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OB-15-I'� 10:14 From-STOEL RIV� lLP 206 3B6 7500 i_ T-832 P.002/003 F-857 <br /> � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLI710N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 96201 -42b-257-8810—FAX 425-257-8857—www-ever^ettwa-or9 <br /> APPLJCATIONS ARE ACCCPTED FROM 8 AM TO 4 PM �l`� s��� <br /> SITEIW R SS= � PROPERTYTA%I ��� IIO '� <br /> LEGALlor new constn�ctbn: Short%eUsubdivision La No._ (���PY o1 iorg kqe descnpuon] _ <br /> PhonNE-mail / � 8 I�i <br /> owNeR <br /> Addrese /� c��rrsu+.r�a <br /> CONTRACTO L 8 I Lic.# ..p � <br /> ,1. s' ne�Emai��'.Z.�• S— L O� <br /> rufdres� <br /> N SI S A CONT C OR P M � <br /> r�s5 g U �! ��=7 <br /> Pronare�ma�i <br /> BUILP�NO PERM17 APPLICATION CONTRACT PRICE OF WORK <br /> HEA7 SOURCE: <br /> E�dsGng Use of Building <br /> Praposed Use Qf�uilding Gas_ Ekwtnc Other <br /> BuiminpType:/r SingleFamily _Duplex_Townhouse _MuIU-Famiry _Commercial <br /> Typeotproject _New _Aetlitlon _Remode� _Repalr_T.I._Sign_Sprinkler_Demolition_Change ofUse <br /> Description of'Nork(additional��ovided o� he beck)' , <br /> Ha�ou staLAG��9"^thaut�Pef"��n --YES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBIN(i PERMIT APPLICATION <br /> Typ�ofPrqoce _Naw�ddn �Itoration�,Repalr TyxotPro�ca: _Naw�ddn ,�koration_.Mpair <br /> ShowNumbcr o/flxtures Sho�'N°mEor °��M� <br /> A/C—airhandlin uriits Toild <br /> orcxdairs slems BaNtub <br /> 5 i In Levalo w05h basin <br /> Water heater Shaver <br /> Gas fire laca Kitchan Sink 8 dic I <br /> Oas ran e Dishwashar <br /> Clot�es d er Clothes wasAer <br /> dn 0 h00tl at0r h00t2r <br /> naust fan Sink(cervice/ber/mo Qu. <br /> Heat um ow revinlef <br /> Unit heater Udna <br /> 6oiler Drinki ountain <br /> Retri eretion loordroin <br /> Woalstove Grease tra <br /> Ductl Roo1 drains <br /> Olher Medicai Gas <br /> SPRINKLBR/SUPPRESSION SYSTEM omer. <br /> Number of Heads ��e� <br /> 1 hHeby cettify ihet I have read end o�mined this appliUtion 6�tl kMw Va Sune 1u D6 Vue afltl o0fted.M Provicions at laws and ad�unoec ppveminp <br /> W 5 dDe of Nork Nill be comW�ed�wfiethe�Spec�fied he�efn or noC The psntirq at e pem�it does mt P�sume l0 pive autMrip�to viol�t!or mnal <br /> tne pro�isbn ot arry o�her slate or bcal law re9uiaCng cauwceien w the 1xAormance ot consuuaion.That I am authoriud Dy the oNner of this property <br /> to peAotm tne worK for Wlilcn appllcallon Is made aM 1 canPly wM lhe State Contraaas Laa 18.27 RCW end 296.200 WAC <br /> pwnedAuthoriud Agerrt Signetum Qate �"���� <br />