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' 'o�(�CG!�'C ,�%i�,;. <br /> �; ,, <br /> PERMIT APP ON "�' ' -, . .� <br /> BUILDING/MECHANICAL/PLUMBIW /SIGN/S RiNKLER/DEMOLlTION <br /> CITY OF EVERETT PE VICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810—FAX 425-257-8657—www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED 'QOM 8 AM TO 4 PM ��-�I S - I I <br /> SITEA�DRESS: I K �WA D pqOpER";TAXp �l �T _ )� <br /> 7 <br /> LEGAL lor new wnsWciion: ShoN PlaVsuDdivision Lot No._ (allech mpy oi lonp legal desulptlon) ✓ <br /> OWNERl1C�CI L�t4 G�S oP �M�¢r+ca L�G. PMneJEmail � t� µ;.A •404�, e�owo�d�crr� dd7k'k�� vaca <br /> d�ess g� L Q, GIy/SIa�dZtP a ►'l.. '�34�} <br /> CONTRACTOR -1kSG0 �cl7rC.S V�CO� L31L1c.M OF , I <br /> 6c5�•Ssl•1 w s <br /> ddresaZ,�Z � �� , { 'U'� � PhonNEmail � co. CO Vti <br /> TENANT BUSINE55 NAME CONTACT FOg PER� <br /> C o�.� 3u r 1¢5 D-� virnC��c h' `"�i�ve' `•. <br /> �{ � PhonelE-mail Yr CfCD Ltl <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK�eoCh.�(] <br /> Fxisting Use of 9uilding HEAT SOURCE: <br /> Proposed Use of Buikling ' Gea Elachic 011ier <br /> Buildingtype: _SingleFamily _Duplex_Townhouse _MuRi-Family _Commercial <br /> Type of project: _New _Addi�ion _Remodel _Repair_T.1._S(gn_Sprinkler_Demoli�ion_Change of Use <br /> Descriplion of Work(additionalspace�providedon Me Dack): <br /> F�brtc�� � lur��ll U��. R��e.�tiy vh+d• Ltw.r��N�ic-�j ��,cttri:.u�cZ.6t�`� U�6SPl-�� • <br /> Have yuu started worktng without a pertnit7 _YES NO <br /> MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofProJeeL• _Naw_Addn _Altaratlon_Repelr TypeofProJect: _N�w_Addn _Alhntion_Mpalr <br /> ShowNumbe�(N)o/flxtwee ShowNum6ar(Y o/Rstuns <br /> A/C-alrhandlin units Talet <br /> Foreedalrs stems Bathtub <br /> Gas I in lavato (wash basin <br /> Wa�er healer Shower <br /> Gas fireplace Kilchen sink 8 dis al <br /> Gas ran e Dishwasher <br /> Cbthes d er Clothes washer <br /> Ra e hood Water heater <br /> Exhaust fan Sink(service/barlmo elc.) <br /> Heat um Backflow reventer <br /> Unil heater Urinal <br /> Boiler Drinkin Fouatain <br /> Re(ri eralion Floor d2in <br /> Woodstova Grease tre � <br /> Ouclin Roof dreins <br /> Olhor Medlcal Ges <br /> SPRINKLER/8�UPPRESSiON SYSTEM Other. <br /> Number ot Heads Olher, <br /> I hereby cerliy Ihat I have read and eMamined this appllwtion end know lhe seme to be lrue end coned.A4 prov6lons ot lavn and ordinarroe�povemirp <br /> ihls lypa of work will be complied wi�h whelher speafretl I�erein or not.T�a grentin8 of a pnmit tloes nol presume lo phre auNonty lo vlolale or pnoN <br /> lhe provtsion of eny��late or lowl law regulallny.consWclion or Ihe peAormenee of wn�tructlon.Thal I am authorized by the amer ollhla properly � <br /> lo peAori9.f1 .rork of r RG�appllcalbn is ma �nd I compty xilh Ne Slate Conlredon Law 19.27 RCW and 298.YOO WAC <br /> G� <br /> O nerlAulhorized Agont S� Dale (ReN�ed?/t0111 I/,-� <br /> �/.L <br />