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; <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY �F EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425•257-8810 FAX 425-257-8857 �wrw.everett�•:a.org ? <br /> APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM �I— I O " � ) <br /> SIiEADDRESS: 7ROPERNTA%q P RM b _� <br /> / 4r L'c�'•i�Y/% <br /> LEGAL'_�nc.a conslru.ta�� Sncn Plal!subau�lsron Lo1 No_ Iattacn copV ot icng iegal tlescr�pi�ni . <br /> -�/ .�„j�;C� ,�iy.�,q,1� <br /> O�'7NER .'1:..l.Si�:✓L, �%c ,%/ci�I�j7 Pnore�[�mad 41'� ' � ) - •/:..�� <br /> .�.:�ss .'�O � C,�/u�/91ir' /-:l/�r/%ClJ�. �IrY1./ CitylStateRiv L'ii'idi=/T uJ/� 4J'Zc�i <br /> APPLICANT' __Onner O�nersAgem �Conlmctar ConlracloYSAqenl _Tenant(mwic�mauen•rmcc,umrc�m:.•d..�v�i�aoM:nsr.�;a:u <br /> CONTRACTOR .:(�F'.z;�" I'JG%>1rG�f�������✓ . </✓G L 81 Lic.N /�.�� XS�G•'I !' COE Bus.Lic. tt L+�DL <br /> - _�ess �JdC: -%�:%r�i���(.L ��i�i;f LLY� d�lc.'/ PnonerEmail =f - -_T) ^ . �%/G-O <br /> TENANT BUSINESS NAME CONTACT'"OR PERMIT Ty���;.�,�,//C <br /> ..�� �� a:;vi' - i�r��'il;'wi � / P�onelEmail '�I5' l,75�-45''f/ <br /> BUILDING PERMI7 APPLICATION CONTRACT PRICE OF WORK ��O/)• X� h�'�/f" <br /> E,�song Use of Bwld�ng /' i/� /�![L'�/�:t-1� HEAT SOVRCE: <br /> Pr.fcsed Use of Builaing /�/Cl/r� ���»��Y �� L Gas��_�Eiennc _ Otner <br /> �u,,t���ngtypz _SingieFamdy _Duplez_Townhouse L✓Multi•Family _Commerclal ' <br /> ILca o'oreject� Ne�v _Adtldion Remodel Repair T.I. Si n Sprinkler_ Gen..:�i on Chan e of Use <br /> 'DESCRIPTIONOFWORK�.acc::�or.aispacapromaedonrneeac;)- ��t���dt�% c1X�:.r'ii�.v ��ot%°%��� �7L{-' �S /k7<i-%���-� <br /> � .. i�: .S�- �.�ti.. ['%i:;a,' .=c.h�$U.rGa', 1,UG-%[�_`rVL c7�= PiClc7iiO�d�.:i(� �T'��:jiiirli�>L%, <br /> (`c <br /> � ..�:_ ,. .._..:.�F,'I . �'� ;��c« , G.':� ll��t,:�� c.i:viL il- GO�✓ ✓Ulri�'".o'c'.r L/I�'eJ/2 .C�il.lrfl <br /> � , <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> ',pe ol Prv�ecc _New_Ftltln _Alleratlon_Repalr Typo ol ProJeet: _New_Atltle _P.��eration_ftepalr <br /> � Sho�v NumOcr�o)al lirlures Show Number(u)ol firlures <br /> � I A�C-au hantllmg umts I loi!et <br /> � ' Forceo aa syslems I Bathtub <br /> '— ' Gas pmm I Lavato (wash basin) <br /> ' :";ater neater Snower <br /> ' ' Gas 6rep�ace Kilchen sink S disposal <br /> ' ' Gas ron e � Disn�aasher <br /> � (;Ipines Cryer Clothes�sasher <br /> � Range nuotl I Waler heater <br /> ' � E=naust fan I Sink(servme�barlmop�etc) <br /> � Hcat pump I Batkllow Drevenfer <br /> � Un4 neater I Urinal <br /> '- Bo.ler I Drinkin Fountain <br /> '- Retr�geration I Fioer tlran <br /> '-- Wxosic.�e I Grease irap <br /> � Uoc;.n Roof dra�ns <br /> � - o�!�.er 4ledical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM other. <br /> _.. <br /> ' Nuv'oer C�1 H2dds I O�hef: <br /> . .. _� .. �• J <br /> _...i�,: �..:����� .�..�.rinasumebpulroaonOcortecl.Allpmvis�umol.mna�'.acr .anup.�en•.:ny „slC �I � �.'. �: <br /> � � I•]r'.e.a . �L�.��'.t'Yef �cl G'Hume b 9'.e oulnonry Io no�aln or Wncei�M1u l�o'.�s.cn ol u I .�er slale Or i� �.p e�.] .� . . <br /> . . i. :�.1lt1C1��<L�l�.fl:l:").�,�C"1�=iC�!.�I'�I�CN�141�^,IN^'.C��FiICOWnlflll]CB011'JICCI�v'/NI�I^.05'�J'.t'�Jlt:,�::_ISL3v11t12�Fl:.J:`]:!'J._'.n:.=.. <br /> ' -/ � C���7��/� <br /> __.. ,.... ., �:.� ;.r,,..n5�gnatu.i Dale !�e.srac:7:C. <br />