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0�/]1/201a PRI 8: =8 pax ��- city of everett permite �001/002 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SICN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT 8ERVICES <br /> , 3200 Ceder St., Everett, WA 98201 -425-257-8810-FAX 425-257-8857-www.everettwe.org <br /> APPLIOATIONB ARE ACCEPTED FROM H AM TO 4 PM �.-IC� — / <br /> SITEAODRES3; �.�p� Darlino r L �OPERTI'TA7(R P I) O� <br /> . <br /> LEGAL�or new conewWon: Snort PloVeubdwisbn Lol No._ (OltBch copy Of long 10A61 Geaalplbn) <br /> OWNER a v1 PhonelE�tnell � 22- � �� � <br /> AOOreae Cilyl51e1WZm g <br /> CONTRACTOR L&I Lic.�/ <br /> AAGfBYB �(� �Y LV " ' 1 �r I L I O(/'f J AhonelEmaO � � 1 " � ,3 <br /> TENANT BUSINE39 NAME CONTACT FOR PERMIT� wa i �.er <br /> PhanelEwnail 1�1 ,r[l QmL <br /> BUILDING PERMIT APPLICATION CONTRAGT PRICE OF WORK <br /> E�oetiny Use o�build�n0 HEAT SOURCE: <br /> Proposed Usc of Bullding Cea Eiectrlc� o�her <br /> �uildlnp type: ✓Sinple Family _Dupinx_Twmhouse _Multi-Femily _Commerclel ' <br /> Type of projed: _New _Addilion _Remodol _Rcpair�T.l._Slgn,_Sptinklar_Oemolilion_Changa of Uee <br /> Deernptian of W ork fedtl+fbnu ap.ecb provldnd on the nec4): <br /> ns-�-a I l 2 zo�� c�uc.tl�ss h.ea� . ��t,m� . <br /> Ha�re you�tarted working wlthout a parmlt7 _YE9 ✓NO <br /> MECHANICAL PlRMIT APPLICAI'ION PLUMBIN6 PCRMIT APpLICATION <br /> TyD�ol PrvJecL' ✓�aw_Addn _All�r�tbn_Rspelr 7yp�of ProJ�ct _Naw_Jlddn „�Itorotlon,_Rapelr <br /> 6howNumDar�Y oll/rturea 9howNumbar o/Rrtwsa <br /> A!C-slr hendli uMt9 Toilgt <br /> Forced elr e tema Belhtub <br /> Goe I I Lavoto wenh baeln <br /> Walerheater Shower <br /> Cas fire iace IUtcfian emk 8 tlis osal <br /> Oas ren e Dishwo8hAr <br /> Cblhos dr nr Clothos weshor <br /> Ron hood aler henler <br /> Exlwuet fan Slnk servioe/barlmo elc. <br /> Heat um Backflow roventer <br /> Unit fiueler Uiinal <br /> Rnllor Odnkln Founlaln <br /> RetA erellon Flaordroln <br /> �Yoodstove Greaoe lra <br /> Dudin Roof d2ins <br /> Other Mecilcnl Ga9 <br /> sPRINK�¢R I SUPPReS81oN SYSTEM ome� <br /> Number of Moodn Othor. <br /> I Irereby cnMlfy IhM 1 have�eaA nnd siamVned Ihl�epplkallon and Iviow Iha eenw lo bo Uue nnd rom�d•Pll provlslonA ol lwwn xM nMlnancxR povamlip <br /> Ihl6lype otwak wlll bn complbd w11h whethxr apxdlled hereln or mL Tire BraMinp o1 B p0rmlt doea nol presume to glve eulhoitly�lo vloln(e or cnncoi <br /> Um provlelon of any olMr etele or loul lew rxAulxp^�conalnxilon or tha pertortnarwb al oon6lnxlbn.The!1 em aulhorfaed by IM�ovmer of IN6.propo�y <br /> �lo Aorm Mn wnrk fer whlrh eppllanHnn ls mnA�aivl I comply wllh Ihx Slelu Cunirncioru Lew 1827 RCW and 2pf1200 WAC , ' ' <br /> ���.� p ,� � �I 14 <br /> own�nn�thorirod Agont B�pnoturo �ale (Rohaod 71Jo71) <br /> . � <br />