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. i • <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT FERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 Nnw�everetnva o�g <br /> APPLICATIONS ARE ACCEPTEO FROM B AM TD 4 PM <br /> SITE ADDRESS: �7 `�} � PAOPEHTV TAX a P MI?� � OS2 <br /> � � � '1 <br /> rLEGAL Icr rew conctn,chan Sr•o9 PIOV;ued�vision l��No (aita::h copy r,t!onq�eqN Crsrnp'nn� <br /> OWNER c �� � PnoneiEmae p��`�5�, <br /> ACo-ess j� J CCy15va'a!I�e _Ve �(��"G � <br /> APPLICANT: Cnne� Cwne/;Fgun! �Contqic�e� Cor,lraclo�sAgen: ieran��.-...i�v�.e��am•��•c'w^..•'^omr•,w.e���c�.a+:--•.•,r:.�.�, <br /> CONTRACTOR ��2 /l /)C - L 8 I L�c b :JZ !r T � I pW'1'I{'✓I COF Ous L�c a O O 6 <br /> Atl�rc;s t7� ��- Y��� � Q /v� T� i PF.nnc�Emai )(�� •- S^ J ( Q <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT i/�r� ��� <br /> n l <br /> F��,�E m��� 3�0 35=y9bv <br /> BUILDING PERMIT APPLICATION coNTruCr PaICE oF woRK /D 3 C 3 . <br /> E.�sling Use ol9uddmg. �Q.5 I� '4" � � , __ _ _ HEAT SOURCE� <br /> Preposed USC��BuJCmg __ _ __ _ __ _ _ ____ _ �_ G_ati Llecln[ � Olher_ <br /> Bwldmg lype. � Smgle "ramily _Duplex_Townhouse _t.lulu-Famdy _ C.;mmcrcial <br /> Ty e of ro ect New AddiUon Remodel Re av _ T I. _ Si9n 5 nnkler Oemc!roon Chznge of Use <br /> DESCRIPTIONOFWO K(aad�nonai;pacapmoiaoaonrnoback). <br /> T�5►�,�I���,� u Quud z� cl�,e��ftsS /���t �Q�.,,� s�s�(�, <br /> MECHANICAL PERMIT APPLICATlON PLUMBING PERMIT APPLICATION <br /> , <br /> Type of Pro�ecf _New,�,Addn _Alleration_Repalr Type ol Praj.�cf _New_Addn _Alterallon_Repalr <br /> S�ow Num6ar�pJ ollrtums Show Num6ar(k)of firfuras <br /> AIC-a��handlm unils Todei <br /> Forced:ms s�ems BalhWli <br /> Gas i in lavalo wash basin <br /> Waten c�atcr Showcr <br /> Gas Gre lace Krtchcn 5ink 8 dis osal <br /> Gas�an e Dishwas�er <br /> Clothes C er Clolhe;washer <br /> Ren e hnotl W itar hr.atcr <br /> [xhausi lan Sink s�rvirr./har/mopleic <br /> Ncat um Backflow reven(er <br /> Unit hoatcr Unnal <br /> Boiler DrinKin Faunlain <br /> Rrtfn rration �Ioor tlra�n <br /> Woodslovc Grca;c tra <br /> Ductin Rnnl drams <br /> ptl�,cr Meclical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM otncr <br /> Number of He;ad.; Other <br /> I�crcUycuC"y�hn!Ihn�nura�.vtln�amincdP�sapGlurtcnar7hncwt�05ani��lc[o�n:va�ncc+cqA'�IpronSionso�lavrsan0a•d�na^u:sgovemmqltnsiypeolv.nnn Lv:.r:: ^.9 <br /> wl]wfnL�e�smcfn�hem�. oi�ot Tho p��Lca of a po�n1�oas�al C�scmo�o q'vn a�i^cry�o v olate or wneel11�9 provi4on al any ol�er sUta or lotai Ltw rogu4 Lql�-<"..�. . � <br /> *�ei�am au:nuvM/�bY Ne owner o�ih s pml-eM�o pMr.an pie v.vd yr w�c�aoo'�u�`-o^�s maCo and I wT.��Y wth ine Stale Conlraclors law 101/RCW and 7961G04:'i��: <br /> // _��'/ / / D�� J ._I � <br /> OwnedAulhodzed�Agent SlBnalwe Dai•� �Ho���+ed e7���n <br />