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PERMIT APPLICATION <br />BUILDING/MECHAN!CALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.ev wa.org <br />APPLICATIONS ARE ACCEPTED FROM a AM TO 4 PM <br />SITE ADDRESS: <br />I�� <br />PROPERTY TAp N <br />I sC c) 11 _ <br />PERMIT p <br />—� nol <br />L — r` r L <br />LEGAL for new construction: Short/Platlsubdivision <br />Lot No._ (attach copy of long legal description) <br />OWNER � ` �-- iL <br />Phon—I .nail <br />(JG��(i <br />C _ t SD- <br />Citylstate2ip = IL (�. Z 4141 <br />Address J <br />APPLICANT:_Oweter _owr1iar's Agent --/onlmclor _Cornscae, Agent _Tenant lm�crlwNEa eknxdconxcr Iron, eieo+nn to eo xw\In aierprm) <br />{'�'C �l <br />L 8I Lic. k IVAC, .j L 3 Bus. Lic. p <br />CONTRACTOR U <br />QC9OE <br />3 ^ I <br />I� <br />�; Ll' <br />Phone/Email J ` <br />Address ,C <br />BUSIN SS NAME NANT <br />CONTACT FOR P RMIT <br />� At�(.fJrUI-1 <br />r-� <br />jIL'VE <br />PhwelE-mail L1.. /��-1 I ,1'�'PNa�n-�Xsl b1l5� , <br />CONTRACT PRICE of WORK '42C c <br />BUILDING PERMIT APPLICATION <br />_<{, <br />HEAT SGURCE: <br />Existing Use of Building t <br />.� <br />L7�G'rM C�n Gas Electric Other <br />Proposed Use of Building _ <br />Building type: _ Single Family _ Duplex Townhouse _ Multi -Family' Commercial <br />"Si rinkler Demolition Chan a of Use <br />Type Of pro'ect: New Addition Remodel Repair <br />T.I. 22 <br />DESCRIPTION OF WORK (additional spice provided on the back): <br />UKt-/A !L. l Lit (Ir/LIS <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _Alteration,_Repair <br />Type of Project: —New -. ddn <br />_Now_Addn <br />Show Number (p) of fixtures <br />show o/�xtlrresNon_Repair <br />Toilet <br />i A/C - airhandlin units <br />Bathtub <br />Forced air systems <br />Lavator (wash basin <br />Shower ---__, <br />Gas ninina <br />Water heater <br />en sink a dis osal _Gas <br />Gas irre loco <br />ran awasherClothes <br />es washerRene <br />d et <br />r healer _Exhaust <br />hood <br />service/barlmo /etc.Heat <br />fan <br />flow reventerlUnilhealerkin <br />ump <br />FountainBoilerRefri <br />41kd <br />r drainWoodstove <br />oration <br />ase IraDuclin <br />f drainsOther <br />ical GasSPRINKLER <br />I SUPPRESSION SYSTEMer:Number <br />of Heads <br />er: <br />1 hereby mr0ty than have read and examireo Iha application and knowdm same to be two and correct. AN pmvklons of laws and ordinances governing this type of work "I be compled <br />ction <br />winwhetherspeurcdhorem car not. The granting of a permit doesnotPMUM0mgive eudmny to violate or cancel the provision of any rdhcr state or local lawmlit, ling Coaster <br />That I am authodmd by the owier al this property to perform the work for which eppkcaten,e made and 1 complywnh the State Conuuclors Law 10.17 RCW and 2N.200A WAC. <br />OwnerlAulhorized (Revised Yt012) <br />Agent Signature <br />Date <br />�J <br />