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PERMIT APPLICATION <br /> BUILDfNG/MECHAIVICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3L00 Cedar St , Everetl, WA 98201 425-2�7-8°10 FAX 425-?57-8857 �r:nv everettwa org <br /> SITEADDRESS:� //� ��1�� vROPERivTa7cp FE N�ir I �d� -�D <br /> t.f cx G</ <br /> LEGAL'rzr�e.v rnns':ulion Sro�°iavs��a vis��o^ Let Na___ �aL•acn cop�ot lorg;�gai Cesa;t on? <br /> OWNER Gvl ��u� — -- -- �n���,,,�.�,���� GuS{o w� 9c$� N G�C�CJ�Giu<.�I�l-ti1e� <br /> a-dror., ��l �C��� C�ryiStaierLp C�(/LIL (,U�L <br /> APPLICANT: C:mer __Owne.'sAgent __CorcraUor _CcNrac�o�'sngmt Tenanti:.cio�.��r,on��o-�r.�:.��:=mrcor+�a:•���. . ._„.+ � . ; �. <br /> CONTRACTOR �v%�-'� Slale Lm q '���r 13��s Lc = <br /> ,:Cdre; %'hunc;i`na� <br /> TENANT BUS�NESS NAME CONTACT FOR PERMIT —�— <br /> �q•.crn•�tr.r�a�l <br /> �la� �s-� ti��a �� 5,�-+�., <br /> BUILDiNG PERMIT APPLiCATION coNrRncr aRice oF woRK__ ___ <br /> (r<prg U<_z ^_f RufC�r:� _��n _J HEAT SOURCE <br /> P�cpo=_ed Use ef Bu�id��g Sr r Gas__ Elecb¢..+y__ OPrer___ <br /> {3,.imn.; �yG' ��ingte Fam�.ly _Ddp'ex_To��.nhouse _Multi-Family _Ccmmcrcal <br /> Tp�e cl orc�ecl New Addilion �C^Remodel Repair__TJ _Sign_Spnnkler__�emolition_Change ol Use <br /> DESCRIPTION OF WORK(acd:rio�ai sn��ep�ordedon me�acwJ�. <br /> �11 U+ti�fl �"�- <br /> I ` C��� ��N'wtL�s <br /> MECHANICAL PERMIT APPLICATION PLUMBIN�"u PERMIT APPLICATION <br /> tyn�of'rreJact: __Ne�.v_AJdn _Alteration_Rrpair TypaolPra�oct: _New_Addn _Alteraiion_Ropair <br /> Show Numbcr(aJ olliaWres Show NumDcr(k)o/lirfures <br /> j FUC—8'�f h3fldlip�Uf1i15 TO'�IBI <br /> i Porced au systems I Balhtub <br /> i Gas piping I Lavatory(wash basin) <br /> � Water heater Sho�:er <br /> Gas Oreplace I Kiich=n sink&disposal <br /> � Gas range Dish���asher <br /> ' C�o;hes drycr Cluthes washer <br /> Ranqe hood Water healer <br /> fzhaust ian I Smh(serviceibarlmop'elc) <br /> ' hleat pump I t3ackllow preven�er <br /> UNI healCf � Unnc� <br /> ! BoJer Onnhiny Fountain <br /> Reinge�ation � Floordr;f�n <br /> '� Woodstove i Grease trap <br /> ' Uucbng ' Roof drams <br /> I Other �.ledic3i Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Other <br /> Number ef Hcads �I Oiher <br /> I`ereLycrrlitythall�ereres)a��d^�am.nedl��sapC�����=^anEAnowl�etemeto�elNeanOmneq Fllpfovis�on5eliaw�anGomnancesgoremin9��istypeo�workw'.IOer�mpcd <br /> .�.. ..he!her specAmO nrvr.n c;noi T6e graniing al a permn aoei��ot pmsame to gne avtnamy lo vm:aie cr wccel Ine C�o��sion cl anY o�ne�slate or lota�law eegutatng consw��ron <br /> ❑�,r�em tl Ey ine u nei cl n propeny to pe�orm IM worA lor xnitli OppM1Wt�on is maae anC t[omp1�witp�he S�a:c Ccnirar:�s Law 1B 27 RC14 an0]96 200A R4�C <br /> C <br /> � � � �� � /z <br /> Owno . horimi ignaluro Dalv (Rovised920t7) <br />