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� <br />� <br />PERMIT AF'PLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedzr SL, Everett, �.NA 98201 425-257-8810 FAX 425-257-8857 vnw�.everettv.�a.org <br />-- ���13 -� <br />SITE ADDRESS: �j�/�7/� /OC[/ST <br />� <br />Zovivovov I N[I�-I I I- <br />Ier new ccr5lruciien. Shc� FI�U^_�uSnrvSion__ Lot No._ (al;ach wpy of long leoai tlescn0���n) <br />:�vF��rr ��.siii� ��i�/ol� � 7 Phane/E�mad �/ �L-,5� �� � 1 <br />�/ // Y '/ // �/ p / <br />/ v (��� �,�7f7 � Ciryi5late/Z�p � !/�K�// ���% %O � JV <br />PLICANT: fGO�nnc-r _O.vner'sAgen� _ConiraCfO� _Con(raClorSAgeni _Tenan�pn�.�p,mL'ca'zitcv��c,n:enin:mmeo..�n;ota�..cMh�ee <br />NTRACTOR ��J� � S�ale Lic. r Ciry Bus. Lic. " <br />���/VL 4/�`v✓ <br />LDING PERMIT APPLICATION <br />Existing Use of Building Si�/c, � <br />Praposed Use of Building <br />Bwltling type: _ Single Family _ Duplex _Townhouse ✓ Multi-Family _ Commercial <br />Tyneofpro�ecC New Addition Remodel �Repair TJ. SiGn Sprinkle <br />DESCRIPTION OF WORK �ada�r�o�a� snace piov;ced on the oack) : <br />C�/f/�✓Gc AT l�A�`�� y�fITF�S <br />'OKPERh71T//Q �/ <br />/� / Y <br />yz�sP6�; <br />PF;ICE OF WGRK i <br />MECHANICAL PERMIT APPLiCAT10N <br />olProject: _New_Atldn _Altcration_Repair <br />Show Numbcr (N) af /ixmms <br />NC — air handlinq unils <br />Forced ai� systems <br />Gas piUinq <br />VJater hea�er <br />Gas freplace <br />Gasrange <br />Clolhr.s dryer <br />Ran e hood <br />Exhaustlan <br />Heat pump <br />Unit heater <br />Boiler <br />Refnqeration <br />Wootlstave <br />� Ductin� <br />Other <br />SPRINKLER/SUPPRESSION SYSTEM <br />� Number of Heads <br />SOURCE: <br />Gas V Eleclnc <br />PLUMBING PERMIT APPLICATION <br />of Project: _New_Addn _Alleration <br />Show Numher (p) o/ /ixfures <br />I Totlet <br />I 6athtub <br />_ � Lavalory (wash basin <br />Sl aser <br />Kdchen sink 8 dispos <br />Dishwasher <br />CloRies washer <br />Z Water heater <br />Sin4 (servicel6arlmop <br />Backlio�.v �evenler <br />Urinal <br />Drinkinq Fountain <br />Floor drain <br />Grcase tra <br />Roof Arains <br />Niedical Gas <br />Other: <br />1 �emEy cemfy t�al l �ave maC an� evunmea tl�¢ applicaGon aa� knwi Ue same to De We an0 cortetl. A70�'+�s��s ol ln•5 an: �Nmanr.es paveminp Ihk pye ol �wM1 viil �c mmp• <br />w.Ji wfielncr sp=clfied nerein or noL Tpe ,ranpng ol a pertnll Eoe; ncl Fresume N 9'�ve aul�or.ty lo vio�a'e or cancel lhe pmvlsion ol any o;her ;lafe or bcal law reSWabng coostmccon <br />Thal l x _ iP - etl Oyt�e cwnCr al Nis propeM �o peAcim NC wuk ICr ah¢n ap0'�'.�Ilon iz metl^ and I coaply vnin Ne Sla;e Conirartors Law iB 2] RCW antl 256700A WAC <br />� // // <br />Owned 1(o zed Agent Signaturc D3t^ (Revised 9/201:) <br />