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� � <br /> PERMIT APPL.ICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvnv.everethva <br /> �9 �/S� <br /> SITEADORESS:Z � r� 7��Eqtl�pxn O O E i� _ O <br /> LEGAL Por new construuion Snon Piavsu�d�wsion �oi No Iatta[h copy ol long lega�tlescnpuo�) <br /> OWNER � � j , PhoneiE•mail <br /> Atltlres, � f,dylSIaINLP <br /> APPUCANT:_O.vner _Owner'SAgent �Comraclor Centrattor'SAgent Tenanl�R..vc�o.aeame���mm�.�mi�omieoo.�er ,00.o�,�•..•.;,co� <br /> CONTRACTOR ( '� µ,ti��„ r o�in SlateLic � E[TN� L c�rye�s ��c u Cf(�' <br /> naaress o � 9 1 Pnone�Ema�l 'Z� Sf �l1 <br /> TENANT BUSINESS NAME FI� s A ��n�( CONTACT FOR PERMIT g�e�.,� � � <br /> C T��` ' k2s 3�5 7k2v I <br /> PnonME�mad / r r�.+ � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ��00 <br /> Existinr Use of Bwltling HEAT SOURC[ <br /> Propoeed Use of Owldmg Gas Eieunc Ome� <br /> Budding type _S�ngle Family _Duplex_Townhouse _h1Wh•Family _Commeraal <br /> T e ot pio ect New Atltlinon Remotlel Re av T.I S� n S nnkier Demolitwn Chan e of Use <br /> DESCRIPTIONOFWORK(ada�t�onarspacepro��deeo�moeace� y^„f�ll.,�;.� of � f�l�� /�.f�n �r-.� r��-�' �o <br /> rryuidlp a� e���kr r��.c�+��p room. <br /> MECHANICAI. PERMIT APPLICd1TION PLUMBING PERMIT APPLICATION <br /> Type ol ProjecP. _New_Atltln _Alteraiion_Repair Type of Prqetl: _New_Atldn _AlteraGon_Repair <br /> Show Number tl o!/ivfums $how Num�er LI of N:twes <br /> A/C—au hantlhn um15 Totlet <br /> Forcetl av s stems 6alhtub <br /> Gas i m Lavato wash basin <br /> Waler healer Shower <br /> GBS fue lace Kitchen sink &dis asal <br /> Gas ran e Dishvrasher <br /> Clolhes d 'cr Clothes washer <br /> Ran e hood Water nealer <br /> Fzhaust lan Smk 5erviCe�barlmo letc <br /> Heac um �ackflow revenler <br /> U�.�t heater Urinal <br /> Boder Drinkm Founlain <br /> Relri erahon Ftoor drain <br /> Wootlstove Grease tra <br /> Duthn Roof drams <br /> Olher �v16tliCdl GBS <br /> SPRINKLER / SUPPRESSION SYS7EM otner <br /> Number ol fieads Other <br /> i�ere�y ce���y�nal I�ave reaa nnE e.amined Inis a00bcauon nnU Anaw Ilie same�o Ee Irue an0 caucu.Ail pmvis�ons nl Wws ana ora�nances 9ovemmg m�s hee ol HOA w�u Ce wmp <br /> wM.vheNer s0e6/eE pert�n o�nal T�e pmnbnB ol o pertnil Eoes nol presume lo prve aWOonry lo violalc or wncel Ihe provivon u/any a0ie�stale o�lo�l L1w reBulaLnp mnsln¢i un <br /> iliai I am am�omm�y��e owner ot l�rs pmpeny io peAarm��e woA for wOr.O oppbcnlion Is maCe onC i wmDN"^����e Slaie Commcbn low 1B 27 fiCW and 296 700A YIPC <br /> �.�.� �-�,�,t�- °f-q- I S <br /> OwnarlAuthoriicdAgentSfgnaWrc Date (Rev�setl9�207a1 � <br /> Z <br />