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PERMIT APPLICATION <br /> BUILDING/MECHANI�AL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES �—� � — �3 <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425•257-8857 www.everelhva org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPER7YTAKq PERMITY <br /> /��f -//N�ICx/cs�; tiJGll`uG� �i,��v/ 3 �'-0 `5 <br /> LEGAL'a new ccnstm:bon Sr�ort PlaUsuDtlivisen Lot No. (etlach copy ol long I�.�al tlescnppen) <br /> OIYNER �C�Cit�Cl/ /�C�[y,✓�, /�unfy,(J�-7'�� Pnone�Email f� � �S��C7_� �1 <br /> , ::,zs: ,%/0 '� C��/!f /� C"• c�irisc�ie�z�p L'dL'.Pe/% uJ�. . -ZO/ <br /> APPLICANT:_ONcer _O�rnpYS Agenl COnIraClCr COnlreC�0Y5Ag2n� _7¢nan��munpm+e���nnoicanumimmn�c.nerboo�wn,ne��;�;�� <br /> CONTRACTOR .� %��1,'�' /i i-;1�Z.P"i1Aii:1+� ..S re+a�.-� �a i uo.u/�C,v�,il S/G�/U� COE Bus Lic # � ���y <br /> a.,�r�•ss �5�. S//7!!// (JC . �" ���Jr L(I7, PhonelEmail � -3r)3-�/�(� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �:��C m9y,v�� _ <br /> l��IL��Cr/ ��'-�G�l�� Ti�7 PnonelE.mail�� "��—���v <br /> BUILDINGPERMITAPPLICATION CONTRncTPRICEOFWORK -f,� D .O �C%�elf• <br /> it„s;�ngUseolBudtling tLSC/�,.?C:i7/�'� /�&�,�:��/i�' NEATSOURCE: <br /> ?rc;rsed Use ol BuJding ��/��E� /� /.)/j �� — <br /> Gas lecinc Oi.�ei <br /> .i.:..7,n,rypz � S/�r�gle Fam�ly _Duplez_Townhouse ulti•Family _Commercial <br /> ;vee ot pre�ect !/ New _Adddion _Remodel Repair .I. Si n Sprinkler Demolition Chan e of Use <br /> DESCRIPTIONOFWORK�aad�:�unaispaceprooidedonmebacM): ��,�. �J���r iy2��3_d/ �Gi17��UC' <br /> i.: .�:��, �lCi� �j,�iiiV� ,9 /.�%£ci�✓C� (�/)S /u/.�iU9�G �US/7�i'/ iUe� ,^>/�Src�° 9G� <br /> , ;�;���,,rc-,� 4.y�i�c.=�',J r�Jc/us,vc af r�/e i�"v�/u�J�;v� .��vY✓/"/�i�U: ��rc.�cJ.�h 'e, <br /> �irti���; G9s/�;o,;v� G9s�cc� C,ti� �Jv�.�1'�'�� ��el�v/t�;.Sr,�J'r- i�s,- .uc'c�� <br /> h!ECHANICAL PERMIT APPLIC TION PLUMBING PERMIT APPLICATION <br /> i�p�•vl Pro�ect: _ ew_q��n _qlleratlon_Repalr Type ol PmJecl: _New_Atldn Alteration_Rrpair <br /> Show Nurnoe�!ol ol lirtures Show Nuntber(a)ol lirfwes <br /> � I %VC—au nantlling uni�s Toilel <br /> 1 Forcea au s stems 0at�tub <br /> I Gas p�amo Lavato (wash basin) <br /> � I �ti'aier heaier $hower <br /> Gas!veolacc KitChen sink 8 disposal <br /> Gas ren e Dish�sasher <br /> �_ I Clothes tlrycr I Crothes washer <br /> ' � Ran e hood Water hea�ef <br /> "�hausl(an Smk(service/bar/mopletcJ <br /> � � �teat;ump Backflow preventer <br /> i I Un�!heater Urinal <br /> I Bc Izr Drinkin Fountain <br /> � I Re'noerat�on � Floortlrain <br /> � I Wecdstove Greasetrap <br /> _ I Duci,no Roof drains <br /> 01�•er �detlical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> � NumCer cl Heatls Other: <br /> - .•• .., .o r aa a�� � :��ca.r�,s a;p,xotan en0 hnow Ne femo 10 Eo Imo nnd mrteet All prw¢ionf olUwf en0 ordmoncm povnminp Ih.t rypu a�n rk x4 Ce<:.r,.c; <br /> � ���� - i- r " .�,�t l�ey�a��npolepermlCoe�nolV�efumnloprceeutpenryloNolalnortencellropwr'.sanclanyoRiers!aleorl>calWwiepoaY ��c^�str�.aen <br /> �. �� .� �u. �rerclmuprepe�rytopMcm�nenoAtorxnichappkphoniemaOeenClro;npy�,�•,il'�u5:a:eConuunarsLarid2iNC:luc��59:J.i';;AC <br /> �C���lCY�t/ ����L� n���Yt%j <br /> Onncr:Aut��nnrj.�Rycnl 5iynalurc �aie <br /> (Aee�sec F/2oi:� <br />