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. <br /> �ERMIT APPLICATIO� <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., EvereU, WA 98201 425-257-BB10 Fr\X 425-257-8857 �waw.ev�ret I��.or� / <br /> 7 S <br /> SITE ADDR[SS: PROPEftN TA%N P�f7MlT J1 <br /> �7�2Z �5+�' S{ �zl�"C -�2"1 <br /> LEGAL lor new construaion: Shon PiaVsubJrvislon Lol No._ (a�lacn copy oi lang Iegal desrnplion) <br /> OWNER %5 � F_.�� ' -I�SCIJ Pnone/Emai1 �4') ��•�SC�Z.�IZ <br /> Adaress L, �� . � . CiIY/SIatNZip �)=uC'� `i� . �(l��ZL'�j <br /> APPLICANT: Owner _OwnersAgenl �CoMroc�or Conlrazmr'sAgeni Tenanllm�+�pro.!aoaianrioimns.ni�m�nwnn.nercaa.crt��;n,�pace� <br /> CONTRACTOR L�, � .��7�� ) SI - ' Slaie lic # �."U�icf�C�2,(�� Cily Dus. Lic N L��> 1�S <br /> NCtlress �.1 ZL� ��•� C\�lL� � i� �' �:l��.� PhonclEmail .,�j�Z '"..��/ <br /> TENANT DUSINESS NAME CONTACT FOR PERMIT <br /> Phonel[�mail <br /> BUILDING PERMIT APPLICATION CONTRACTPRICE Of'WORK 4 �� _ <br /> Exlsting Use ol Builying IiEAT SOURCE: � <br /> Proposed Use of Duilding_ Gas__ [ledrm__,. On:cr <br /> Building typc: �,Single Family _Dup�ex_Townhouse _Multi-Family _Commercial <br /> Ty e of p�o ecl New _Addition Remcdel � Repair_T I _Sign_Sprinkler_Demolition_Cnanqe ol Use <br /> DESCRIPTION OF WORK(aoq�fionr�spsco p�ov:d�g�n me odck). <br /> (�11�11.:�(_:- C�-�i L'l�:t_Zt'��L F'�.tid`aiCC:r ��:ljtl Nl—.1.�? Gt��l� <br /> MECNANICAL PERMIT APPLICATION PLUMBItdG PERMIT 61PPLICATION <br /> Typo ol P�ojucl: _Ncw_Addn _Alleratlon �.Repair Type o�ProJeel: _New_Addn �Altora�lon_Repnir <br /> Shaw Nuntbcr(HJ ol h.rlures Show Numbcr(nJ o/fiaNrrs <br /> NC–air handlmg unds t Toilet <br /> Farced air syst^_ms d�����°� <br /> Ga,Piping Lavalory(v+ash bayn) <br /> Water heater Shov;er <br /> � Gas fre lace Kitchen sink R disposal <br /> Gasron9e Dishwasher <br /> Clothr.s dryer Clo�hes wasner <br /> Ranc e hootl Water healer <br /> Exhausl fan Sink(,crvicelbadmoplelc) <br /> Heat pnrnp Backl!ovi prevenler <br /> Unn heaier Uimal <br /> ---r [30;1^f I U�ink�n9 Founlain <br /> fielnqr.ration Floor tlrmn <br /> -----C lVoodstovc --� Giease Ira� <br /> Ouc�ing Raof Arains <br /> � O�her Metlical Cas <br /> SPRINKLER / SUPPRESSION SYSTEM Other. <br /> Mumber ol He�ids Other: <br /> IOo•eGyean�IyRn'I�+verean:mCCFnmIneJl�Isappbc:�bcnn.�Jhnow�An�emvlo4enwnnJ<oueG Al:provinlanollaw5ontloitllnaccefgowrmn�Ill:typcolnwk�nntL. :o:nD'ea <br /> w�invAie�her�pecilied�tteino�nol T�a3mri;inaolaPeimdJon:nolpmsamnloylvaniMorAVloualaler,reascell�npiori:lonofanyolnpfslaln.oilocdtlawte'u!a'rpcnn�,lmcl� <br /> �yJl I dRl dNIfOfIlCII�%Illf ONpCf OI LV9 plOperlyJypetlomllhC•rvolh IOfwMCh aDP'����bn I5 tn]tle and I wmply wtlll l�^51a1e Conlrauors lo:i f 8.77 RCW anE 796 707A IYnC <br /> / / <br /> ,`�L:/� � Il /�� <br /> OwnedAull�urirc,\Agent Slgnalure Dala 1�"'+�sod "J/70111 <br />