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i <br /> PERMfT APPLICA710"d <br /> 3UILDINGIMECHANICAL!Pi.UM�sINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.ever�a.org � 3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AtA TO 4 PM <br /> SITEADDRESS: I+ C' vnOVERTVTA%n P �MT� <br /> ,;t �:7`i ti c Its��� �tt�- vtnt* (.v y�G� <br /> L�v _�;`% , <br /> IEGAL lor newconstruc�ioa Shotl P�ot�subdrvlsian Lot Na._ Wttach copy o(lorg legal de,cription) <br /> -� PhonelE-mail �(I b-� / �� �J��� -J7/�i /tU;.�- y'y !''J ll..�r��-. <br /> OWNER I i/r+o'��it U�'�^-e- u. <br /> .�ll 1 � f7� �✓� S� aryis��rorz�p ��FtC l i W /} � �:�UY <br /> Addres; <br /> APPLICANT:_a'mer OwnefsAgent Conlracror _Contmtici.A3ent _Tcnant;�.:�+rv�.:,!�.a.,�-^,='�m�^toni°'"O"""�'n°w°"^v,�,s.,.�s, <br /> •n, (�f'� L 3 I Lic.# COE Bus.Lic.N <br /> CONTRACTOR �'v <br /> Phanc' mail <br /> Address <br /> TENANT 3USINE55 ME CONTACT FQR PE�� ^V/ �'C�'_��r`7 <br /> � � � 4/tiat f fi � <br /> IM�1 �� <br /> Phona6mail <br /> BUILDWGPERMITAPPLICATION CONTRACTPRICEOFWORK C U <br /> Exislmg Use of BuIlding � C/���L'u:�u r� =��9 U�CJ'� � � <br /> F�EATSOURCE� <br /> Prunosed Use of Building <br /> IJ^. �-G�,4'4l� l.L�C Rifr4'ti G�s�_Electric V Oihcr_ <br /> Gwiduig type: Smgle Family _Duplex Townhn��se _Multi-Family _Commercial <br /> Type of ro�ect� �ew Addition �odel Re air T.I. S n S rinkler Demoliti/on_Change ol Use <br /> DESCRIPTIONOFWORK�ndditionaispscepcvrdedo the kl�� y �n��Z i �((1.'.-� <br /> -� it:rt�— i-� i <br /> �I��� . -�-�--� i ,e <br /> �'t"l✓ /f'$v �h ���'7� <br /> ,- s .�tf����k <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMlT APPLICATION <br /> T eolProect: New_AGdn ✓lieration_Repair <br /> TypcolPwjeci: _New_r.ddn _Alteration_Repair Yr � ShowNumber(�)o!/ixtures <br /> Show Number(u)ol(iXturns TOIIei <br /> AIC-air handPng unils Bathtub <br /> Porcetl air s stems � <br /> Gas I in Lavator (wash basin) <br /> Sho�ver <br /> Waler heater hitchen sink 8 dis osal <br /> Gas fre lace Dishwasher <br /> Gas range ClothEs washer <br /> �-� Clothes dryer � Water heater <br /> Ran e hood <br /> Exhausl fan Sink(service�barlmo �elc. <br /> �� � Heat eum Backflow reventer <br /> Unit h=aler Urinal <br /> Boiler Drinking Fountam <br /> Floor dra�n <br /> Refngeration Grease tra <br /> !-- Woodstove <br /> - Ductin Roof drains <br /> i ' Other Medmal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> � _ Number ol Heads Olher. <br /> . �.:1� U�•xJ �fl'6��{I- . 1. 1k'.: I�i .L �� �• �ICC111 n,l[�G iS9�50�1'IWS 1 1 1 . SI I Illv � l`. ....i. � <br /> rt�e�cpc��rel � .rnc, l� ! �:�3 � at �� � . .�ir�r�s _. .�ti � brai_;ecran<rl��epmvrs y ..- . .. . ,. <br /> � <br /> .raou�lioriiedbyVmo.,n�.:olRrGc_w_rtY,�Vi�toim�h wuFlaH� ,ntt'�onenei �1�antllcompY'^"��t�eSa4 _ n a_., L�• t <br /> �7<� ��._„�� 3�y�i3 <br /> ��.�:.^,rer- IA�Itmr rccl P9ent Si9nalure <br /> � o��c r����,.��i e-.o,�i <br /> �/Z <br />