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PERMIT APPLICATIOPI <br /> BUILDING/MECHAMICALIPLUMBIN�/SIGNiSPRiNKL�RJDEMOLITION <br /> CITY OF EVERETT PERMIT S�ERVICES 3 .-� —�(,� <br /> 3200 Cedar St., Ev�rett, �NA 98201 425-257-8810 FAX 42�257-8857 wv,w.everettwa.org <br /> APPI��ATI0N5 ARE ACCEPTED FROM 8 AM TO 4 PFA <br /> SREADDRESS: P E TYT ~� PERMR <br /> ?�OZGCe 2n- �e � D �� �,��;?�,,.�..���,, I�0 - <br /> , <br /> LEGAL lor new construdion: Short PlaVsubdivision lol No._ (ntlacn.t,�"o�(ong L+gal desai0�on� <br /> OWNER G, ��j' a- �16'O S�— PhonelE-mall � Z �p� �j �(v <br /> naaress ZC�"1- L-cc h GL /l� ile CilylState2ip L �I L�C C �� g��j <br /> APPLICANT: Owner OwnersAgenl Contrector _ContreclorsAgenl Tmenlp,uuwoNasanr��aim„emr�,Neo.,kionorwmmewaa� <br /> CONTRACTOR C• Q/� L 81 Lic.# � � �0/ COE Bus. Lic.ft <br /> � w yZS 77� l�� <br /> AUdress �,�� rbj� Phone/Email <br /> TENANTBUSINESSNAME Gu���G' I�O �� CONTACTFORP�T.„�� �v� y� <br /> �'Qr���G K <br /> FhonelEtnail � 1, �S� � v{r / �. �.Q J► 1 <br /> BUILDING PERMIT APPLICATION cONTancT aRicE OF woR �70� <br /> Ebstlng Use of Building {���� G� HEAT SOURCE: <br /> Proposed Use ol Buildinp 1`�ai Kd�u-P ' Gas Elc�tnc Omcr <br /> Building type: _j�gle Family _Duplox_Townhouse _MuIG•Family _Commercial I� <br /> T e of pro'ect: New Addilion ___Remodel Re air T.I. Si n 3pnnkle� Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional sp�cc pravided on rne back�: <br /> ���l oor � �fJK2� �e� �� s$ �'`�� `���' <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa of ProJeet: _New_Addn _Altentlon_Repalr Type of ProJM: _New_Addn _Alterallon_Repalr <br /> Show Num6er(p ol Rrtures SAow Number(71 oI�rfures <br /> A/C-air handlin units Toilcl <br /> Forced air s tems Dathlub <br /> Gas pipin Lavato wash 6asin <br /> water heater Shower <br /> Gas fve IacA Kitchen sink 8 dis sal <br /> Gas�an c Dishwasher <br /> Clothes d er CloUies washer <br /> Ran o hood Waler heater <br /> Exhausllan Sink service/6arlmoplelc. <br /> Heat pump B�rkflow wvontcr <br /> Uni�healer Urinal <br /> Boiler Drinkin Founlain <br /> Re(ri eration Flour Arvn <br /> Woodstove Grease Ua <br /> DucUn Roof Arains <br /> Othe� Medival Gas <br /> SPRINKLER I S6JPPRESSION SYSTEM Other. � <br /> Number of Heads O�her: <br /> 1 hereby miLty tl�at 1 havc rcad and c�amme�Us appliraum and Iu�ow Uir xame b Ee We and mrtect A➢prove.ms o/Lw.s anE ordinanu,s�oveming Oik lype ot woh vnil ho mmp6c� <br /> vnU�w1¢Ner spenfd hcrtm er noL Tlm gmning ol n pertn�dnes nM pmsumn In prvc xiRum�y In veinlc or anvl0ic proviUnn�nny mher xdV!m Inrnl Wwrepuptlng rnnbtrutlinn <br /> lhat l am uuthorvad bY�o wnaral lhc ryvperty In podorm I�e wmk fOrrh�npppcpton a meAe nna I mmplyvd,A Ihe SWte CantruUor.1 ew I].A R6'W ana T96]OOA WAC. <br /> n � � , �D ��z, <br /> Ownc.lA�nhorl:e6 Apent Slgnat p�le (Reviscd 620f7) <br />