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, • � � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �...(� �- I� <br /> SITEADDRES : PROPERNTA%p P RMIi# <br /> 30 � E� '� f�1A �� l�!} 2 n BadS�nZzeo 2-OD� <br /> LEGAL for new consVuction. Short PlaVsubdivision loI No._ (attach wpy ol long le9al descnp�on) <br /> OWNER J l�E LLC PhanelGmail <br /> Atlaress�6'7� �fiV /�-J(� /�t�/�y � ((� arylStatc/Zip ry 6�4 �� O°j <br /> APPUCANT: Owner Owner'sAgent � Contractor ConVaqofsAgent Tenant�m�:io�oracaicncroimnsem�mmom.,�c�ioao..va�nm�:aam� <br /> CONTRACTOR CN- f S � � �f�( L&I Lic.# C D`i I��S�U7 E Bus. Lic.# <br /> Adtlress r� j�fC G� �'(� � C � B �9 PhaneJEmaiV60 7 /3e0)O CAPSI �( � � /�� <br /> TENANT BUSINESS nAME CONTAC�(FOR PERMI'! C�. 36 �3q ' `��9�( <br /> �A-rl � �(� ��`t- l-�osp�� ��r( Ba�t� jbo �93 l�o� o <br /> PhonrJE-mail <br /> BUILDING PERMIT APPLICATION CONTRAC7 PRiCE OF WORK O <br /> Existing Use of Building _ HEAT SOURCE�. <br /> Proposed Use of Building _ Gas_ Electric Other <br /> Buildingtype: _SingleFamily _Duplex_Towi�nouse _Multi-Famlly �Commercial <br /> T e of ro ecP. New Addihon �Remodel Re air Tl. Si n S rinkler Demolilion Chan e of Use <br /> DESCRIPTION OF WORK(adartmna�spaceo��ided on�he oack): <br /> R�p�,� �x;s�;��.,9 s ;9,� pr.�- �-fl-�+�(, � -��� � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProject: _New_Addn _Alleration_Repair TypeofPrajech _New_Atltln _Altenlion_Repair <br /> Show Numbcr(#1 o!lxtures Show Number(q/ol fiiriures <br /> A/C-air handling units Toilel <br /> Forced air syslems Balhtub <br /> Gas piping Lavato wash basn) <br /> Waler heater Shower <br /> Gas lireplace Kdchen smk 8 disposal <br /> Gas rangr. Dishwasher <br /> Clalhes dryer Clothes washer <br /> Ran9e hood Watcr heater <br /> Exhaus�fan Sink(service/barlmo lelc <br /> Heat pump Backllow reveNer <br /> Und hcatcr Unnal <br /> Botler Dnnkinq Founlain <br /> Reln eraUon Roordrain <br /> Woodstove Grcasc�rap <br /> Ducting Roof drains <br /> Olher Mediwl Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Otner. <br /> Num6er cf Heads Othcr. <br /> I IicrchY cetlAY Oldl I h:1V1`ICdtl dfltl C1:11Pi0Cfl Iln'.lppliG1U0f1.11l�kpOw IAf:dllli)IU IIL'INI•dflfl f9rtCd /�ll p�OViS�O05 OI Lt W:.IIIU ON�IIJII(3'S I�OVCft�illl�I�C IypB OI WOIh Wi I bC Alllplio�l <br /> vnt�w�rlper r.penLrd lirmin or nnl.T¢granLng ol:i pennJ ifm^:nnl pn`sUmc lo qive:mRionly tn noNtr ar�incel Ilre piovrt.inn nl any niticr•d.�lc m lor�l Clri m9u'iLn�rnn•'.Imtlion <br /> 1Ta1 I dm aullinrvep py Itw owncr ol llic,piopr!nY���P'•�1unn Ilir wnA tnr whRA appLrLiou iS rna�e an0l wmpiy vnln Itic Slalr Cnnlndu5l.riw 10 2)HCW un�1]9fi 9(lpn VlAC <br /> OwnerlAulhorveA Agmri Siynalure Dair (Revmed fin,pil) <br />