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PERMiT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SIiE ADDRESS: VROPERTY TAX N � I H _ �� <br /> o c.2a�=i- �raY s�. p9 z 9os i�wz�aicz> <br /> LEGAL lor new wnsWclion: Short PlaVsubOrvision Lot No._ (attach copy oi lonp legal descnpUon) <br /> OWNER �� n— c�F rVrcl' .�TT' Phone/E-mail �riC���129 -7(:-7$ � A4�oQ�1�r�ecr„- E��RC .c.v+ <br /> nddress ?u. �30� 536 c�ryis�a�c�z�o _r- ��:1L=_rT �.1� 9Y�2UC� <br /> APPLICANT:_Ovmer _OvmeYSAgent _Comradar _Contnctor'sAgent 71Tenant�m�nwo.+�e,n��am�.omrmmmea.nmmao+�on,omaw+cc� <br /> CONTRACTOR Q'�� 11 State Lic. # Ci Bus. Lic.f7 <br /> AtldreSs PhonrJEmail <br /> ENANT BUSINESS NAME � CONTACT FOR PEr2M1T <br /> �LJi_ �.JAi�.�� LJISTILL. i�I� ?�'Ntil LJN�� I� J-✓.�N��i.�._�-+w�P <br /> PhonCfE-mail ZG ' -.3fiU - � D'�T.��•""�.e'e <br /> BUILDING PERMIT APPLICATION CCNTRACT PRICE OF WORK SO <br /> Ews6ng Use of Buildmg HEAT SOURCE� <br /> Proposed Uso of Building Gas [iecuic Other <br /> Building typc. _Single Family _Duptex_Townhouse _Mulli-Family _Commercial <br /> T of rc ect. New Addilion Remodel Re air 7.1. r Si n, S rinklnr Demolition Chan e of Use <br /> DESCRIPTION OF WORK(admnanaispacepmv�dedonlhe6attr) <br /> 1�151"n�.LR1 c�J o F �+2-�G S k,� 5 lfT �� �oe.� �._ �_"�e.�:-�-�' . <br /> �.�,5 S��,tinc,,� ,s r-U2 ��._ g�..,:,.,a,-�z 7�STLtr1J` ,= T�ak�o..� , <br /> (non-�ii <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projecl: _New_Addn _Alleration__Repa{r Typo ol ProJoct: _Now_Addn _Allomti0n_Repa�r <br /> Show NumDcr 0 a!(rturns Show Number ol liufures <br /> A/C-ah handlin unils Toilet <br /> Forted av s s�ems �athlab <br /> Gas � in Lavato wash basm <br /> Waler heater Shower <br /> Gas fireplacc Kilchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clothes dryar Clothes washcr <br /> Ran c hood Watei healer <br /> Exhaust(an Sink service/barlmo letc <br /> Heat um Backflow reventer <br /> Umt heater Urinal <br /> Bodcr Onnkm Fountain <br /> Reln eralion Floordram <br /> Woodslove Greasc tra <br /> �uclin Roof drains <br /> Olher Mediwl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM O�her <br /> Number of Heads Olher <br /> I Oninby�nrlRy Iha1 I havn maA anJ rr,m:nca t�a nppMatnn an�I�,now Ihc r.�me In�rt W c an�wrttv] M pmn:vns ol4iws nnd ortlmnn�ns qavemmp Ih�s lype ol work wn�Oc wmpi <br /> wnti wTal�rr cpc�M1eE�crcin or nal.TTo pnnbng uf a ycnn�tlocs nnt pmsumn�n phc:wtha�cy In vuN���r ronccl llre 0�'�von olnny oNc�Sblo o�lo��law rty�ulaUnp fnn,buqmn <br /> l�nl l nm dW�or¢¢Q p Ine awnar J.Yr.pio / o Denoi oi Ni wnrn apDLratan¢mado antl I campy wiN Ne Sia�e f,ontnyors law 1P T7 RCW nnd 1P0 700A W�C <br /> �.� ' � / �0���7 �� <br /> Qwnor/AuU�Cnzod Agent Slpna W re Unlo (Fevisetl 9�101•Q <br /> / <br />