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� • <br /> PERMIT APPLI�ATIOf� <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES ��a�-�y <br /> 3200 Cedar St., Evere�t, WA 98201 4?_5-257-8810 FAX 425-257-8857 wwev.everettwa.org <br /> SITE ADDRESS: PRONERrv inx n P�Jt���x _nr /., <br /> ICUZ IYI VJ�CI <br /> LEGAL lor nev+construciion� Short Plal/suDaivision Loi No_ (a�lach copv of long leaal descripiien) <br /> OWNER �.�j. L/a,TldMy- � PhonelEmaJ 3 6 � 3 - 3 �y <br /> nadress S�n q ary�s�a�Nz�p <br /> APPLICANT: Owner O���ner'sAgent �CanlraUcr Contrao�aYsPgenl __Terant�m.,:iF�a�.acai�:=�ci�o�se:.u:�minao,ne�meowc:sinm���.,a<� <br /> CONTRACTOR r/LU E/� (N�y,o CGVC ���v/FC5 State Lic. # City Bus Lic # QJ <br /> nemess � p� O � ��'�— v-L n/ `C X j•••�-J"� i,✓ . Pnone�ema�� - t�y" Gt"�y <br /> TENANT BUSINE55 NAME _ ' CONTACT FOR PERMIT ��� <br /> PnonelEmaJ '�������5���,.-' �, � <br /> BUILDiNGPERMITAPFLICATION CONTRACTPRICEOF4VORK�� C-�� — <br /> HEAT SOURCE� <br /> Ezisting Use o(Building - <br /> Gas E�ectric Olher___ <br /> Prcposed Use af Building_ <br /> f3uilding type� ,�Smgie Family _Duplex_To�vnhouse _MuI�i�Family _Commercial <br /> Typ=ol prnlecl� Nev+ _AddAion _Remodel �2epair _T I _ S�gn__ Sprmkler_Demoldion_Change of Use <br /> DESCRIPTION OF WORK(x�a.�'.o.wl spaec piomUed on mc uacH) <br /> �f/�C2 �� F�./N� L� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIOM <br /> Type of Project _Ne��v_Addn ,_Alleration_Rep��� Type of Projeet _,New,_�ddn _Alteralion_Repair <br /> Show Numbri(HJ o(lix fures Show Numbcr(q)of lirfures <br /> � A!G-air handling unils � Toile� <br /> � ForceA air systems � BalMub <br /> � Gas pipin9 Lavatory(wash basin) <br /> - � Wa�er hea�er Shower <br /> � Gas fireplace � Kitdien sink &disposal <br /> � Gas range � Dishwasher _ <br /> I i Clothcs washer _ <br /> Clo�hes dryer <br /> � Range hood � Water heater _ <br /> —� Exhaust fan � Sink(servicelbar/mopfetc.) <br /> Heal pump � �ackflow preventer _ <br /> � Unit heater � Urinal <br /> � [3oAer � Drinkin9 Fountain <br /> � Refngera�ion � Ftoor drain <br /> � Woodstove Grease�rap <br /> � Ducting � Roof drains <br /> � Other � Medical Gas <br /> SPRINKLER I SUPPRESSIOfV SYSYEi1fl I Other: <br /> I Number of Heads I Other: <br /> I i��.�roU�ccitAy Inal I have rezd antl ex2mined IPis�ppl w'-en ana kn:.0 Inu cvTo lo b^Ime and colrecL All pmvisi�ns ol laws ane oidinances govoming Ihis lype ol wod,r.Jl ta cem;'r.d <br /> vi�n::nelhcr:pen5e0�etein or not.lne granling ol a permlt aees no1 presume la cive aulhenly lo vio'ale or ed�ccl Ine provisiJn ol any olner slale or'owl la,v regulaling co,ti:�n:U<n <br /> ;r��ia ulnonnedEyiheov:nerollhispmpedy�opMorml�ev;o:klorw�icnapPlicalionismaEean7lcomplyvriinl�e51a1=CeNracloisLawIB27RCW.nd296200AN:AC. <br /> Or:nC lAulhori:ed Anr.nt Siynal•,uc _—__. —�,��" � . . . . ... . <br />