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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 9b201 425-257-8810 FN(425-257-8857 vnvw.everettwa org <br /> SITE ADDRESS: � PROPERTV TAX p PERh11T a <br /> �3J <r��iYD .���i��rC ���/ �- CO <br /> LEGALfornewmnsWCPon�. Sho�P�aUsuCCivision Lut4o_ (.����hcopyof�en9legalCescripl�,cn) <br /> OWNER sU(:- ��"GJC_� Phonel[�maJ <br /> AEtlress C�ryiS!ate2��0 <br /> APPUCANT: ,�ONnzf _O�xnefSAgenl Coelyd:lor _CCnlraCtGiSA�en1 _iCnanl��-.,si��n�eaaenoc'vo,.em'm.�rcec.-.rmea.�-:���+�n.sc=�c� <br /> coNrr�ncroH � C��l�F�� -S�1�1 CE" Slale Lic u ,/ ,� 3. OS�o cav ous.u� x o�/a <br /> A^,dress <br /> Pha c Em�1' ���S `i'��(, � <br /> TEN NT BUSINE55 NA�AE CONTACT FOR PERtdIT <br /> ��eSt�N��}r�-n. ���cc= �o•v��.n/,v�� C;-� rk.do Tor.�;.�-� .t/ <br /> Pt+a�dE-�a,l lf.LS-30 — Q�nl� <br /> BUILDING �ERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Er�sting U5e ot BwlC�ng_ HEAT SOURCE� <br /> ProFosed Use o��uftl�ng Gas____ Eieunc _ Oln:r <br /> �udd�ng lype _S�ngle FamiPy _Dupler_TOwnhou5e _�+Culh�Fam4y _Commercial <br /> T��^•�ol pro�eU Ne�v Add�l�on Remodel Repa�r T I Si�n_Sonnhlar Cemolilion f.hanae ol Use <br /> DESCRIPTION OF WORK/aaoro�aispace�:o:deaen me back) <br /> MECHANICA� PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProject: _New_�dAn _Alleralion_Rrpair TypCOlPmjecl: _New_Addn _Alleralion,Hepair <br /> Show Number(n)o!fi�tures Show NumUcr(a)ol lixfures <br /> NC—airOaaAiin units Todel <br /> Forced air s slems 5athlub <br /> Gas i in Lavato �vash basin <br /> Water healer Shoreer <br /> Gas fne lace Kdchen sink 8 dis osal <br /> Gas ian e � Dishwashcr <br /> Clothes d �er Clothes washer <br /> Ran e haod Water healer <br /> E*haust(an Smk sernce/barlmo lelc <br /> Neat urnn I Uackllow �reveNer <br /> Umt healer Urinal <br /> doiler Drinkin Fountain <br /> Rcfn eration Floor dra�n <br /> VJoodstove Grcasc Va <br /> � Ductinq Roofdrains <br /> 01her Medicel Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � Clnec <br /> NumberofHeads Other. <br /> I�ereoy cen�ry inal I nave reaU an0 e�amined mis apC'����n an 0�ncw I�e s3me lo Oe Irve anC artecl All pmvi=.ion;ol laws and orG�nances goveming Ihlz hpe ol work H.1 Ce mmp: <br /> N,:n wneiEcr sprnfe0�erc�n or not.TTe 5raniMg ol a pertnM1 Qae s nai Dresume io 9ive aui�on:y lo vio�aie or wncel i�e provis�on al any oiner sia:e er lowl imv re9ub[ig canswcbon <br /> T1�a�am auiAod:ed Cy i�e oxner al ih�s pwperty io pertartn t�e x�ork lor a��:�h aFF'�����on�z ma0o and 1 campy w�i�I�o Slale Comiac�ars law 1927 RC W and 296 200A WAC <br /> _____-� <br /> r�.,G'CG����"�-�'`�� - � - - <br />