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Sep 07 11 12:20p JAMES WEISS 425'745'1862 p.1 <br /> \ \ <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGNlSPRIN KLER/DEMOLITION <br /> CfTY OF EVERE7T?ERMIT S�RVICES <br /> 320D Cedar Sl., Everett,WA 98201 -425-257-8810—FAX 425-257-8857—www.evereNwa.org <br /> APPLICATIONS ARE ACCEPTF�FROY B AM TO 4 PM � .. <br /> SITEADDRE55: _) `5M FO�J� Y� � aZ� S M 3�U �C rc � ��/� <br /> LEGALforncnw+ahWlort Snort%aVsuOdivifion LotNa_ (atlad�oopydlarglegeltlpc�lpM1�nj <br /> wNER c`� � ' 1' ' I a � ,(' Pnw�dE•matl (1�Sb.-171J1 •'�'S I'(AIL.CC <br /> �,� �s,,.,ler ' ��,S�.�p � ;�- Q�o' <br /> conrw�cToa � �a i ua r !� <br /> O�ess Phone�Eme'.1 � ..— �� '�-I�L <br /> ENANT BUSINESS NAME NTACi FOR PERMIT <br /> eJE-mell <br /> BUILDIN�i PERMIT APPLICATION otirw►cT PRicE oF woRK <br /> Existing Use of Building — HEAT SOURCE: <br /> Proposed lhe W Buildn9 Gas ElactAe Ox� <br /> Buildingtype: _ ' IeFami Ouplez_Tavnhouse _MuMFFamily _Commercial <br /> Typeofproject: _ ew _Addition _Remodel �Repair_T.1._Sign_Sprinkler_Oemd3ion_Chrge oflfse <br /> oescrivtionorwork(acwrronarsyseepav;daian�neextiJ. l �`�1^� G� � �,� (�� <br /> Hava You shrbd woriciny wllhaR a qrtnitT _YES �NO <br /> MlCHANICAL PERMIT APPLICATION PLUMSING PCRMtT APPLICATION <br /> rypaaPro�an: _N.w_�ddn �tturnion_napair TypsofProJoet: _Nrr�adn _Alterrtio�_R�pNr <br /> Show Wunbsr(y olPortrires Sha�Nun+D�r(�g o/R+furot <br /> � AfC—airhanmin u�its 7oYet <br /> Faaedahs tems I BaMtuD � <br /> Gas Pi i11 LaVffi (w63h bosin <br /> Watcr heater Shmver <br /> Gas flre lace KMchm st9c 6 d al <br /> Gas ren e Dishwasner <br /> Cldhea d r Clothes washer <br /> Ran ehood WaOarheater <br /> E�Aia�at lan I Snk aervica/bar ta <br /> Heat umv Beckflow fevenler <br /> Unil hnater Urinel <br /> Boiler Drinkin Fountafn <br /> I Ret� e�ation Floor drain <br /> � WoaMove � Greasetr <br /> Ou ' i Roof d�ains <br /> Olher ! Medic�l Gas <br /> SPRINIa.BR I SUPPRESSION SYSTEM ! omer. <br /> I NumberofHends � OtMr. <br /> I nereDy mtlty that I have read and eram�naC Tis appimUon entl hnow lne aame tn ba Irue a�tl mrteQ.All qwisions of lara and ortfron�es govnnlrq <br /> lhis type W waA vAi Ce camplled Wfn hhNl�v�peclflni hefein w noe The 9�inq of e permR Oon rol peauma to pve nn�airy lo vidrie a eaneel <br /> 1he provision d any a,hor ata�a lecel law rcqulatlnq wm6u.-fian or Ihe peAxma�ee d carbuCtion.T1�ut I am aWhwine0 by Ne w�er W tls pcpeM <br /> in pwfo the wi1�fw+h�eh�ppitetbn is moCe ontl I complY wAt�tlie Sufe ConUacws I.aM'1427 RCW an02Y6.200 WAC <br /> � �. �,1LLv- 7 — ��r-�-�'��J <br /> Ownar horlletlAgaM9lgnatum = Date (RsHsed72011J <br /> ��a <br />