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_C �� . <br /> -.. ' r. 2 ',, , '',A';°� �rA�1_�i� '�, -;,::C,;_ ,.. � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANfCALlPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett,WA 9a201 425-257-8810 FAX 425-257-8857 �waw.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FF20M 8 AM TO 4 PM <br /> PROPEIINTAKJ� a 11T�� � �,� <br /> SITEADMRESS: � � �� �11 4 V V 4y�7�� �� � ���'�`n'% � <br /> LEGAL(or new cansliuclion. Sliort PleVsuhdlvlslon Lol No._ (allech:opy o(Imiy Iagai desctlplioi�) <br /> oWN�� n� ��' � PhonelE-mall <br /> ndorese o N '� c�y�siam�ziP Cl.�afl NG �-$2s`S <br /> APPLICANT:_Ownet awner'sA9enl �Gonlmclor _CoNr.clor'sAOenl _Tennntbn,sic�r:�e�air.:�orco��emr.omv.ocnaeimu�v.vrRnmeso+�m <br /> CONTRACTOR J� n n ,L�A n i [`o, I L 5 I Lic # O�I� � K COE Bus. Lic. #OZk 27 b <br /> Address �.�1@`sl I`14f�`t'`V'� h`�(r.�l..�,Uilr �J�J�11� W1�� �ie�emou � 2t��{$1 �ZZ�o1.+ <br /> TENANT BUSINE55 NAMt �--^ � CONTACT FOR PERMIT S ` Ju�q^5��� � <br /> 1�� �Ua�. Tp i�� � <br /> ��.� � j CG� PhoneiE-meli �S 7 � 1 <br /> BUILDING PERIVIIT APPLICATION CONTRACT PRICEOF WORK6��(Q + q'?.G'. <br /> pi_�� HEAT SOURGE: <br /> EKislin� Use of Building <br /> Proposed U50 of BuiIJ!ng S�'�'"`e Gas Eiectric � Olher_ <br /> BuildiOD�YPe� —Single Famity �Duplex_To�vnh0use _MuVli-Family ,�Commercinl <br /> Type o1 projecl New Addilion Remotlel Repair`tiCT.I. _Sign_Sorinkler_Deinolillon Ghan e of Use <br /> DE3CIQIPTIONOFWORK(add:tionelspaceprovmedonmobsck)' S 5���-1' S <br /> l n�-l-a�� 3 sp l�k s'�t s-�-,r, A c:f rf� U,.; k� ��-- �,�� l, s i � <br /> S e.��•.�.bk �..,.s a� c� a,Ss oc;o-�z �l ��c� Mod: F ; c o.-Q�'�--5. �`�!�' r <br /> lnni �C.o� G.c�-C. r9C G '1ns' �n; \ a ; i r� � �-�l c�.. �Zu�M <br /> IVIECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofProJttt: _Nevi�Addn _Allerallon�RePnlr TypoalProJocL• _New�;ddn ^,A4arBlicn_Repalr <br /> ShowNumber(N)oflixfuros ShowNumber 8 ollixtures <br /> AIC—air handlina unils Toilef <br /> '-� Bnlhtub <br /> Forced air s sloms <br /> Gas piping Lavator (wash basin� <br /> Water healer �Il��y�r <br /> Gas firo lace Kilchen sink S dis osal <br /> 9as r.nga �ishwasher <br /> Clothrs dr or Clolhes v;2shar <br /> �1 Ranpe hoon Water henler <br /> Exhausl tun Sink(servicelbadmop/elc. <br /> �,cy Hcat urn B2ckllow revznler <br /> Unit heater U�inal <br /> �otler Drinl<in Fountain <br /> Relriqeralion Floor drain <br /> Wocdstove Grease Ira� <br /> Ductin6 Roof draine <br /> Olhe.f <br /> � <br /> I::edical Gas <br /> � �?�ac <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heatls Olher: <br /> 1 Ill�e oy czm,'f�lhsl I h�e resd entl,axar,�ipeG 1015 aPW <br /> 'cailon and kno'n Ine same lo La Irde�n�muecl.AC provleiona ol la�as ond oitl'ntOce9 govein!ng Ihla lypo of�vak v,:ll Ue rompCeC <br /> �... � ��7hv�h^I�:f90?Gftqheielnarnol.ThegienfngolapamJQoeanuipreeumeloqivoeui�oiitylovb101eafC:nuilhep�ovlaionofenyoUierafaltollot:JWwregulatinBwnslmcli�n <br /> Tpnl I am culhmizod by Ihe onn Ih��pfopony lo p0do�m�he x'ork fonrlllCli app Icailon Is rnatle and I camply w�lh I�e S:ale Con��sclon Le'.r 1827 RCYJ an9 298.�o0h tYAC. <br /> `��, � G} /713 r. <br /> - Or�tc (Revis=d C�'i012) <br /> ��+moU ulhOrl¢o OonlSlpnatUfq . <br /> / <br /> _--_� <br />