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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUM131NG/SIGN/SPRINKLERIDEMOLITION <br /> CIN OF EVERETT PERMIT SERVICES <br /> � 3200 Cedar St., Evarett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM " � ..�)—� <br /> SITE ADDRESS: �� � VROPERTY TAX p OO QO PERMIT p _ O <br /> LEGAL lar new consiruction: Shoh PlaVsu�divison ' Lot No._ (atlach capy ol long legal descnption) <br /> OWNER �//II�� Phone/E•mail (q�q)sl - 3�{S� RJ6 CJ m2C•cowt <br /> Address e . Cily/5tatelZip ✓(�+�' (J ��e=-0( � <br /> APPIICANT: Owner OwnersAgent Conlractar Conlraclor'sAgeni Tenani(mustcmmaoa�mmciwn:umncmmaav.ncrioaowcM���muspawl <br /> CONTRACTOR E tr Gsi ��, BmF�1 � L 8 I Lic.fl ¢3 q '00 ' COE Bus.Lic.f! O 8a7 <br /> Address t� � ��f � � � ea7o Phone/Ema�l � e�3U " QS <br /> TENANT BU51 SS NAME CONTACT FOR PERMIT <br /> K�r� Fu9at� (�s> �'•.34-��ao� <br /> . . PhonelE-ma�l y� }'�,0 . C. M <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WOR E.s, 50D • DO <br /> Ewsling Use of Building .5 FQ_ __ HEAT SOURCE: <br /> Propos¢d Use of Building �O C..� Gasy Electnc_ Oiher_ <br /> Building type: �ingle Family _Duplex_Townhouse _Mulli•Family _Commercial <br /> T pe ol proiecC New AAdition �Remodel Repair_T.L Sign_Sprinklr,�_Demolition_Change of Use <br /> DESCRIPTION OF WORK(addmono�spnce prov�ded on Ihe 6act): <br /> �',onurx+ I 33 g�¢ of 5ccanQ �bo� �r�' �oom +o sacnk( b�►°e►n- <br /> Crca.f'a bq}�►roeM by �'r J ihfer+�r non - Ioa�l },oerni�e ,�a��on Wtn • <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TyDe al Projecl: _New_Addn _Alteration_Repalr Type al Project: _New_Addn _Allaration_Repair <br /> Show Numher(N)01 fixfures Show Number(0)nl flrtures <br /> .VC-air handlm umis Toilet <br /> Forced air syslems Bathtub <br /> Gas i in Laval� wash basin <br /> W aler heater Shower <br /> Gas freplace Kitchen sink 8 Ais osal <br /> Gas ranyc Disliwashr.r <br /> Clothes drycr Clnthes washer <br /> Range hootl � Wraler healer <br /> Exhausl fan Sink serv¢elbar/mo letc. <br /> Heat pump Backllow pievr.ntr.r <br /> Und heater Unnal <br /> Boiler � • Onnkmy Founlain <br /> Refriycrahon Floor drain <br /> Woodslove Grease irap <br /> Ducting Roof dralns <br /> Other � ' Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM o�her. <br /> Number of Heads Olher. <br /> 1 hnrnhy cerlf.y'na�I I�avn ren�m��eenmme�f Ibis nppl��alion qnd Anow I��i:amrt lo Ua Wn intl conerL�II pmvrslom ol lnws antl ntdiwncos gmomin�INs lypu ol woM w.11 An compbrtl <br /> w.11l w�l1llPr SI�Y.L�IBd hMFn Of nOl 7�'.1!I�r.lrlUn�pl�(�pflpi�110L`Y��01 pfO5UT0 10 QiYO�u1110rI1Y 10 vI0W10 0�CdnC01 Ih0 O�OviY(In al arly aI11N 51p111 Or InC.11:1w 111tJVldlinff[Gn:�Ncl�On <br /> i�ot I 0m aul�ovCd�y I�o ownCr M Nis O�opc�ty Io pedortn Ihc work lo�wM1¢�apVlirAlmn is maUc ontl I�amply w�lh fhc SlatC ConliaCior law 1B 77 NC`n'a�U 29G.700A W�C � <br /> � � <br /> O.vner/ Ihodted Agent natura Dair. (Revrsed N2017J <br />