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i <br /> ./ � • <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everelt, WA 98201 425-257-8810 FAX 425-257-8857 wwv✓.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � '�O�^� <br /> SITEADDRESS: PROPEflNTl1XN PE IT <br /> 0��3� il�..� �J"� Ei,f 9�'ao3 0060 000i so -0L <br /> LEGAL lar new eonslruchon Snorl PIa11su00ivision .r/ P� Lol No � (allach copy ot long legal 4escnplion) (; �p� <br /> OWNER � /7/L� G/( � Pnon�JEmaii ���J " 93- �'sr O��C�U�� `h Q�, <br /> �tldress 9 3'�PS� (/�{�,/ Q� (/� GtylStale/Z�p ��C� !- vy/J � <br /> APPLICANT: Owner Owne�sAgent Conirae�or Conlroetois�9enl Tfndnl(muslpm�EonkYerolwnsenlfrom'he�crlouo.wmm�ospaw� <br /> CONTRACTOR ZU/v �� L �s����.# �vlDEc' ,�/,� COE Bus. Lic. # <br /> Atldress �O�Q /O/ � L � / �Z� P�onelEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E�mail <br /> BUILDING PERMIT APPLICATION CONTruct PRICE oF WORK I��� <br /> Exisling Use of�uitding HFAT SOURCE: <br /> Proposed Use of Building cas� Etect�ic_ Olner___ __ <br /> Duilding type: X Single Family _Duptea_Townhouse _Multi�Family _Commercial <br /> Typc of pro�ect: New �Adtlilion Remodel _Repair_T.I._Sign_Sprinkler_Demohtion_Change of Usc <br /> DESCRIPTIONOFWORK(atlmhona�sparoprovidedonlnebacw): ��j�s�� �A�G��,�� �yS S'✓p��� �ro/� <br /> P�is�i�' r'Jt� �u Sei-ut ��'W ;�d�y g��t�•ib� cr,�d �'���it'. <br /> Sti.S /��ln�e• ,/� �air /S in�/r/l� iA � P�e✓� <br /> MECHANICAL PERMIT APPLICATION , PLUMBING PERMIT APPLICA'TIG}N <br /> TypeolPro�ect: _New_Addn _Alleration_Repalr TypeofProjec�: �New_Atldn _Alterallon_Repalr <br /> Show Num6cr(a1 0l lirfures Show Numbcr(u)ol lirtures <br /> A/C—air handling unAs Toitet <br /> Forced air systems Balhtub <br /> Gas pipmg Lavatory(wash basin) <br /> Waten c�ater Shower <br /> Ga5(veplace Kilchen smk 3 tl5po5al <br /> X Gas range Dishwashcr <br /> Clothes dryer Clothes washcr <br /> Ran9c hood Walcn c�alcr <br /> I:xhausl lan Sink(servicelbadmop/elc) <br /> Ileat pump [3a�kllow preventer <br /> Umt hcalcr Unnal <br /> l3oilcr Drinkinq Fountain <br /> Refngeration Floordra�n <br /> Wootlstovc Grease Irap <br /> Luctin� Roof dreins <br /> Olher C/� Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM othcr. <br /> Number ol l-fcads Olher: <br /> IbemEyce��lylhdll1111VCIC:IJdOOCuli��lCtll�ivdpU�����60'IOnUFl10W�I1091IR1abC11�NOt111OCUI1CC1.AlID�OVR�Ol190IIJAy41nJO1lI.0.lOCC91�0VCT�I10�11111p]UOIwOM�M1EO(011�pbpij I <br /> wnn vmelner sprnbed he:eln or nol I�o gmnbnp ot n pe�m�l Jor+nol pmsvmo lo pne nul�onry to noqln or tnncel Ino pmvr on ot nny other Slale or loa�l liw mpuptinp eon:lmction <br /> Ih;illama�nnonre[% " �oilMspmVr.'tyloOc�lormi�owoMlo�wh�c�:�p0��nimnl�mn�uun�IcomPHw9�IhcSiatcConvnclontnw10�7RCWnnU:70700�YJAC <br /> �, �_ -� � o?I.��� <br /> � <br /> OwncrlAu�horf Agc gnalure Dalc (Hev�srtl f✓1017) <br />