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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 Cedar St., Everett. WA 98201 425-257-8810 FAX 425-257-8857 vrrnr�everettwa org <br /> SITEADD ESS: � PROPERTV�AXd P MI <br /> " os v l-- r ' ll/ ���G�i I 12-Oo <br /> LEGAL br rew can9r�cticn ShOrt FlaVsuhCrviSwn Lci No (atlath topy��'�c��q'c3����scnpirom <br /> OWNER � O ' p P pnor,e�E n,a.i �/ — �/ <br /> ne�;ess !- � JS �7 C' ' 1 U iiv15tate�Z�p <br /> APPLICANT: O:�rer Cr:ner'sA9cnt _CONrzcim ConlraUor'sAgenl _'enanl F.si,:c:�o»a�Fre�ucc�.s��u:c��ro.;.��•�ne�.��� ��� .:.�.�� <br /> CONTRACTOR � Sate L¢ # Cny Bus I.�c u <br /> ndOress PnoneiGmad <br /> TENANT BUSINE55 NAME CONTACT FOR PERAAIT <br /> Pnore!E�mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK � - <br /> Ex�sung Use ol Dmlding HEAT SOURCE <br /> Proposed Use cf Bwldirg Gas _ Eiec�nc__ _ Gtner_ <br /> l3vJd�ng type ,�Single FamJy _Duplex_Townhouse _ti1ullrFamJy _Commeraal <br /> Type cl pro�ect New _Add�uon _ _ Remodel _Repa�r_T.I _S�gn_Sprmkler_Demohl�on_Change ol Use <br /> DESCRIPTION OF WORKlacane�aispacepro��deoo�thebackl <br /> 11�1�f�rg u • 75 � u°�l�v�r� -�o f�� �uc�-�c�iy �oo� <br /> MECHANICAL PERM1�' APWLICATION P�UMBING PERMIT APPLICATION <br /> Typo ol 7wjecF. _New_Addn _Alteration_Repair Type ol PwjecC _Nuw__Addn _Alteration_Repart <br /> Show Numbcr(q)o/lrrfines Show NumbCr(N)ol lixlure5 <br /> ; AIC—a�rhandhngunds I ToiIM <br /> � Forced air systems i f3athtub <br /> Gas p�om9 I Lavatory Iwash basin) <br /> Wa�er hea�er Shower <br /> Gas fireplar.e I K�tchen sink 3 disposal <br /> � Gas range Dishwasher <br /> I Clothes dryer _ � I Clothes washer <br /> Range hood I VValer heater <br /> Exhaust lan Sink (serv�celbaUmop/etc) <br /> � Heat�ump � �ackllow preventer <br /> Umt neater Unnal <br /> � Boiler I Drinking Founiain <br /> � Refngerelwn j Floordra�n <br /> i Woodstove Grease trap <br /> Duchng � Roof drains <br /> � Other �dedlcal Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I Other <br /> � Number of Neads � Other. <br /> �i��•,�br�i'^'Y�110•I na.e icatl and e.am�ne�in:eoclalion a�d�.�c.•v He;a-���ro=e Ime una wrrecl.All p�ov�smns ol laws ond ortl�nances gweming t�is lype ol wo�1 w11 Oe eomphecf <br /> ��!nwncNerspen!reoperemornc� T'�ca�arb�.�:'apermAcocs,�.�tpre;u•ne!ogrveautponrylovioiateormnce���ePmvisional.nyotncrsta�ao- xalia�nregWallngwnslmchon <br /> T��:1 rv BUI�Ont¢C py1�CP�Mer e110.5 prope�Y��P��'��m Ipe no��.fu v.��ch appllWfiOn�s TaOe antl 1 comply��i:11qe$latt Lonhdctors la.v 18 27 FCW an0 79620CA N'AC l <br /> �- ,,�, � �� a- /3 Z <br /> � <br /> A,q��;A�;tif'or�� i�!AE�ent$gn ure � �eie (RoriSea]�2013) <br />