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� � <br /> PERMIT APPLICATI4N <br /> BUILDINGIMECHANiCALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wuv�n�.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: PpOPERiYTIU(q PE 1 <br /> �acl�sc�� � oos� �o o- o -�o �j�fo�-Lns <br /> LEGAL for new a�nsWCUon Shon PlaUsuDdrvision Lot No._ fattach mpy ol long lugal descn0aon) <br /> OWNER � ����Q{'S � PhonrJE-mailQ�Zqe-2429 '�i@hac��cbr�laar <br /> ntlaress� ZL �!� � (aU� • �/C Ciry/S�ateJLip f SUi ��K 982�6 <br /> APPLICANT:�Owre� OwTefSAgeni �CO�VdClof COnVdCt0Y5l�gCnl TEn3nt�musf0�'noeuiearN-snsentrtomNeo.�cr�oCo.wnmveyam� <br /> CONTRACTOR � ��f� �9YY\e L 8 I Lic.#�RL�C ZTO I ZD ZCOE Bus Lic.# <br /> Addre55 L, ���(�� ,� � PhoneJEmaJ �r,cc.l@haUrkbm��-�ers��[CVN <br /> TENANT BUSINESS NAM'E CONTACT FOR PERMIT <br /> '�oe..i 1-lactc�c y2S 2`7e-2y29 <br /> P�onelE-mail � G. b Yt• P f � • 'V�'�'1 <br /> BUILDING PERMIT f�PPL1CAT10N CONTRACT PRICE OF WORK . K <br /> Exisling Use of Building HEAT SOURCE: <br /> � y� <br /> Proposed Use of Building_� F\�. GasL Eiecmc Omer <br /> Building type:�Single Family _Duplez_Townhouse _Mul6-Family _Commercial <br /> T e of m�ect New Addition Remodel Re air T.1. Si n S nnkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(addrtiona�space pr�video on me aacx): <br /> ;VC�� S Ftz �';�-h a�e1�e� �ctirci q e <br /> RRs c� R [3 1 �-to s- oo3 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypaofProject: Nevi_Addn _Alteration_Repalr TypeolProJect: ,7jNew_qdtln _Alteration_Repair <br /> Show Number(p)o/�xtures Show Number(k)o/fiaYums <br /> I A/C—air handling uNts ; Toilei <br /> � Forced air s slems I Bathtub <br /> Gas piping 1 Lavalory(wash basin) <br /> / VJater healer / Shower <br /> � Gas fireplace / � Kitchen sink 8 dis osal <br /> ! Gas range / ' Dishwasher <br /> I Clothesd er I Clotheswasher <br /> I Range hood � Waler healer <br /> I E�ehaust fan I Sink servicelbar/mo letc. <br /> � Healpum � Backflowprevenler <br /> I Unit healer I Urina� <br /> � Boiler � Drinking Fountain <br /> � Refri erahon � Fioor drain <br /> I Woodslove � Greasetrap <br /> � Ducting � Roof drains <br /> � Olher � Medicai Gas <br /> SPRINKLER/SUPPRESSION SYSTEM � Other: <br /> � Number of Heads � Other: � <br /> I�ereDycenrtyNall�avereaOanOmamineCNisaOP����anOknowthesamelobevueanamrma Aeprpvi:mnsallawsaneortlinancesgovemingtnisrypeolwoikwiinewmp5ra <br /> wA�w�ei�el5peofieE Aemin or nal.TTe 8����9 oi 0 perma does no1 presume lo grvu auNonty to mWle or rancel Il�e pmvision ol any aVier 9aic or IpGdl law reguid W g COnstrutlqn <br /> ThallamauNartmA0ylheawnerollhi5 peMloperlormlbewo�klorwhiTapp��oiion¢maUcantllwmpM^+NNe5laleConl�ado2Law1B27RCWan429L100AWAC. <br /> O erl uthorizedAgentSi tum �1 1 • pate (RevisMG20f2���L <br />