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� � <br /> PERMIT APF'LICATION <br /> BUILDING/MECHANICALIPLUMBIiVGJSIGN/SPRIfVKLERlD�MOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everelt, !NA 96201 425-257-8810 FAX 425-257-b857 ��r.�nv everett�r�a or� <br /> SITE ADDRESS: �ROQEAiv rnx a PE7•�T n J <br /> D�0 D Ll�t 2 6 z � <br /> LEGAL fer ne�.v con;tmcl�on�. Shod PiaV,ubaivaion Lp'I.;o_ (atlach eopy ol icng le9al de,criDtion) <br /> OWNER {//J��� !L� �� Phone�E-mail z V .r� �i yY �9 <br /> ftldre5s Q U (� � L�., / VO � C�Iy/Stale/Zip �'vL`�6� �✓ � �"� � <br /> APPLICANT: O:.rr; G�rer;t.gen; �onlrador Condactcfs�gent ienan�l�.�:�c'��.=^a':'�::�r.�«o:�:�.ii���i^oc.r.:�mao.v���u�;:;.,:�9 <br /> CONTRACTOR N�i_�M Q�� State Lic �: ^�Can� I� b ��/�ily Bds Lic. S <br /> � eJ Er � � O� PhcneiEmad �b 9 — —{ �/ �17✓^� <br /> .:����,s va Gh cUr� d <br /> TEtJANT�USINE55 NA�JIE , CONTACT FOnR PERPfl1T ^�JN� ���� <br /> � - "���@�7.oJ-7�� <br /> Fnonc/Ema�l (7b ' � � 7 <br /> BUILDING PERMIT APPLICATION CONTRACTPRICE OF WORK_! � � _ <br /> EYi;bng Use of Building= J� �tW� ._ HEAT SOURCE� <br /> Proposed Use of�udding_ Gas_ Eiecir��c._._ Om=_r_ <br /> Liwid�ng type Smgle Family _Duple• _Tov+nhouse _ A�tulh�Famdy __Commeraal <br /> TyG�nl pio�Ecl t7ev� _ Add�Uon _ Femcdel _Repav_ T I __5'.qn_SFnrNler_ _Demo6t�cn_Chanyc ol Use - <br /> DESCRIP ION OF WORK �nodd.onaispace; �.,:�c'sao��mcoark� � �� �'�� ��{-}/� ��l'(� � <br /> 2 L11C�> y Q �hJ^ ����_.` <br /> � � )C� � <br /> �� � � ���� <br /> MECH ICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Project: _Nc:�^AdNt _Alteralion__Repa:r TYPe of Pwjccl: _New_Addn _Altcration_Repai� <br /> Show Ilumbei(J�J al lixfures Show Numher(a)o/liifures <br /> A/C - air handling units � Toilet <br /> � Forced air syslems � Ba�hlub <br /> � � Gas piping _ � Lavalory(wash basin) <br /> � 4Vater healer � Shnrver <br /> � Gas fireplace I ��ichen smk 8 disposal <br /> � Gas range _ � Dishwasher _ <br /> � Glolhes dryer ' Clothes washer _ <br /> i <br /> � Range hood � V✓a�er healer <br /> � Erhaust fan � Sink(serviceNadmoplelc ) _ <br /> Heat pump � Backllaw preveNer <br /> Und healer � Urino: <br /> � Boder j Dtinking fountain <br /> � Refugerelion __ � Floordrain � ���� <br /> ht*� <br /> — I — Greasetrap �� <br /> Woodslovc � <br /> � Duc�ing � Roof drains i,�.-�� <br /> � Olher _ � Medical Gas � <br /> SPRINKLER ! SUPPRESSION SYSY'tM � Oiher ;� <br /> Number of Heads I Olher. 1� <br /> I nereby rerlJy i�at I haee rez�antl ex�m�netl I��S appl.wl:on kno�.v Ihe samr lo bo Ime and mtteci Au piovisians ol laws and aid�wnces govem:ng�Rlz IYP�ol�wrk r:J Le m.�n{'e:f � <br /> �.:lh�r��:IhcrsFe���'eGn^remo �ol Tne9•a.vingctape JCoesna resumelo9rveaulnoritylcvioialco�cznce�LlepmvisionolanyolherstaleorloWlla�vmgubtinqccnsimu�=i �ly^; <br /> Tnallam�mherac .hem, . clm�;popa�ylop �ormihework rv.���c�appi�icabc�iama]ean�IcomplYenini�.e51a'eConlraGoisLawiB27FCWan719620�A1\'FC � <br /> - 1 G�'��--�=. --- :.��`�` E�:, <br /> , .. <br /> ir �� ,�,;�,;,� <br /> . „�],. ,.: -i .�,��,i:„�.���- - �ry'� <br /> . <br />'�.,za :.,-_., _._._..-- �--...r_. ...,.:. __ � <br /> ,_� .� ,..^,;,_ . __.- --- ._..�.__ <br /> � . .. . .�, �,.__.. . .._ ,. <br /> r�.... . � n ...�Y . � .. � � .....m.ivld.�4n��il. <br /> �•�• ,..>ro4.,k:Nw�'awR�i <br />