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PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425•257-8810 FAX 425-257•8857 www.evereltwa.org <br /> 6 -�� -IS <br /> SR�ADDfiES : I^/� (/n r PROPERTYTAXH PE ffll <br /> Y"QY4 b � • ' <br /> LEGAL lor new constmction: Short PlaVsubtl��vis�on___ Lot No. (atlach copy ol lang legai tlesv�ptlon� <br /> OWNER � Q'Q�/ l Phono/E-mail Z - 3 y� - 7Sd <br /> AAOiess Q G�Cj CiIY/SWtU�Zip % 'e(�e � / ��Q <br /> APP�ICAM' QwTef _ OMIIB�SA(]epl _ . COr1ILltl01 _ Can��dC10fSAAC01 __iCn�nlln�enpm+ee�'aiaralce+mMtorn�mnrmmwonnnn�ryrn) <br /> CONTRACTOR VJ �-P✓— State Lic.p City Bus. Lic.# <br /> AAArp55 � �/0. V`' N�ono/Emafl <br /> TENANT B SINESS N E CONTACT FOR PERMR <br /> Phonul[�mail l� _ � /O—�� " � <br /> BUILDING PERMIT APPIICATION corrrRnCTPAiCeoFWOAK I •U <br /> Ezisling Usc ol Builtling �� S � HEAT SOURCE. <br /> ProposedUscol wlding _ _ Gas.__. [iucfnc Otnor <br /> Builtlmg type: �Single Family _Duplex�Townhouse _Mu1ti�Family _Commercial <br /> T c ol ro'etl: New Atlditian �Remodel Re air T.I. Si n S nnklcr OcmolBion Chan e ol Use <br /> DE RIPTION OF W K��oa�iro�msparo ��dedont o.xtr): �V- � I �/�PP az P <br /> � i �� S�s�Peo� a5 �he -�vo� v� Pw v�e <br /> a,r� ���- l�e��, <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typu of Prdett: _Ncrr_AdEn _Alleratlon_Repalr Typc ol ProlMi: _11ew_Addn __Aticratlon__Hepolr <br /> ShowNumbcr I all7rtures ShowNumDcr p alllslurce <br /> A/G-air handhn unlls Tollet <br /> Forcedairs slems Balhlub <br /> G[u i in L�vato wash ba5m <br /> W atcr heatcr Showcr <br /> G:�s firc lace Kitchen sink N tlis as�l <br /> Gas ranqc Dishwashcr <br /> Clothes drycr Clolhes wvher <br /> R:m c hoal Walr.n c�ater <br /> Exhaust lan Sinh scrvicrJbv/mo etc <br /> � Hcal um 6achllow revenler msidr. bld <br /> I Und hcalcr Unnal <br /> F3oiICr Onnkm Foum-'n <br /> Rcln cration Flaor drain <br /> Woodstove Grcasc Ir <br /> Oudm Rool dryns <br /> Other Medical G:�s <br /> SPRINKLER / SUPPRESSION SYSTEM O�ncr. <br /> Numb I Hcads Olhcr: <br /> Ih;mUycenMtl� m'om.Aa e M1�eORnsaypucatonaMhrowMesamoto0ehuoanC�pn�ctNlpwtonsol4wsartlorQ�nirccqavemingltikly�po�+�aitw�0awmp <br /> w7hvnetl�cir . .�iM enor' f {wry•anin�ala{ermAWesmlprosumamgMfa�fJ�oi4ylovbNlcoicarc.cll�epmvbbnoianyalMi'aateo�bralNw�epula0npmnsII�rtan <br /> iha�lamain vtl Mo�•re� Ihkp� mro�amm,mo �kto�whtn^a{p!catbnnmaneaMlmmpyrM�th9atefnn;acror..law1f127HCWan029620bAwnC <br /> � / G <br /> �- �' ' <br /> Ownc Au �Agc gnatum O.r (Hnvisaf 42015) <br />