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• <br />r� <br />U <br />PERMIT AF'PLli�r`�iION <br />BUILDING/MECHAN�CAL/PLEJMBING/SIGfVfSPRINKLER/DEMOLITiON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, VVA 98: G i �J25-?57-8870 FAX 425-257-8857 v✓ww evere�t .orq/! <br />% � _" �` � Y <br />ADDRESS: p�3/��� GOCU� T <br />a <br />ov/UUooUI /VllUll- <br />tof new con5lruchon. S�ort PlaVsu�tlivision Lot No (altaeh coOY ol long Ie9al desa�pl�on) <br />2L (�C.���f/t///.S���C� /7 %�lY�/�-��� Phonel&mzil�U�l.S����� <br />/ C� /�QX �✓�7 � CitylSlafciZ�n �/�CC.E � // //,/�/ %D� (�(� <br />Oxner _OnnersAcent _Conir2clor _CenVat�or';ASenl Tenanl�mo:i¢�oneeaicrrio�co-nem¢om'J��o.�nvru<o�crv.,,.. <br />��,�ff/�1� ��%��1� <br />BUILDING PERMiT APPLICATION <br />Existing Use o( Building J� K __ <br />Pmposed Use ol Building___ � <br />�wlding type: _ Sinqle Family _ Duplex _Townhouse <br />Statc Lic. p Ciry <br />Phone�Email <br />CONT�CT FOR PERMIT a „ / ��� <br />/V <br />�r�,�t;E m,�� /Z.�> >2 � 3%a ,F<' <br />CONTRACT PRICE OF WORK �U. <br />—H-E�A-T —SOl <br />Ga: V Eleclric <br />Iviulti-Family _ Commercial <br />T.I. Sian Snrinkler Demolitian <br />6us. Lic. # <br />�E`l�!1,� o�F <br />DESCRIPTION OF WORK (addilmnal sneceprovidedon�hebackJ: <br />C���i��GC AT /i'/I7'�� /��f1T�/1. % <br />MECHAPIICAL PERMIT APPLICATION PLUMBING PERMIT APPLICA—T—ION <br />Typc of Pru�ecL _ New _ Addn _Alteralion _Rcpair �ype of ProjeeL __Nevi _ Adtln _ Allcratimi V Re�mlr <br />Show NUmber (#) ol lixNres Shaw Nimther (p) o/lirtums <br />� NC - air handlinp unils Trnlr.� <br />f=oiced air svstems Famiuh <br />Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />N�imher ol Heads <br />Kdchen smk 8 � <br />Dir,hwasl�m <br />Clolhr.; wa;her <br />Water healer <br />L�D6L1 <br />ng founlain <br />drain <br />Roof drains <br />Metlical Gas <br />Otnec <br />I ne�c�y o:rWy I�al I li:rvc reaJ onU en�min� Nu a, DL��lion anG kn�x Ne sime lo Oc N�e an� mneq. (W pmvr.im; pf 4m. tm� oNmance; povem:n9lhis rype olwork vn'1be comDi <br />n:l� vmcnir� ��pcn'�cA Ormn nr nol The qranl:ng ol a 0?^^it Cr,es nol prr,i�mr tn gve aullronP/ Io vmla!n or canGel Ihn prOvcon of any othni ,p�tn a: local law �c9vid;✓�g r,on;Cutlion <br />inal I a . II� e� �Y t�e avmer ol lni: proPCOy lo p�,doRn I�s woM1 br wh[n �Dpl.ca�ion e matln ,�nel I comply wi;b Ne 54�In Cnn•ra:lnn I.":� 10 ]7 RCW and ]96 200n WA' <br />/� /-/ <br />Ownedl� lfo xetl Agent Slpnature Unlc �Hevisn�l n/701�1) <br />! <br />