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�PERMIT APPLICATIO• <br /> BUILDINGIMECHANICALIPLUMBINGISIGNlSPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERIIAIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> -... _ . . . . . pppLICAT10N5 ARE ACCEPTED FROM 8 AM TO tl PM • � �� � �{' "a-�J`�� <br /> SITEADDRESS: , -- � iROVERTYTA%p.--•• -• ��- �• -- •PERMITM , <br /> LEGAL Por new conslruclion: Snort PlaUsub0lvision lot No._ (atlaU oopy o1 long legel AeScnptionl <br /> OWNER � S (...� . . . ' Phonc/E•mail _' ' `"� . <br /> aa�s o2 -G . ams�i�z�p c u �— B'2-o� <br /> APPUCANT: Owner Ova+efsAgenl Contrecbr ConlraclolsAgenl TEnBnl�mwtpmnae�btrorelmn+emrmmmeownermtlewatmmeswm) <br /> t <br /> CONTRACTOR � L 8 I Lic.R (' Z,L COE Bus.Lic.M <br /> Udr� - L��4Q.. L � � l \ L�//} PhorrelEmeilr' �S-� ���' C � <br /> TEH��NT BL31NES5 HAME CONTACT FOR PERMIT <br /> • ' � PhnnelE-mail � <br /> BUILDING PERMiT APPLICATION . . , coNTrtnCT PRicE oF woRK <br /> E:isling Use al8uildi�g -MFAT SOURCE: <br /> Proposed Use ol Building - Gas Electnc Otner <br /> Building type� _Singie Famify _Duplex_Townhouse _Mufti•Family _Cammereial . . . <br /> T e of pro ed: New AddAion Remodel ReDair � T.I. Si n 5 rinkler Demolition Chan e ol Use <br /> DESCRIPTION OF WORK(edeib'onai spaee pm���aee on the back): /� , <br /> uF' S��, i.JG�nCIIv�-& iN GJ'c��nJl 5��� � /7-d.�?,� a.hcl ��� v�-+ �o <br /> L�x�S�i v�� Sys� _ � - - . <br /> MECMANIGAL PERMIT APPLICATI�DN PLUMBIIiG PERMIT APPLICATION <br /> TypeofProJect: _New_Addn _llttentlon_Repalr TypealPro�M: _New__I1dAn _AlteraUon_Repe:: <br /> S�ow NumAer(NJ o!flrturcs S�ow NumDer(M)ol RRures <br /> � AIC-ah�Bnatin unils � - TOilet - � � <br /> Forced air s stems I Balhtub <br /> Gas i �r � Levato (wash basin <br /> Water heater � Shower <br /> Gas firc lace � - KAchen slnk 8 dis osal <br /> Gas ran e Dishwas�cr <br /> Clothes dryer Clothes wasAer <br /> Ren e hootl - - Water Aeater <br /> Ea'hausl lan Sink servicelbadmo /elc. <br /> Meat Dump B� tflow Dreventer <br /> Umtheater � "' � � -- Urinal <br /> Boiler Drinkin Pountain <br /> Refi eretion � Floo�drain <br /> Woodstove Grease trnp <br /> Ductin • ' " - - - Roof dreins <br /> Ot�er � �" ' ' • � MediralGas <br /> SPRINKLER I SUPPRES310N SYSTEM ' ;Z 'O�her: <br /> NumberolHeads OMer <br /> I hereDy mrMy Ual l heve mn0 nnE cinmmeA I�u oDD����anE know Ma wme IOEc lnie nn0 mm:tl.All p�avisbns o1 iows md ordmenres povom'�r 0 Ub NDC�����e complied <br /> wMwt�alliersOeuM1�rl�crcmornot 1hu0mntinpolnpe�mittlaosnolpremmrlopvonuNo�ttylovwwtoor�nwlMvpmrfMolnnyolMeld!amlore!bwnyutiGnpcon,bu�lon <br /> iT011 nm euMOMecG Dy Il�e wTCr ol Nb prope lo paAam�tl�c wor�lor Mlp�eppfrntlon la ma+c nnJ I CanpN���o SWtc Con^etlon Lxw 1027 NLW an0 2B8 700A WAC. <br /> '�(� �� �U 1� <br /> ✓ ' <br /> (��OvmerlAuthoMzed Agcm Sign�ture Date (Ro�:otl6�1074) <br />