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� � <br /> PERMlT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGlSIGN/SPRINKLERIDEMdLITION <br />� CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St Everett, WA 982�1 425-257-8810 FAX 425-257-8857 vn+nv everettwa.org <br /> SITE ADDRESS: r-- + �� , � PROPERIY TAX n PE��T�Y7 � Z <br /> �._ > <br /> LEGAL lar new wnslruction SP.e:t P�aVsuOarvaicn__ Lol No___ (allacn cepy ol lerg legal tle5a�p��on) <br /> OWNER ��_t � Ipj1�A�1� Pnone�[-ma.t �� ' ' <br /> aCdress CitY/SWle1Z�P � IZ�� R <br /> APPUCANT: Owrer _Cwner'sAgen: f Con�iaelor Contractor'sAgent _Tenan�:—.:�:�:.a«.,�,.ac�c:c,:c.nc—.roo.�ernn�c+�,r^�.:.,:ui <br /> CONTRACTOR �I A N CF I N✓ I 1a T1�pt� State Lic x �.D Y�yN � � �CAy 0u5. LiC # <br /> AGO�C55 b �� I 1 1 JV11� '�� LYNNw� o P�cre'Email �� • � l <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> F^.ore'E�mad <br /> BUILDIMG PERMIT APPLICATION CONTRACT PRICE OF WOFK�OO � <br /> Gxisl�rg Usc of E3uildmg,_ _ HEAT SOURCE <br /> Proposed Use o�BuilCirg Gas ✓ [;ectr�c__ Ot.".er__ <br /> Buadmg type�. �Smgle Famdy _Duplex_Townhouse _Multi•Family _Commeraal <br /> Type ol pro;ecl New Addaion �Remodel _Repalr_T I. _S�gn _Spnnkler__Demolmm�_Change of Use <br /> DESCRIPTION OF WORK ;ad�.ncna+scaceprocdedontneca:�l. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPI.ICATION <br /> Typo ol Project: p_Nuw,_Addn _Aiteration_Repalr Type o�ProJect' _New_Addn _Altaralion__Repair <br /> Show Numbrr(a)o/6atures Sbow Num6rrlpl ol firNres <br /> NC-air handling urnts To�ict <br /> Forced au systems d��h�"h <br /> Gas pip�ng Lavatory (v:ash Oasm) <br /> � Water Ireater Sho;.er <br /> Gas fireplau; Kitchen s�nk 8,disposal <br /> Gas rangc Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hoad N'ater heater _ <br /> Erhaus�fan Sink(servicclbar/mopletc) <br /> i Heat pump Backfiow preventer <br /> Unit heatcr Unnal <br /> � Bodcr Urmking FouNain <br /> Reingeralion Floor aram <br /> Woodstove Grease Irap <br /> Ducting Rao(drains <br /> � Other_ �d �_ titeC�cal Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other <br /> � IJumber of Heads � Other. <br /> I�cie�y cen:y t1+a11 rp :�e�tl an�C.omped mis�p;;u'�'.on an;f�aa+v Ihu sartvu io Ce lruv ontl cavect PII provis�ons olinws nnd erC�nances govemin9lm.s tYPo ol wcik n�:i Oe compiietl <br /> h'h a�el0cr SDecFeC 1 trC�n or net T�c Gr�pi�g cf a pcm:d:^.es r.i pcA.me iJ 5'�'u�u!hOnty lo v,o'�d!e Cr W ncel No prca4mn c�ar�dher stalo o�ICG9 idn reoulat.n tJ conslmB�or <br /> Tt+al i am aNOon:eO C/Me O�ner olin',5 prc:�:tty IC Grrto�n iM Ac�k Icr w`.;J�3pF`���:n�5 maCe a��I comp'ywnn'�a Sla'C CONractol5 W.r 1B 27 FCYlanO 296 200A V:AC <br /> �� Ia -a - l3 <br /> edAulhonxe AgontSignaluro Uale (Rec�sca?i?Ur]I <br />