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� � <br /> PEftMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa org <br /> 6 -1$ -15 <br /> SITE�DRESS: PROPERTY TA7f p bhO P � �O� <br /> 0 ll <br /> LEGAL lor new con5lrutl�om Shotl PlaVsubErvision �ol No_ (atlach mpY ol long legal descnpuon) <br /> OWNER C Q.'4"�1"aPiY� Phone/E•mai 'Z —�Gj� � '�J'� <br /> neamss cj2 C yl C�ry�State/Zic l�1J19 �g20 � <br /> APPLICANT: Owner OwnersAgent �Comrec�or ConlractorsAgent Tenant�m�sio�•�aoo�eno�oimm��ir�,mm.o+Ts��oao.on����s.p.ui <br /> coNrrucroR Y� �Ct,V State Lic.N 5 S'��l2DD cay e�5. ��� a �5y I <br /> AACress �Q J�C, /1 W��1 �22�v P�enc�Emae 3e,(Q— S <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT�OSIn M�1�'P/� <br /> NI� Pnone�E-ma�i � ' 3' 2g g <br /> BUILDING PERMIT APPLICATION CONTRACT VRICE OF WORK �I Ci� �o� GJ <br /> Existing Use o1 Butlding n_ 1�� _ _ HEAT SOURCE� <br /> Proposed Use of Buildmg �u L� Gas Eiec�nc otner <br /> Bwldmg rype� �Single Famtly _Duplez_Townhouse _Multi•Family _�ommcrtial <br /> T eol roed�. New Adddion Remodel Re air T.I. Si n 5 nnkler Demolmon Chan e ofUse <br /> DESCRIPTION OF WORK(admsona�sparn prov�oeeon mo eacw/�. <br /> In��� v+r�u �ol,a✓ �v ��{s�e-+�'�. <br /> MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProjecl: _New_Addn _Alteration_Repair TypeofProject� _New_AOdn _Alteralion_Repair <br /> Show NumEer M o/lrrtures S�ow NumOer N ol firtuies <br /> A1C—av handha unils Toilet <br /> Forced air s slems Bathtub <br /> Gas i in Lavalo wash basin <br /> Walcr�eater Shower <br /> Gas fire lace Kitchen smk 8 dis osal <br /> Gas ran e Dishwasher <br /> Clolhes d er Clothes washer <br /> Ran e hood Waler heater <br /> E:hausl fan Smk servicelbar/mo lelC. <br /> Heat um Aachflow reventer mside bld <br /> UnA healer Urinal <br /> Boiler Dnnkm Fountain <br /> Refn erahon Floor drain <br /> Woodstove Grease're <br /> Ductin Roof dr ins <br /> Ot�er Metlical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM otner <br /> Number of Heads Other. <br /> �Irere�y cenM��al I hnvv rca0 enE eanm�ned�hrs apPS�uon an�know t�e same m un Wn nnJ fnned AA provrs�on,o�Uws nn0 oN�nances�ovem:n�t�m lypn ol woM1 vn'I Oc ramp' <br /> w�1h NmIM1a�speW�M�or m or t ihe pmntinp ot o peim�l��es nal pra�umo to ryve nuibon.y lo vialale or cnn�INe{,.uvi:ron ol any o'her:I.ita nr lou�l law�epulalmp con:tmchon <br /> TMI I nm aut�onie y i� I�is prvpetly Io pciloim t�e woM1 lai �N n oi�cntbn�s mnae nna�wmoN�����e S�mc Comncmr,�aw IB?71lL W md 29B]OOA WAC <br /> � �� 15 <br /> OwnerlAul�oriz Agent Sigaa u Date (l7evrsed aR075) <br />