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� �Y •ERMIT APPLICATIO� <br /> BUILDING/MECHANICALlPLUMBING/SIGN/SPRINKLERlDEMOLITION <br /> CITY OF EVERETT PcRMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 �wvw.everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM17 8 Ah1 TO 4 PM <br /> SITE ADURESS: PROFERTY TAX d P[ tl tt <br /> � / l� CoCvn18�A �VC b65Sb3�4Oc3 Z -055 <br /> LF��AL�or newccnsvu:i�on Shon PUUseDcrv�s�on_SN�✓�E��-l��aE lo�No 3 c�n��n�onr oi�o„�'er,ai Aescnpi�o�l <br /> OWNER �AS� �W/�E. Fh�nci[�ma�i j�0 �7/S��S7�7 <br /> nea�ess �i9/O ['vWN1/�)A A�/� cayisia�erz�o �F�-�� W`+ . 9�7p� <br /> APPLICANT: _O��ener _O�+nCN..Agent ,�Con;r.tlor Contr�Clor3Ag2ni Terant�-�r.:rc.aea'o-:-c•::�,.c-ii�o�,�^rc.-eua:.v���„nr.w�o� <br /> CONTRACTOR ill��« F��U�-�� SF��1C�S L 8 I L�c. d S l.lN�ry�c.S��3T9 COE Bus L�c „ O3�-�S�" <br /> ,�a«s� /O:-2� M A i�✓ S'0 l�f�'�- wR - �a�� Phone Emad yzs-ygl-9G� SNN D�NC��N�L z <br /> TENANT BUSINESS NAh7E CONTACT FOR PERMIT S^� <br /> �honeiE�mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK /:,z�oo.��_ <br /> Ex��shng Use ol�wldng SE_ _ __ H[AT SOURCE. <br /> PrOpoSed U52 0!Bw'.Cm^y _ _ Gas Eicur c �pir,er <br /> B;:�iCing type� �ingle Family _Dupiez_Townhouse _MultrFamily _ Commeroal <br /> Tyoe of pro�ed� __. New �-AdC��Uon Remodel Repair _ T I Sir,n Sp��nkle.� Demo'�Ue�� ChanGe o!Use <br /> — --- --- . _. __ <br /> DESCRIPTION OF WORK �,a,vt�o��a�,�pnce prev,d"J on ine Dar,k)� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProjecY. __New_Atldn�I�era4on_kepair Typc ol Projc[h _New^Addn .__Allcralion_Repair <br /> Show Number(uJ o!O+Iwes Show Numbcr(p1 0/lirtures <br /> AIC - air hantlLng urols To�let <br /> Forcco av syslems �alhiub <br /> (�iJS plpinq �JVJIOry(v+85��b35i�) <br /> Wafer heater Shower <br /> Gas 6replace K�Ichen sink 8 disnosal <br /> Gas r,nqe Dis��washcr <br /> Clothes tlryer Clothes washer <br /> Range hoo�1 Water heatcr <br /> Exhaus�lan S�nk(servir.elbar/mnp�etr. 1 <br /> Hcal p�mp f3arkllow nreventer <br /> Unit hcaler Unn,ii <br /> [3oder Dnnkinq Founlam <br /> Re'nqer,ilWn Floor drain <br /> Wooclslove Grease Irap <br /> Ducfinq Rouf drain5 <br /> Oihcr Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM other <br /> Number al HeaUs O�her: <br /> I�erepY ce^.i�y Ih.I I p,ne r����,nA e W m�n�tl Ih�g.ippiKalnn,�e7/re.a ib��sanie b Ce Irtle,r0 mrtecl.All pfovi5�Cn5 011dw5 3nd Ortl�ndnCCS 90.Cm:i��1��.,Iypr pf N:.A x I l:p cos'C'^�f <br /> wlhKheihl'rSpCUFcAhercoOrnol TPetJ:dnPn9cfdpCm�t(:Ce;�'.v1Cre5u.�IDtogi�.tldv;h�r'.:vto��Olgtcorcancull�eCronsJnol,�nyc'.'�er£Id!eOrIOCdl:a.vrr��Ad':�gC:e.�,!.....i.. , <br /> That l nm.�o;noncotl by lne er o! ns p�o�e�ty to pcdertn lne�.oa.ror��bdi.�ppl:a:�cn„inn^,�!a^.tl l ccep'y��:h Ihc 51.iIc Cm�souoc L,n. 19:1 F��:.��J_'^I�:0?:.:'.-C <br /> �(,v �1--1��3 <br /> OwnedAulhorizc AgenlS� noturc Dalc �r;ec,scdfi�20tY1 <br />