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a.�4 <br /> � � <br /> PERMIT APPLICATlON <br /> ' BUII_D!NGIMECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425•257•P810 F�X 425-257•88S vrvnv everethva org <br /> $ITE ADDRE S: PROPER�Y TAXN P RMIT tl <br /> 3�s lac/C_ �St �c�19&�^/ � o -oH <br /> LEGAL�o� neN construct�en Sho�t PIaVs�ltl�vuron �ot Ido (al:ach capy ol long 1e9a1 desu�0���on) <br /> OWNEf�^ �7� y�QUS/A vF!�� PnoncrE m� i �s Q������ <br /> nac�ets ' � � > � Ti2f4''1 e�p�st�ie�z u f 1� /�. <br /> APPUCANT: Owner OwnefsAgenl Connancr COnitanofSAgCn1 IcnaroiT�umm�ceaieenc�c•u^us�•rec•�.��•.oaa.:�nvo•.>r.-7 <br /> CONTRACTOR L 7�A�. �N��UCriQP� SlateLie � Q(/� C� 7� /�� CiryBus L�c a <br /> � �q�iy� <br /> nC0•essP,Q 0 Q , ?j Pnonc�Emad �Q� a2�(� ST �L lbJ 'C8'Y' <br /> iENANT BUSINE S NAME CONTACT FOR PERMIT <br /> �,/ ��/� � � <br /> YY�r/ � �(.{�'�_ 0�/ '� Fnone�Emau �rk A� /�.�le� <br /> BUILDING PERMIT� PLICATION CONTRACT PRICE OF WO SSI <br /> E.�sung Use of Buny�ng H= T SOURCE <br /> P�eposed Use ol Budtling Gas _ Eiectnc__ C;ne� _ _ <br /> �u�'7�ng lype _ S�ng!e Famdy _Duplea_Toxnhouse _Idulh�Family _Commeraal <br /> 7yo^o`oro�ect New Adtldion Remodel Reaair_T I Si n_Spnnk�e _Demolihon__Charge ot Use <br /> �SCRIPTIONOFWORK1a�onena�spacep�o�:eetlentneDacS� � i� <br /> F�1pU4 L�jCi�svii�q �u/1�a(�� �f� �vCrC �/QCt.bJ4 SG���f� ��f[� �U��cF <br /> d <br /> MECHANICAL PER IT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProJrc1: _New_atltln Allera6on_Repair TypoolPro�ect: _New_Adtln _Alleration_Repau <br /> Show NumDrr p of firfures Shaw Num6rr(p)o//i.fures <br /> � A:C—a�r hanCqnq unqs I Todel <br /> I Forced arc sysiems � Balhtub <br /> i Ga,p�omq I Lavatcry(wash basm) <br /> � Water heater � Shov:er <br /> Gas fireD���e I Kachen s�nk&dispusal <br /> I Gas ranqe I Dishwashcr <br /> I C�othes dryer I Clothes:v;sher <br /> � Rangc hootl � Witer heater <br /> � Eah�ust lan � Sink (serv�ce!hadmep/elc) <br /> � HCd�Pump I Backfi0w prOVNn�cr <br /> 1 Und heatcr o�2�JAL I Uunal <br /> I Bo�ier I �rmking Foun�ain <br /> I RMrgcration I fioordram <br /> 4Voodstove � Grcasc Irap <br /> DucUng ! RoolOrams <br /> � Gtncr j Med�cal Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM j Omer <br /> Number of Heads � Otner <br /> i ne�eEy ceni}y Uai I n��.e rea0 ana e.ammeE i��s a,D'���'�on an0�no�tbe same to�c Irve and co�rccl A�I p�ov�s�wi o��axs an�or'�na�ces goveming iMs Igx el v.orA n�1 Oe cempi eJ <br /> wf.n wpe�ne.specR� F.ae.n or nol Tne granbng ol crtn�t aees r.ol Ceewme to qne aulnenty b no!a'e or cde<e�ine C�mnon ol dn�ctl�^�staL;m bGll lax regcla�no mnslro;v:n <br /> T�a�1 am�mn eC o�me vnrer e1 ims prope �orm t�c eor�Icr.M�U�apptrca!�on is ma�e an�i wmpiy w!n iRe 5'a!e Coctra;fars l a.. iB 27 AC:!avl 7°6 2JC.'::AC <br /> � /� — � s oiy <br /> OwacnAmhorizedAgenl gnaWre Da lHev�se�1?0�31 <br />