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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINhLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES �� Z2 "I C/ <br /> 3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257-BR57 www evereltwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SIjE ADDRESS: PROFERTV TA%C -��OS�FJ�D ZCB/ oPERMIT 1+ <br /> /2(�� •rtY S/Nl� NN ?L�OJ�A�O �'''Ug/�/ 2905 40L / 23ace <br /> LEGAIIcrnewcansvucUon ShanPlaVsuDtlrv�von /�0�4'7 �L �I'l,f$G/W;No_ (attachcopyo�longlegalAescnption) <br /> OWNER � �G F{� Phone�E�ma�yZSJ 7S� �j/L� <br /> AoOress p U� goX �j�� ' Ciry�Slate2p ��w /�1��/ i'J 2aG <br /> APPLICANT: _Owner �(OxrersAge�t Co�tractpr Con:raCfoiSNgen1 _Tenantlm��s�o�a.�aea�arucm�so-i'er�:o.ormoo+o>��mcuacei <br /> CONTRACTOR L& I Lic.# CnE Bus Lic n <br /> Atltlress Phone�emad <br /> TENANT BUSINE55 NAME Cp�TACT FOR PE IT <br /> ,v�,.o:�//e w/ei <br /> �A�l-� M�R��iR�� �9�Z ,�+�L/+. CG7�^•�G �. � . P.C�m <br /> PhoneiE�ma� �/ZS 272-=it �. ' / �/���` <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK I D0� 0 00 <br /> Existing Use of Bwltling�{/i�G�/'G7n��/7� ,• �i ,�� HEAT SOURCE�. <br /> Proposed Use of Buddmg /f�rd�/��•�1%���i++ f^'���� _ Gas� Eiecmc_ Otner_ <br /> Bwiding rype _S�ngle Fam�iy _Duplez_Townhouse Mulli-Family �Commercial <br /> T pe ol prolect New Atld�t�on _Remodel _Repair X T L _ S�gn__Spnniier_DemoLtion_Cnange ot Use <br /> DESCRIPTION OF WORK laodrtionai space pro��eed on rne oackl <br /> R�/�<,��� E<.�/� �oYf���e <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 7ypr of Project: _New_Addn _Alteration_Repair 7ype ol ProjecL _New_Addn _Alterabon_Repair <br /> Show Number(a)ol�xrorcs Show NumDe�(01 0l�Y(mes <br /> NC—air handiing umis Todet <br /> Forcetl av s slems BatMuh <br /> Gas p�pmg Lav��ory(wash basin) <br /> Water heater Sho�ver <br /> Ga5 fuep�ace Kilchen sink&disposal <br /> Gas ranqe Oishwasher <br /> Clolhes dr C� Clolhes via5her <br /> Range hnod Water heatcr <br /> Exhausl lan Sink(servicelbarlmopletc.) <br /> Heat Pump Backfow preventer <br /> Und healer Unnal <br /> BO�Ie� Drinkinq FOunld�n <br /> Re1n era;ion Floor drain _ <br /> Woodstove Grease tiap <br /> Ductm Roof drams <br /> Other MeAical Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM Other <br /> Number of Heatls Other. <br /> inere�v�e�M�^a��navereaGanOe.aminedinisapD��w�io��na�nowmesame�o�e�meanawnec� AI�pmNsmnsol�awsandorCmances9orem�nqlmslyDeo/wo�kvnn0ecompnca <br /> .nh..heiner sD�uf�ea nae�n or noi Tne g�ammg ol a permn does not Dresume io grve amnonry to vaia�e or rancei t�e O�ovmon o�a�y omer siate or bwi law requWung consvucuan <br /> lna�lamaut�onreaAyi�cawncroli�rspmpeMlopedorml�e AbrwnlNaoo�'���onrsmadeanElcampym!nmeSia;eComnnorsLaw1827RCWanE296d00AWAC <br /> �;,,,�vr/'�z, �'l/�� /7Jti/ /� ' . �� <br /> Owner�Aulhonzetl AgenlSign. rc � (Rev�sed 6?0121 <br />