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� � <br /> PERMIT APPLICATIC�N <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl , Everett, WA 98201 425-257•8870 FAX a25-257-8857 www.everettwa o�yr <br /> g � I /--�S <br /> SITE ADDRESS: P00 Sq s(s�L 7 a OO �� ERMIiD � DO <br /> LEGAI lor new conzlmcUon St+orl PiaVsubC�v�s�on Lol No (atlach cooy ol long legal aex��ption) <br /> � �/A� <br /> OWNER �� � 6 /Yry�D E PnonerE�ma�i <br /> ned�ess 2l�Z .QL/�!� C�ry�Siaie2�o LJ�.�ue WI� �i—�� <br /> APPLICANTt Ownet _O++�erSAgent _Conira[lor _CoNraclorSAgenl �Tenani�cmic�c.�eea'.arerc�cc-;enimmmec..w�xca.c+����evxei <br /> CONTRACTOR C(/6A�e.�(irr/�'NIv� O{,�rn(��Stale Lic N CL�QC0,72D�City Bus.lic u�ry^rvv <br /> AaOress a�D�� �� � �'{►{ JI. �g�3 Pr.onaEman p�Q(� �/4yZ�� <br /> TENANT B4 SINESS N ME CONTACT FOR PERMIT • <br /> eC.E/-!� C!�<}N�tJf� Dceruoe�2 �tnKiFtr (�Jr� al.� <br /> Pnone.'E�ma�l lZ� ) �4T—��DD <br /> BUILDING PERM.fT APPLICATION CONTRACT PRICE OF WORK_ L�• � <br /> EzisUng Use of Bwltling HEAT SOURCE <br /> PmOesetl U5e ot Builtling Gas E�ectnc Otner <br /> �widmg rype _S�ngie Family _OuO�e._Townhouse _Multi-Famiiy _Commeraai <br /> T e o� ro ect New Atldition Remodel Re a�r T I Si n S r�nrcler emol�t�on Chan e of Use <br /> DESCRIPTION OF WORK(ada�no�ai svace r'���yea o�me oac�). <br /> �e rn ov�.P � � ���bocwct Sc.�w <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TyOc ol ProjeU: _New_Addn _Altention_Repair Type ol ProjecC _,New�AdCn _Alleralion_Repair <br /> ShawNumCer Mlollixtures ShowNumber M o!lir�ures <br /> I fUC—dR Ild�dlift pfld5 TOiIM <br /> Forced arc s stems BatMub <br /> Gas i m Laualo wash basinl <br /> Walcn c�atc� Showcr <br /> Gas 6re iace Kdchen sink S tli5 05a1 <br /> Gas ran c Disnwasner <br /> Clothe.s tl er Clothes washei <br /> Ran c hood Waten c�afcr <br /> E.haust lan Smk scrviceiDar/mo lelc. <br /> Heal um Backllow revenler pnside httl ) <br /> Unit healer Urinal <br /> Doiler Dnnkm Fountain <br /> Refn erauon Floor dra�n <br /> Woodslove ' Grease Ira <br /> Ouclin Roof drams <br /> Ot�er Metl�cal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Otncr <br /> Number ol Heads L Other <br /> 1�eieDY�n�ry i�al i�ave reaG and aammeG IOis aOP�����on end Mnow Ne some to Oe We anE ronecl.An provisiona ol laws ana ordinanus povemmg�p�s ry�e ol wo���+I Ce camp <br /> .rnb wTet�er speuM1eU�eremor not Tpe g�anlinp o!e pertnd Coes not p�esume lo give eul�amy io wo�aie or canccl ll¢O�onswn ol any oi�er sta�o or laca�taw reqWalina coneWnion <br /> l�dl m a �oniea Oy NC awncr ol Nis pmp M�a perlo�n ihe woM lai �¢n appnwuon is maEe a�a I rqmpry wan me Slaie ConVacio�s Law 1817 PCw ana 2oG 300A bvAC <br /> I u or' e ent Si atu � Oate ` ( � ` fRev�sce�/10t5) <br /> � � � � t7- ��� <br /> � <br />