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PERMIT APPLICATIQN <br /> BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 9£i201 425-257-li810 FAX 425-257-8857 �w�nv.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S��9`�3 <br /> PNOPERTY TAR N P�RMI7# <br /> SITEA�ORESS: �� � ' i� <br /> 22.1 olurnbt�C. �ve ' , <br /> LEGAL for new ton,wclWn: Shert�eVsubC�vlsion Lol Na_ (allath toPy of long legal descnplionj <br /> OWNER �, lZ ClS�1�� PnonalE•ma�l (D1u ��g'-3�6� <br /> �ee«�� zz Colv,Mb�ta 4�-i� • c�Y�;a;a��P L�W 9S2o3 <br /> APPLICANT:_6.mor ,U•.ner'sAqent ConVatlor _ContraetofSABan! _Tenant(�����wwia�,weuc+m�nm^crmeawer�ono.�.�-�r�a�+m� <br /> CONTRACTOR CO✓/�f.f��a'��R- IC�UT 11" L&I Lic.#����r O I�C(1� COE Bus.lia 1�8�3�° <br /> AtlCress � I�OZ'7� ��J� '�l�e.. J� � D�TI �r'-"""'�`- �6 P ne�Email��� gS—d� ' I <br /> TC-NANT BUSINESS NAME CONTACT FOR PERMIT <br /> Cfc�,l� �'1�1�aC I'� Cl'0.1 L Cu�(�Crs�'Lr.e�w�ri�.0 Y�1, <br /> PhonclE�mOil <br /> BUILDING PERMIT APPLICATI�N CONTRAGT PRICE OF WORK e# �� <br /> Existing Usc of Bullding HEAT SOURCE: <br /> Praposed Use of Building Gas Elx;ne otnar <br /> Bullding rype: ,�Single Family �Ouplex_To�mhouse _MWIi•Famlly _Commerrael <br /> T e 0� ro'ett: New Addltion Remodel Re ir T,I. Slqn S rink�er Demolilion Chan e of Use <br /> DES CRIPTION OAF.1-h�'JRK(addaional space provlded on Ine beckJ: <br /> ��°�11 <br /> V <br /> MECHAMICAL PERMIT APPLICATION PLUMBING PERMIT APPLICA710N <br /> Type o(Pre�ecC _New_Addn �A��eratlon^Ropal� Typa ot Prolect: _New,_,AdJn _Altaration_Rapair <br /> SlrowNumbai olhx(uros SliowNumbnr(tl)ollixturss <br /> NC-alr handlino units Toi�et <br /> Forocd alr s stems Balhtub <br /> �,�� � �� Lavato wash ba>in <br /> WatOr heBler Show�r <br /> Gas(ire loce Kitchen Sink R dis sal <br /> Gas ranqe f.lishw.esher <br /> Clothes dr er Clothes washer <br /> Ranae Iwoa Water henter <br /> Ezhausl fan Slnk servieeR�admo /elc. <br /> Heal pu01 BOCkflow eventer <br /> Unil heater Urinal <br /> �ollor Orinkin Fountaln <br /> RetriaMall]n FlOpr drain <br /> Woodstove Grease trap <br /> Duclln Rrol dreln; <br /> Olher �dedlcal G85 <br /> SPRINKLER/ SUPPRESSION SYSTEM othcr <br /> NumberoFHoads Other. <br /> 1 Mreb/cenlry In.it 1 R vm m�d nrM mnmMal Ink PDO�ketbn en0 k'1ow tnn.:mm�b hn rM oM CortBtt.All provllVnrt ol 11w.•.tntl arOlnPtKee PDrOmhA N�e�19b of wpk YAI�B rom�"BC <br /> vnin whqihor eceUMd hem11 w not.Th9{KPnfF+B of:1 peMll�1CM nN qealim9 W q�ve eUthM�y to vidttn a cpncel UM o�o�Gbn ot eny a1Mt SIMn a Ural 4�'mguLilYg rArr.trvU�o� <br /> Thetlan auG�onxcEbylnnermmellnbproperryto09�����kforwhkliaOWk��bnl•.m.xMpndlcamDH`M1'������IeCamnclnrsLaw1B27RCWend2A4.200AlYAC. <br /> �ia��� �1�9/�0l3 <br /> Own rlAulhodmdAAon15�9������0 p��e (Revised6201P) <br />