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PERMiT APPLICATION <br />BUILDING/MECHANICAL/�LUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETf PERMIT SERVICES <br />3200 Cedar St., Everett. WA 98201 425-257•8810 FAX 425-257-8857 vnw� eve�ethva org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� —/� <br />ADDRESS: FP.OPEHTY7a%p R�q In� 1 <br />n� E.�c2F�-r N.n�� Wl�t iL\ <br />(O�nCwCAnSINCtiOn ShOrt <br />ER <br />_Lot No _ (atta:h eopy o� �or.g ;egal descrphen) <br />mad <br />'PLICANT: Q+vne� O.vnefsAyenl �Contranor Conirac'of,Age�' Te�aN��..:;:��.es.,�r:�oiw�.,.mrrn�e��..•.,ao.-n�.,i.�,ah; <br />)N7RACTOR�(fC,l�lL �4v �C�o2SI 81Lic#P�LlFS�E°��,5<-K-soee�s.i.��� ��''�ti <br />Sl9 Z Ep o+�..-�.� s �rf <br />arc;s �'��-1 tl llZ �.i7Mvr•��.3 r�ro.�e;[m�i2o6-49� -'3515 r �o� <br />:NANTBUSINESSNAMF �:.OM7ACTFORPER111T �,N hf{�,,�— ''� <br />4,` ' �` . <br />�����t � ��., ;�����,F m3�� � �-u � � - 3S r P � <br />UILDING PEP2MIT APPLICATION CONTRACT PRICE OF WORK SC�00 -- <br />xi5�mg Use of Building � <br />roposed Use of Builtling <br />udtlinq rype: _ Smgle Family _ Dup!ex _Townhouse _ A7uYi-Family _ Commerr.al <br />y0e of Oro�ect New Ada�tion Remodel Repaa __ T I. Sign _Sprinklei <br />ESCRIPTIONOFWORKf�C4�henaispaceF,'�viCe7cn�heDacal� „ <br />i h+ s–cRt� 1 �.`F`T E/L� o ti S(�. e—� �c <br />S ( !.� ti.J <br />MECHANICAL PERMIT APPLICATION <br />Typc o� ProJec4 _New _Addn _Altera�ion _Repalr <br />S�owNumDcrlrtl olllriures <br />NC — ai� handimg unqs <br />Porced atr systems <br />Gas pipmq <br />Waten c�alcr <br />Gas fireplacc <br />Gas ranyc <br />Clolhes dryer <br />f:ange hood <br />Fzhaus� �. n <br />Heal pump <br />Unit heaier <br />l3oder <br />Refngerahon <br />Woodstove <br />Ducung <br />Other <br />/ SUPPRESSION SYSTEM <br />r <br />of Use <br />l IN ���Z,o2 <br />PLUMBING PERMIT APPLICATION <br />clPrajec4 __New_Addn _Alterallon_Repalr <br />Shaw NumDcr (qJ ol /irfines <br />Water heater <br />Sink (servicc� <br />�acktlow pre� <br />Unn. I <br />DfinkmgFour <br />Ploo� drain <br />Greasc Irap <br />Rool drains <br />Medical Gas <br />Olher: <br />Other <br />I MrcLY ��L4� L9a1 I have read an] cum.�cd I�u ap"r:U�hon an� �non �9p f amc ro[c Lv�i and cnncd A9 Gmvr.ioae ol L�wf xnd oMmancce povcrnNB Viu f�Dc of worM vn7 �c wm^.'o� <br />nAl� nTcOcr ipeafc0 herein or nol. i�e B��^Ln0 ci a permil don ne� pmswne lo p4c auVioary la eoN'o or cen:el No G�owon ol any oNe� elatr or loa�l bw regulaling mm:m.'.ioa <br />1�. xcE Oy L�c v.merol Nu C�CeM �o Fetlorm t�e wort foi wnc� appWmn b maGe anE I�omppwlh Ne S�ale Conr¢tvs Law t8:7 RCN' 799 200A WFC <br />�. DF1 i�fl/Z /z <br />Owner/Aulho�lzetl Aycnl Signa ure Uale (Fec'sed G�,Ot?) <br />