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�\, \ <br /> � �f?f t,_) <br /> � <br /> PERMIT APPLICATION <br /> BUILDING/MECHA�IICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITiON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 42;-257-8A10 FAY.425-257-8857 v+v✓�v.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE AD�RE55: PROPERTVTA%p PEpR"T" <br /> � �'� Na' i'!NC D ,N':?u169oc ov f� �' ' <br /> LEGAL Inr ne+i consiruclion: Shcrt PIaVSuEtlivision Lol 1!0_ (attach copy cl 1on91egal desrrlpticn) <br /> OWNER�� o�. v�1LIR_ PhonelE�mail �flS' SUj "�I`l`�� <br /> nC;ress Sv'-� . ''�r�� (/�{C C�tylSlatGZiP �l�/l✓'!�"�"r � �/C�Zr�) <br /> � <br /> APPLICANT:_Q:aer Ov:ner'sAgent yContraclor ConVactor'sA,e�l enar.teT�s�r=�..:oa�rr�rt:me-ie�m:^e�,a��e:r���nme�r�:el <br /> CONTRACTOR �V,P L&I Lic.# COE Bus.Lir..# <br /> Adtlre,s P�one/Ema�,l <br /> TENANT BUSINESS NAME CONTAGT FOR PERMIT <br /> Phcne/E�ma�l <br /> BUILDINGP�RMITAPPLICATION CONTRACTPRICEOFWORK 3� - <br /> E�isfirg Use of 6uildiny��.�n� _ HEhT SOURCE: <br /> Froposed Use of 6uilding�"c'� _ Gas__ E'edric_ Other <br /> Building type: Single Famiiy _Duplez_To��vnhuuse _Mulfi�Femily _Commercial <br /> T pe of projecl New Addition _Remodel Repair T.I. Si n Sprinkler ✓Demolition Change of Use <br /> DESCRIPTION OF WORK Wdomo.�v�space p�o�ddea on me back): ��� ����I� (��K f-� �+{h J I �S� <br /> l <br /> �F���I �y ��t✓r.�i �— n. .l i . � .. �.. �i.�,., � _ - . ^ yLl�L✓ <br /> . , .. n <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIQN <br /> Type ol Pmject: __Ye�v_Adtln _Alleratlon_Repair Type ol Pmjece 1Nec._Atltln _AlteraUon_ftepalr <br /> Show NurnGer(p)a!lirfures "" v Numbcr(pJ a/liriures <br /> NC-airhandlinguriits > Toilet <br /> Forced air systems 8athtub <br /> Gas pipin I Lavatory pvash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink S disposal <br /> Gas r�nge I �ishwashcr <br /> Clothes dryer Cbthes�vasher <br /> Range hood _ Wa�er heater <br /> Exhaust fan Sink(service�badmopletc) <br /> Heat pump 6ackllow preventer <br /> Uni�hca�er Urinal <br /> Boiler Drinking Fount2in <br /> Refrigeration Floor drain <br /> � lh'ocdstove Grease trep <br /> � Duc:ir�9 I Rootdrains <br /> � Other._ ___ hicdiealGas <br /> SI�RINKLER / SUPPRESSION SYSTEM Other: <br /> N�.in�.6er oflicads Olher: <br /> . �:rycen.tYltuillharo¢.ilu'-0e.o�n'.^,..lisi a,_na".J�rcn :'�es�",e.otsR�eandeovecl.P!Iprovis'�eme11a�5an�erC�. acef7��cni-,qlhlslyPoo/wehxill�amn�'el <br /> ,.�M1 v.peiper speaM1eC�ore�n or nol.l�0 9wnOng ol a pemi 1 Does-.cl pmsume lo g�,e aulha^ry lo��,v'a'e^r cn�ce�C�.e pm.le�o�i d uaY�'.��er c!a�e er ivcal larv mp�'.�b-3:_rtslmu>o <br /> :iclla otlno �or:nercllnlsPmpeMloFe�oimthevmiklonvMc�app'=a;z�irsm�]ca-1�__,.,yr,,I.i�.o5a'.c0.:rtra:•.re�a;�1927ftC':la��o.59:r]A1';>C. <br /> " � `L <br /> Orn rl uih acd Agent Slgi turc Da:c (°c�se]N?GI;) <br /> � _ _—"_—. ' _ __ <br />