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� s <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., [verett, WA 98201 425-257-8810 FAX 425-257-8857 �^nvw.everethva.org <br /> SITE AODRESS: VNOPERTV Tn%d P R���T <br /> �� « �n .�-����.c�a�.� i�o� -co <br /> LEGAL Ict cew consWclion� S�,cit PlaUsubeivis;on Lct No_ (attach topy ol lerg Iegal descnF�ien) <br /> OWNER �/Q"/�L� (T�f�'� Phone�E�mad <br /> AtlOress Ciry/5talelLp <br /> APPLICANT:�O�mC! _O��tiCeisA9M1 _CCn(rdttCt _Conii2dor'SA9en! _Tendr�t(n.+iD�auenimeraRcn:r�oon•.`eorvuGowi��nm+epaccl <br /> CONTRACTOR �v Ll���\� ��V�CC State Lic.# � J, �, �.5�O City Bus. Lic # G����' � <br /> uJAS� l�S `J�IrI-O 8 <br /> ACdress Pnone/Ema <br /> TENF NT�USINESS NAME CONTACT FOR PER�.�IT <br /> [v�sr��f��r�t }��,�-�c. CvN���n/���� C�R7",tdo Tor3,�s� ,�/ <br /> Phone/E�ma�l ZS—�O — 07 d <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> ExlsUng Use ol Budd;ng HEAT SOURCE� <br /> PioposedUseolBu,'d�ng_ Gas_ Eiect��c__ O�rer_ <br /> �u�itlmg type _S��ngle Famiiy _Oupie._Townhuuse _�+tuih�Fam:,y _Commerual <br /> T e of ro-ecl. Ne�v Add lio i Remedel Reua�r T I. Siqn �5.rmkler Demoldion Chanqe of Use <br /> DESGRIPTION Of W ORK�xCA,nona�spacr pro�:dea on rhe Dace) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypcofPwjecl: _New_Addn _Altcration_Repair TypcolProject: _New_ Addn _A.Ileralion_Repair <br /> Show Numbcr(s)o!fixNres Shaw Number�kJ ol lixfures <br /> �VC–air handLnq unds Todel <br /> Forced air s•stems Oathtub <br /> Gas i in Lavato wash basin <br /> Watcr heaier Shower <br /> Gas Ore lace Kdchen sink 3 dis osal <br /> Gas ran e I Dishwasher <br /> � Clolhes d �er Clolhes washer <br /> Ran e hood Water heater <br /> Eahausl fan Sink servicelbarlmo letc. <br /> Hcat um I Hackllo�v reveNcr <br /> Unit heater Urinal <br /> Boiler Drin4in Founlain <br /> Refri mat�on Pfoor Ara�n <br /> Woodslovc Greasc tra <br /> Ductin Roof drains <br /> Other h7edical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � o�hcr: <br /> NumberofHeads Olher. <br /> I nrreCy ceniry IM1aI I�ave rea0 an0 e�am�ned Inls app'IUl�on and know Ine same lo Oe INe anG mrtect.All prerislons ol laws anE ordinances gove��!�9���s type ol ncrk xJ Oe wmpl <br /> w.in w��clner sppn ieE Oemin or nol.T�e granPng ol a pertnA Coes not presume to give aulAonly lo eiol�le or�incel Iho pmvis�on al any olner slale o��owl Ww regulaLng conslmc�an <br /> ;Ta amau�lameEOyihemmcroli��sprcpcMiopertmmi�exo�klarwh��.c�appGcailonismatloan0lcompy��i�i��e5iateConlradorsLawtB17RCNanGI96200AN'AC. <br /> ��u�-�'�v�w�-��✓ _ . ._. <br />