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,�, t <br /> � � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> � .-a-i -� S <br /> SITEADDRE • PROVERiYTA%p PERMITI/ <br /> 0 08 -��� <br /> LEGAL lor new wnstniction: Shorl PI subdrv�slo� �. Lot �v (�ryach copy ol lony legal aescnptmn) <br /> OWNER )� PhanelE-mail �� � a� <br /> ntlaress.� C�ry151ale2ip �p�Q <br /> APPLICANT:_Owner _ fsAgenl �LConlraclor _CanlraelofsAgent _Tenanl�m�,stpmmaearcne�o�m�;em�ommeo�.ne�meo..onmac:paul <br /> CONTRACTOR l' T State Lic.N Cdy Bus. Lic.# U - <br /> AEOres S- �,�(,�C _ hone/Emad �S S <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phonc/E-ma�l —o� �S= J /S <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK .SOO� <br /> Exisling Use ot�uiltling H[AT SOURCE: <br /> Proposed Use of�uilding Gas Elecinc Olher <br /> Building rype: �Single Family _Duplex_To�mhouse _Mulli-Famdy _Commercial <br /> T C of ro ect: New Addition � Remodel e air T.1. Si n S nnkler_ Oemoli�ion ��hange of Use <br /> DESCRIPTIONOFVIIORK(adddiona/spaceprovidedonthe acN). <br /> ��rS�+,� 11,u-J �(prt�p �'� ���-e�•�- ati. Cr,v�,-I.�.n.� <br /> MEGHANICAL PEQtMIT APPLICATION PLUM9ING PERKrIT APPLI►:ATIQN <br /> Typo af Projoct: _Now_Addn _Aitaratlan�Ropair Typo ot Pro�oct: _Now_Addn _Altoiatlon_Rapair <br /> S�owNumDcr p ollirtures ShowNumDcr p a/(rfures <br /> � AIC—atr hantlhn untls � Todet <br /> I Forced air s slems � 8athtub <br /> Gas i in � Lnvalo wash 6asin <br /> Walerheater I Shower <br /> Gas fire lace KI�U�en sink 8 tlis osal <br /> Gas ren e Dishwasher <br /> Clolhes A er Clothes washcr <br /> Ran e hood Waler heater <br /> Exhausl fan Sink servicelbadmo fcic. <br /> Heat um Backflow revenler <br /> Und healer Urmal <br /> f3oilcr Drmkin Founlain <br /> Rcln cration floordrain <br /> Woodstave Grease Ira <br /> Ductmr Hoof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Olher: <br /> Number of Fleatls Olher. <br /> I hr.repy �iha� nave re a e.a �neU e appliwiion an�know 1ne same Io�e Irue antl cortect M pmvmans ol pws anE oN��ances goveming 1Ns lypr olwork vn0�e camp <br /> vnm tncr oca ee ncrc� nr n i T e rn ng el a prrtnil es nol n�sumc la grvo amnemy lo nolaic w�inul mc n�ov�von ol nny olncr sntc or Inuuaw rcgu�bn9 mnstmtlron <br /> fial am aulhom tl .y ic wn� ol l � p�o city pedo�m �wnM1 lar vfikh a p6wtion� madc n�Mlomplyvnl�I�e Stnte Conlmclors L�w 18 27 RCW�na 29fi.200A WAC. <br /> Ownn Au o � Agn t lgna urn � �� I� pre�,seevrzoia� <br />