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� � <br /> � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Eve�eu, WA 98201 -425-257•8810- FAX 425-257-8857 -�w�nv everettv,a org <br /> APPLICATIONS ARE ACCEP?ED FROM B AM TO 4 PM <br /> SITE ADDRESS' PROPERTV 7A%k P�R t�T b <br /> �f, -r c�,,.� o c�o s t ooti o a Z. -03 <br /> LEGAL�0�[CN G:^.SIIUC'�� $`.O�' ��d'✓SI:�C AS.C� L01 N^ Id1:dCh C^GY'C���On31C�Jdl,^,CSC�.pSCI�; <br /> OWNER •y.�CM�O�I'V� Pr.cr.e;c.m���i �Ia�S Q �1 �� <br /> n.c«ss �-!3'�-I �..t-e-sc.++-.� l�/•�- c�cvisia;�.z�o �2r��� W� g <br /> CONTRACTOR ��S C1�e� le.�^� L 31 L c : -/6 • 3 •- 00 <br /> �^.Cre�S (� r^_G,,,g �+ � Ff.C^.2�Ern�i1 e3Cao `79�1 �3oto <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> p„�,�,�. -t�� �9..� �3� <br /> Pncne:E�ma��� y�b`J c i CpN1 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE Of WORK '7�'�'�'7°� _ <br /> E.�s:�rg Usz cf 8.:��'dir,^y _ MEAT SOURCE <br /> Propose0 Use c`9u�ld�ng Gas_ Eiectnc_ omer___ <br /> 6oiltl�ng type �YSin''g!e Family _Dup'�e+c_Tavnha�se _tdWG�Fam�ly _CcmmerGal <br /> TyFe ol prc�ecl L�vex _ACdd�on _Remodel _Repav_T.I _S�•gn_SF��nkle�_Demc'��tron_Change of Use <br /> Destc�r�phoo o'Nlork luc:!::c..ai sa.cr p�o+�tled c�rne oa ' �� r_��t�_ � e�n �4//V�, y�0.-�.�0� f <br /> 1�S ln.�� �Ci..1 Y g �0 tw' > �� <br /> �aS lti.�-�' w�-4u ltiR-n-1..r <br /> Nave you staned working wdhoul a permlt9 _VES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc of Pro�ect __ ew_Addn _Alleralion_Repair Type ol P�o�eU. _New_Atltln _Alteration_Repa�r <br /> S�mv Numbcr�n)ol/ufure5 $how Numbcr(AJ ol lirfure5 <br /> NC-av hantlhn. unns To�ie; <br /> Fcrcetl a�r s stems Batntun <br /> GasG ��� lavato 6vashbasn) <br /> Water reater Shower <br /> Gas I�re �aCe Kitchen sink 8 tlispos3l <br /> Gas ran C Di5hwl5her <br /> C�othes tl er Clotnes washer <br /> Nanpe hootl Walen c�aler <br /> Evnaus!fan S�n4 �servicclbarlmep�elr. 1 <br /> Heat um �acAllow p�cvente� <br /> Urot healer Unnal <br /> BoOer Dnnkin Founlain <br /> Rc!r� eraUon Floor tlri�n <br /> 1Noodstove Grease Ira <br /> p,,;��,❑ Roof tlrams <br /> Olher - Metl¢al Gas <br /> SPRINKLER / SUPPRESSIO!'� SYSTEM otner <br /> � Number of NeaAs Olher <br /> 1 nere�V�ert�ty Iha;I O;tvc rea9 a^tl e��mined inis ipphwl�on ar,y kncw the s��me lo he tme and CArreCt All pronsio�s o��a:•5 i^�d o'tl�ance5 r,�vCrcrr� <br /> ��a type ol work wil�e comF'�e�w�tn w0et�e�spenfied herein or not Tne graNing ol a permil tloes not presume ro grve a�.�tF.o�.ty�o.r.Lrto cr c,�rcr� <br /> ;he pry�ison ol�ny ot�e�stite or Iocal I�w regulaM1ng to�5i�u[t�cn or Ihe pe�formBnce o�to�51�uCPo� TCat I�m aul�or¢��by Ihr c.:.�•,r';'Ir,���;eny <br /> to per!c,m Irc wcrV ter Hr�ch,aoG!����on i5 made anC I Campiy r,:ln tne State Cen:wuors La:i 7B 27 RGVJ aad:95 7JO VL1C <br /> �a L�,u c.�� b��. (0- I D^ ��a- <br /> ownerlAulhoneetl Agent Signalure ❑ale I�d':�srn i?D'f1 <br />