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. � �ERMIT AP�LICATIO� <br /> BUILDINGIMECHANICAL/PLUMBINGlSIGN/SPRINKLER/DE�OLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Evereli. WA 98?01 425-257-8810 FFVC 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM1t <br /> SITE ADDRESS� PROPERNTA%u PERM1117 a <br /> 2? E . l���r �v� coygoz�9��Y�� l - D <br /> LEGAL lor re+:construciion Shetl PIaVs�b���v�s�en ���l0%7��Lo;No (allach copy oi long ie9al descnpbo�l <br /> OWNER EJAr� l�,EQLAGN ahane;E-ma�i yyS-32z-33zS <br /> ad!lress �� rG /N l Fi�-�+/ � /�l�� Ciry/SlatelZip G�C�Jw*/ Wl�, l��6 <br /> APPLICANT�. O�nner O�.vner�sFgent �Corlraeto� . _Gor!raclor';Agenl Tenani��-,uc•.. � .-,c-;c:� �--.^c��-..-..�. w..,. �•:.r.:�:�� <br /> CONTRACTOR U/(.l�l���� �lUF JE'l�r� L S I Lic k SuNDA F_50�3,J COE�us Lic ++ �3✓�51' <br /> naa�es� /01—�—� l�1AIN S� V `TN� [�VA . �/6 ��� Pncre![ma: 7N 10��/(L� �j'✓�A��A/�. <br /> TENANT BUSINESS NAME CONTACT FOR PERh71T EN �Ze � <br /> Phcnele`-mau <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 3 Sa. �' <br /> Ewsbng Use ol Bu��.ding SF A HE�T SOURCE <br /> Proposed USeof Build��g S�F— __ _ Ga:_ Elednc On�er____ <br /> BuJCing type �o�rgie Fdmiry _Duplea_Tovmhouse _1.'ulti-Family _Commerc�ai <br /> Type of project New AtldRion Remodel Reaav _ TJ. Siqn _Spnnkler_OemohUcn__C!�anqe of Use <br /> DESCRIPTION OF WORK I�dmGonar space p�ov��ed on tne bac��l�. <br /> /NSn,v t.�-/N� A NE w p��T�Sf N�Pu''^� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Tvpe of Projecl: _New_Addn _ Iteration_Repair Type oi ProjecY _New_Atldn _Alteralwn_Repait <br /> Show Number(p1 oI firtures Show Nun�ber(a)o!fixNres <br /> NC -av handling ur.its Toilet <br /> ForceA a�r syslems f3athluU <br /> G�s pipii�q �avatory(wash basin <br /> W�len c�H�er Sl,ovier <br /> Gas Lrep!ace Kitct�en sink 8 disposal <br /> Ga5 r,nqc D�sh�,t;�5hrr <br /> Ciathes d er Clolh^s�•asher <br /> Ranqe h0od Wa�er heater <br /> Enhaust fnn SinA(servicelbadmop;etc ) <br /> HCat Pump 63Ckflow prCvenier <br /> Unil Iled�er Urin;d <br /> �oder Dnnkmq Founiain <br /> Refnqera6on Roor drain <br /> VJoodsiovc Greasc trap <br /> Duttin9 Roof Arains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM O�ner <br /> Number of He2ds O�her <br /> I I.-�Cy certti/thnl I have read and c em„i..^, n-,�pp9r,�Pcn anA Anmv I�u same lo be Irue an�]mrtecl NI pmvaions ol Inws and ordmances govem�.ng Ihis��pe o�worA w�A L� . .. <br /> ,._P v.^��P'�r cp�cd:ed imrein or noL The grinLng ol i o-���it dnes nol C�esmne la gve a',P.nonry W��o�die e�c�nCei 1^e p�-��b�o��o�any ol��ei slnte ar�ocdllaw<vulaing co�5����[tn�i <br /> i�311J� a�. ,,:cAl� ro.nceo(IM1�SP'oFC?/foOCnOnnlLemC�YIJr�.h��h't{.p'�cdt.�� �:�..�,f.•ar]Irorq�� -� ,M1� .;id:� ln.ti...,,�.La .,. RG���� . ,. .� . ... .' <br /> � /-�"(�f <br /> OwnedAulh rized A t Sigr.uiura Dale f�'��•�;�`tl E�2J;2) <br />