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� � <br /> PERfVIIT APF'LICATIQN <br /> BUILDING/IVIECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> I:ITY CiF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX a2�-257-9857 :vvr,v everett:va ory <br /> SITE ADDRESS: PNOPERTV TA%p PER�d1T: <br /> ��iSkP„ waa� o� E��,e�f , �3�1 <br /> LEGAL'or�ew coi�s��udion Shert Pla�nutA�-.�zror Lo�hb (a'tach copy ol!ong iega�d-escnpben) <br /> OWNER Ro,q�r, T�'p��/1 S pna^.ei6ma.i <br /> i <br /> �ey-ess C�ry�s�a�crZ�u <br /> APPLICANT: __Orme: _Onrer'sAqer' XConbactor _Cen'mctoYs%•�en� _ ienan;r��.�ir�:���+-rv;c�:<-,� ._r.. _�•���r-..o..� ,_ ,� �� <br /> CONTRACTOR ��.n. be �� �� ( ' ., Sfa�e Lic = <<+n. F b p �� �ti- 5 C'�� Hos L�c �J <br /> �C:1�e5s .'J . �J J l� J J �l � t vi/rf"f wA�i p 7 o Ci �honn;Fm;:�l LI LS Z.S 5 � � S J <br /> TENANT BUSINESS NAh1E CONTACT FOR PERI.71T <br /> e!Fina' <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WDRK <br /> EtiiSl�ry U=_e o�f3u�.d�^g __ _ __ __ HFi�T SOUR:E <br /> ProPosed L'se d f3�,'c�rg_ ____ Gas JecL�c_��(, Ciher __ <br /> E3mi;1 ng type _ S��ngl2 Family x Dup�ez_Tov+nhcus� _I.�ul;i-Fan�.ly _Commeraal <br /> 1 ype cl prc�eci Neev Atldiuon Remodel _!(_ Renair ._ T I S��qn____Spnr.kler___Demehuon ChanGe of Use <br /> DESCRIPTIONOFWORK !aCC��hona�spaceFrov�aeCenu�ooac�i (e�laC� SV yt ���� Ha� A.s>•� f�`Y <br /> MECHANiCAL PERMIT APPLICAT'ION PLUMBING PERMIT APPLiCATION <br /> 7ypo o�ProJocl: _New_Atldn _Alleration�Rep.ur Type cl Projecf _New_Addn __Alteratinn X Rupnir <br /> Sfrmv Num�cr(d)ol lixfures Show Numher�Kl ol lrKfurr> <br /> � AIC-air handling units � �o.le! <br /> ; Forced art systems Cialhtub <br /> i Gas pip�ng � Lavalory(wash basm) <br /> � Water heater I Shower <br /> Gas fireplace Kitchen sink 8 Aisposal <br /> ' Gas ran9e Oishwasher <br /> � Clo�hes dryer � Clothes wasnpr <br /> Rangc houd — <br /> Fxhaust lan � Sirk 15ernceR�admoo/etc ) <br /> i Heat pump � �ackllow pre:en�er <br /> I Unit heater j Unnal <br /> I daier Drmkmq rountain <br /> Retr�,geraUon � Floor�,ra�n <br /> Woodstove � G��ase trap <br /> DucGnq Roof drains <br /> O�her � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Othei <br /> I Number of Heads ; Other <br /> i��r�,ry,:,�rt.iymmina.e�eaaanae�vnneatr.sappLwicraraFnuwi�esaT.eto�e�meandco=ec� n!Iprowvon5o11awsonEorCinan<esgo+erning�hr,lypeol�wrk,� �.�. ... , . <br /> ::,'i�.vf.e�ner speollrtl nemm or no; Tne granLng ol a O�m�.��does not preeume 4 gice avihCn�y lo vr.;'aIc c:caccel tna p:owsion el any otM1er staie or Iccal la�x re9ulaling cc�...v:.�'.e,� <br /> f^:,;I��n put�on:etl Oy I�e owner ol ipi5 propeny lo pe�oRn Ine��orA loi w�¢��app"cal�on u ma�C anJ I comply wnn I�e Slale Coniratlors LJw f B Z1 RC W,ntl i96 i00A\'rnC <br /> �—� � <br /> � � '{,i7-i4 <br /> ulhorvcA P9ont Signd�urc p;±ic I^�-�'ir,1 �:C'J� <br />