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� � <br /> PERMIT APPLICATIO�I <br /> BUILDINGlMECHANICALIPLUMBtNGISIGNISPRtNKLER/DEMOLITYON <br /> CITY OF EVERE'fT PERMIT SERVICES <br /> 3200 Cedar St., [verett, WA 58201 425-257-8870 FAX 425-257-8857 www.everettw�a.prg I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 6 <br /> SRE ADDRE� . 1 �1� � `�y, I PAOPERTV TNf d P��P�i'I _ <br /> L-1J T J\/ I J <br /> LEGAL for new consWaion. Shon PiaUsuDdlvision Lot No._ (attadi wpy ol lorg legal desrnption) <br /> OWNER ��(1 U{� � i� � Pnone/E-mail — � a�— I <br /> daiess , Lo�����e� S � � Ciry/5tateZP �r `i`-"'" 1��v� <br /> APPLICANT�_Owner O+mcr'sAgenl Contraror ComradofsFgeN Tenanl��:m:o�•aoaien«m�nM�e�,ev��mn.n.+�n.m�,eswbil <br /> CONTRACTOR ��S W1J��LT �G.� Y L I iC. # ,�t SCf�VJ� C� � GOG Bw. Li4�`O <br /> Adtlress l j'� d�J�-i� 1.��—'��-x'��� W�. PhonelEma�l `-p � / L/ <br /> TENANT BUSINESS NAt�1E CONTACT FOR PERMIT <br /> PCon`e E ma�i S� a�S asa .3� <br /> BUI�pINGPERMITAPPLICATtON CONTRACTPRICEOFWORK �-"�-<�O__—_ _ <br /> Existing Use o`Buitdinq HEAT SOURCE: <br /> Proposed Use of Buildm9 Gas Eicnr•.: om�� <br /> Bwlding type: ,Sincle Famiiy _Duplex_Townhouse _Multi-Family _Cammerdal <br /> T e ot projed: New Addition Remodel Repair T.I. S n S rinkler_ oemolition Chan e of Use <br /> DESCRIPTION OF WORK(add;nrnai syace p�ovtaea m me nar/q: i <br /> � .r' (,UC�,..�-Y �l�G��� �'`e,(� `CS�-��'`S-��''i' <br /> a-- <br /> lVIE�HADElCAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typu ol ProJeet: _New_Aodn _Altcratlon_Rapair �}' Typo of Pro�cU: _New_.Ada ,_.�IICfJtlan_RoD��f <br /> ShowNum6er(pJolfi.rtures _j��-1�-Q�"' ShowNumbo�(Al �I�:�xiuras <br /> A/C-air handlin units Toilet <br /> Forced air s stems BatMub <br /> Gas i inq � lavato wash basin , <br /> Walcr heater Shower <br /> i Kitchen sink 8 dis osal <br /> Gas frc lace Dishv asher <br /> 6as ranqe <br /> Clothr- dryer Clo' .s washer <br /> � Ranqehoctl Wz.�rheater <br /> E;chaustlan Sfnklservice�ba.rmolete.) _ <br /> � Heatpum �ar.icfiov+preventer <br /> Unnal <br /> Unit heater Drinkin �=ounlam <br /> Baier <br /> Floor draio <br /> Rclri eration Grease tra <br /> Woodstove Root drains <br /> Dudin Medical G�s <br /> Othef <br /> SPRINKLER 1 SUPPRESSIOM SYSTESVI Other <br /> Number of Heads Other <br /> i nemby ce�dr����I havo mlC ao�exa�r.ined iNs a�p�m4on nnC kncv/111e same lo OO lNe and cortCCt NI pfOviSions cf IaNs antl otCincrCe'+go�emlC�Ih�b�ype o1'riak HUI 7e CCmFilca <br /> ,�•,�h v,h••fner speciteC her�sn or rtol.Tho grznG�9 e1 a P�^^�does rol prasuma to B��e�N�ori;y to Jielelo or wncW Il.e pmv�sion ol any olher s�ole or lotal law iegu'ollrq een:;mC.4.n <br /> ip.v'. m�oWio eEoyNeowncrallNsp�crtytopedortnU�ewoilclarwTcboppYe+uonu-meaeanei�nmpfYxt�i�e5fa:eCarM1r.�MnLs�1B.2PRC'P1and296200AWAC. <br /> f� �� 8����13 <br /> C�fAulhoriznd Agent Slpnafum <br /> Date (Fe�ised fi2072) <br /> � d <br />