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� � <br /> pERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGW/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-881� FAX 425-257•8857 �.wn•�.evereUwa org <br /> SIT A DRES�t PROPERTYT��RH PER�11T7 <br /> �p }-,�z.� z9o5 coo o c� N b�1- OQ$ <br /> LEGAL fcr new eonsln.cbon� Short PlaVsuhtliva�on_ Lol No__ (a!tach ecpy o!lor�Ie9al Cescnpt�on) <br /> OWNER G�h 1 `l 'Qi� I { ( �i"�� PhonNE�mail �Z�� y2� -�� �G- <br /> Adtlress Q jJG1C, �Zb�� Qty�StatelZ�p V h'' �`� 1 �"' ' <br /> APPLICANT: Owcer _C�+rer'sAgent Conuacor �.CCN�aUor'sAgent _Tenanit��+�c,c..�oaicr��m���...���,�-.���oc.rrrmeo+.o�x�o�ro�F�:<� <br /> CONTRACTOR lale Lic. ��NQU� 1 ���u ^ Cily (3us. Lic.# <br /> FCtl'ess � �, 1 � N� ✓/) Fhcne,Eqlal ^ Q)S�O�'��/7�.� <br /> TENANT BUSINE 5 NAL7E CONTACT FOR'PE fr11T <br /> .Joe. K� ��•� / <br /> Phone�e�mml 'zrj� Q ' � Q <br /> BUILDINGPERMITAPPLICAYIOPI COt�TRACTPRICEOPYJORK_J0�1,.p�o <br /> Fxistirg Usc of Bwiding_�}� _ HEAT SOURCE� <br /> ProUc<_cd Use of�ui!ding Gas. � Elecinc_ Omer <br /> Bwl�ing�yf� ��ng!e Fam�ly _Duplex_Tovmhouse _A9uIti�Famdy __Ccmmerual <br /> X. ., <br /> Y � <br /> iyce of prc�eq Ne�v _X ACCit�on 1(Remodel __ Repa�r_ T I __5,n _Spcn'nl-r__Demchtr�n__Change el Use <br /> DESCRIPTIONOFWORK�acr�no�:ispacc�c��r,edo��:r,co�� �� Q�� �dJ ��-� ���' - <br /> ,! u <br /> �e,NTod�,' �XrS�1q,� ov-4e- � � <br /> U��Qc���-dt�r� 01'�" � ��`` � �"�v. �t.ouse„ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typu ol Pro�ecl: ,�Ner�_Addn _Altcralion_Ftepair Type of ProjrcC �Nc�v!Addn _Alteration,Repair <br /> Sho�v7lum'�er�a)o//ixfures ShawNumbrr(p)olGxfures __ _ <br /> —i A!C-alrhantllingunds I Tmlet <br /> � Forced air systems I I Oathlub <br /> � Gas piping I I.avatory(wash basin) <br /> Water heater � Shov:er <br /> Gas��replace I Kitchen sink 8 disposal <br /> � Gas rarge Dishwasher <br /> I Clothes dryer I � Clolhes washer _ <br /> --�� Ran9e hood I Water healer _ <br /> � [xhaust tan � Sink(servicel6arlmop/etc) <br /> � Heat pump � BackOow prevenler <br /> I Und heater I Urinal <br /> � f3o�icr OrinkingFountain __ <br /> � Refrigeration Flaordrain <br /> � Waodstove I Grease Irap � <br /> Ductmq I Roo(drains <br /> � Other � hlediwl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I O�her: <br /> � Num�er of Heads � Olher: <br /> I nereby cenJy�hal I�a�e iea!an7 e.ammea�h�s apC�cauon anC 4no.v i�e s!me:o Ee:me and�c�rect All p�cNsions olla�vs ana artlinance:gevermn9 i�,i�pe o:wmk�n'i be ccmp'.eJ <br /> �.nqxhethersFe��Ge nere�nnrnot ihe9�am�ngolapermlGce;nalOresumein;neaumonry�ovlmaleorcancellnep:ovisionolanyoll�erstaleorlowllasre5���:iogconstmcfon <br /> ll.a�lamavl�ouzed � I�eoH�ttttiMspreperlylopertrmmee.c•k�ervn�chapp'�::m�eni:ina�eanOlcomptyw�;hU,e51a'e[onlracla;sLaw1877RLWand795200AN'AC 1 � <br /> � 7 �J �� I in„���.,n �nni�i � <br /> n,��.,,.�. ,.,�.�n e„�..i c�,.��r,�.� n,i,. <br />