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� � <br /> PERMIT APPLICATION <br /> BUlLDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Gedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �vww.everetriva.org <br /> s- a�-I �l <br /> SITE ADDRESS: 5608 ���r��' e _ PROPERTV TA # PE IT e <br /> oo�a5�oi 3azbo� -010 <br /> Cr � }��lh Bl�ckZ �"�c�e� 0.3 <br /> LEGAL tor new consuucuon Snon PlaUsu�mvlson� � Lot No.� (at ach copy ol lonq legai�esuiplion) <br /> OWNER �e.� T'tl,i.;�G� Phone�E�mad je�hvbzr76@ ���• CO� <br /> ��d«.5 56rg Cor�n1ecr,ui,Q. �t-ve ��tYiState2�P Eve.«H-, w� 5�w3 <br /> APPLICANT: XIOvmet _._O�vnef'SA9en1 CO�I�dCior _ContfdCloiSAgen1 __Ten�ni(mm;.�utea'orercrmvenn�c�roc..ro�isco�c+�mrosn:c� <br /> CONTRACTOR Stale Lic. # C�ty�us. L�c. tt <br /> ACdress Phone/EmaA <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT ��� 11 <br /> ll <br /> Phone�r.ma�� �� Z S 2— G Sbq <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 5Z�O .O <br /> Ex�sting Use o1�u�ltling � �� HEAT SOURCE <br /> Proposed Use ef B�dding N' (.], __ Gas__ Eiectnc,_ Oiner____ <br /> Bwld�ng lype: �S/mgle Famdy _Duplex_Townhouse _MultrFam�ly _Commeraal <br /> Type of pro�ed y_ New Addi6on Remodel kepair___T I. _Sign_SF��nkler_Demolit�on_Change of Us�� <br /> DESCRIPTION OF WORK (aadr;ionai sn��e provraedon rr.eCac+�l�. <br /> �e�k — N EW <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Project: _New_Addn _Alleralion_Repair TyFe ol Praject: _New_Addn _Alle�ation_Repair <br /> Show Nunrbcr(W)ol lixtures Show Number(q)ol liY fures <br /> � NC—a�r handling unils I To�lel <br /> Forced air systems I �athWb <br /> i Gas piping � Lavatory I�vash basinl <br /> Water heater I Shox�er <br /> Gas Greplace I Kdchen s�nk &disposal <br /> Gas- range I Dish�vashe� <br /> I Clothes dryer I Clotnes washer <br /> Range hood I Water heatcr <br /> Enhausl(an � Sink (serviceNarlmop/Mc 1 <br /> � Hcat pump � f�ackflow preventer <br /> � Und heatcr � Urinal <br /> I Ooiler I Drink�ng Faunlain <br /> Reingeratwn � Floor dra�n <br /> � Woodsto�e I Greasetrap <br /> Ducting Roof drains <br /> � Otncr Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I Other <br /> Number of Heads I O'�her. <br /> 1�.ereby<emly Ih,a 1 nove reatl antl c�am�neC tna app6calren anC know I�e same lo Oe Irue unG correcl All pwv�s:ons of laws ar.0 ordnancez govermng lh�s IyDe ol wmV nei Fe cemp'rce <br /> r.�in vmm�er speohN�ercin cr nm Tnc granling ol a pc:mn Coes nol D�esume Ia grve aulnont/lo violate or wncel l�e provision ol any cl�cr s�a'c or lowl faw reguleiing mnstru:iion <br /> Tnal l am aulnoiued Cp Ine o�ner el IniS F�CpMy lo pehom�Ine e�ork Ier w�ic�aGFbcaLon rs maCe an�I cemply�rr i I�e Stnle Comracton LaH 19 27 RCW anC 296 200A V:AC 1� <br /> u-2Y��u � <br /> nedAu(hon etl Agenl Signaturc Date (Rer,sed 3/:OIJ) <br />