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•ERMIT APPLiCA710� <br /> BI�ILDING/lIAECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everetl, WA 98201 425-257-8810 FAX 425-257-6857 www everetlwa.org <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: PROPERNTA%tt P RMI7 <br /> s3io ,�,,,,, �va�azao c��vo �UI-00� <br /> LEGAL lor ne�,v consimcbon Short PlaVsu6dw¢ion Lot No (a:tacn coDY ol Ipnq le9al aescriptionj <br /> OWNER �i (� ��, l'-L� Phonc�[-mail Z�?> '�¢i'' �� U�j <br /> nda�ess 2!' " G, Z"" PcVG Gi C -t. 21'D c�ryrs�aierzp 'LCN'T C O <br /> APPLICANT: _Owner _Ovmer'sAgenl Contracior _ConlradcrsAgem _Tenantim��aec.�an.��.;u;•ciw„e��ir�o.,�Ueo..•�.���i.,co..m�,-��.�ew•:.•i <br /> CONTRACTOR L& I L�c. k COE Bus Lic K <br /> ACdress PhonelEmail <br /> TENANi BUSINESS NAME CONTACT FOR PERMIT <br /> L��� AE��,��G kPndqhl -t�Il�cr�;vn <br /> � �i'f��F' Fhone�E�mai /1[l i.Ofl t'�IcltS� h �-fM <br /> BUILD�NG PERMIT APPLICATII�N CONTFtnCT PRICE oF woRK O _ <br /> Exut�ng Use o'Bwltling� � _ HEAT SOURCE. <br /> � <br /> Proposed Use of Building_�0 C{�1J(�� ._ Gas Eieadc __ Oiner__ <br /> �wlding type _ Singie Family _Duplex _Townhouse _M,iili�Family �JCommeraal <br /> Type ol projecP. New �ddilion _ Remodel _ Repair_ .TJ. _ _ S�gn Spnnkler Demolition Cnange of Use <br /> DESGRIPTION OF WORK(additiona�spacc prov�eea on t2 oace) <br /> EXP�����\c:-1 �xt���r !-1�115 w�,—`1=«E--� — ��_ <br /> �t �t�� r.i�n �..�ra c.� _ _, ci - � � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProjecC New_Addn _Alleralion_Repair TyDe ol Projccl: __Ncw__P.ddn _A�leralion _Rcpair <br /> Stiaw Num6rr(#)of�rt�res Show Number(IX)a!lrfures <br /> � A/C - air handhng unds I Todet <br /> Forced air systems �athlut� <br /> Gas piping I Lavatory(wash basin) <br /> Watcr hea�er Shower <br /> Gas fueplace Kitchen smk 8 disposal <br /> Gasrange Dishwasher <br /> Clothes dryer Clo�hes washer <br /> Range hood Water healcr <br /> [.�haust lan Sink service/ba�r/mop�elc ) <br /> Heat pump F3ackflow prevenler <br /> Und healcr Unnal <br /> (3odr.r Drinking Fountain <br /> Reingeralmn � Floor drain <br /> Woodslove Grease Irap <br /> Duc6ng � Rooftlrams <br /> Othr.r Med�cal Gas <br /> SPRINKLER I SUPPRESSION SwSTEM Oihe� <br /> Number o(Heads Olher <br /> 1 nr�Cby ce�,ly It�al l�ave�eaU and eeum�ned lnis dpp'�cal�on Ontl 4no:i Ittn same lo b^Imr a�tl carrecl.A110'����Sons o�Ip:vs;in)o�d���.i�ccs qav^m.v9�his type oMorA wYl pe comp'�.rof <br /> qAh�vh2lflClSpCQ(�P011¢rOnOrn01 {IICIJrpn1��Q41dOCrnL100f5n0I0«�uml`IJGi.Cd���O��lyloviplllCur[.l9cfIlGeOrOmS�V��OI.ln�01n..�rpI.VCO•Icfd'.!ds'rC�u'dringiOnslNCLC�I <br /> itl�l I am 2uIhOn2e4 uy I�e o�vnPr pI1N5 p�opatY��I�°�o:m Ihe no«!0��.lt.li ap��caLun 6 m.l0e an0 I comply w�,R�iM1e SIatB CUnVa[1o:5 t.�'h 1P P RC�'I BnJ 2D6:OOA PJAG <br /> iz ?,b i3 l/ � <br /> OwnedAuthonze A ntSign, ur Date iRevrsedbi_0�2) <br />