iea0 an�e�antinca 1�:;appfmatnn anJ Aw�x IM1e s:rne lo�c Uue anE cnrteq.FO provispns ol qws an0 ortnances goveming Iliis lypc ol wolk an1 Gc cnmy:eJ <br /> w-��v.neTe�sOecM1ed�ere�.n oe nol.lne g�am vg el a pertnA daos�o;pmsume to glve autnonry to v�oLlla o�eancN the provrson ol any G�er slale or beil law reguLitinq cans�mc4on <br /> Thil I a�n a • o�eA�y Ne owner ol l�is pmpeny lo perterm Ne�wh�c�wn�=h aC[�tienon¢maCe ana I comO�Y�����e Slale Conlatlors Law 1P 27 RCW anA 296200A WAC <br /> � ' � Z -3�j- I� , � Z_ <br /> Ownerld thorizedAgen Si pa re Da:e (Revised4201:� <br />