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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Gverett, WA 98201 a25-757-8810 FAX�25-7.57-8857 �.v�+nv.evereth^+a org <br /> SITEADDRESS� PROPEattTA%n PE rdll��_ M <br /> �� «,��1'n f}-t/ei�r�E �3� u.� <br /> LEGAlfornewce�sWcben S�,ortPlaUs�W�ns�en_ lotNo_ (�i�achcepYotlon9�e9alCescnpfio�) <br /> OWN[R L � L l y ��' G Phrnel6ma�l <br /> A�Cress GyiSlate2lp <br /> APPLICANT: �_ONner _O..nei's�gent _CoNracicr CC^��2ctLi5a9?M _Tenan��mvvp:o.�aamn<ro:co�u-ihcnineo.^.cr•meowu�.nre�pem) <br /> CONTRACTOR � T - L IV (� S�Z���� Stale Lic. N (p ,9 �. OS�O City Bus.Lic. # D�'/� /1 <br /> A�CrC55 <br /> P1�onc�Ena� l C�`' `�"l}'l� � <br /> TENANT BUSINESS tJAi✓E .� CONiACT FOR PERMIT <br /> (�?�stc-y�-�,Lrz t �.?�G- �c;�tJi�v���n/,��� �yc�—,� 7-,tdc� TOr3;,¢.5o .t/ <br /> Pncne/E�ma�l -1 S—34�— 07 d <br /> BUILUING PERMIT APPLICATION CONTWICT PRICE OF WORK <br /> [Y.�sl�ng Use o16wlC�ng Hf_AT SOURCE- <br /> °�ceos^d Use ol�u•Iding Gas Eiectrc OPer _ <br /> �dd��ng Iype _:mg'e Pamdq _DuFle*_Tov+nhC�se� _:'ul!�.P�m y _Ccmmeraal <br /> Tvpe ol mo�=_U Ne�v A�d 6on Remadel Rena�; T I _SiAn Spnnk;er Cemo6hcn Ch�n�e ot lKe <br /> �ESCRIPTION OF WORK(aeomona�sFace Frm�;ded on ior bar.l <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeoiProjecl: _New_Addn _Atleralion_Repair TypeofProjec�: _tJew_Addn _Alleration_RCpdir <br /> Show NumCer(tt)ul lirfures Shmv Numbcr(bl oi li+fures <br /> NC-airhantliir units �ailel <br /> Forced au s slems Oathtub <br /> Gas �� in Lavalo �vash basin) <br /> Nlahn c�ater Shower <br /> Gas frc lace Kdchrn sink 3 dis osal <br /> Gas ran e � O�shwasher <br /> CloUies d cr Clolhes washer <br /> Ran e haod Water heater <br /> Exhaust(an Sink servicelbailmo /eic <br /> Heat um I Backllow reventer <br /> Und hcater Urinal <br /> Oodcr Drinkin FouNain <br /> Refrl erahcn Floordrain <br /> Wootlstove Grease tra <br /> Ductin Roof dra�ns <br /> Other Mediwl Gas <br /> SPRINKLER I SUPPF.ESSION SYSTEM � o�ner <br /> Num6er of Heads Other <br /> I nereGy mmy I�al I nave reaC dntl eiam�me410is aCF'�U�°n dnC know Ine sJme lo�e W e and certeG.All prac�sions ol laws and o�a:nan<es goremng Inis pDe cl noik wil Oe compl <br /> �.�m w��ci�er spenfieE�erco or ncl IDe granu.�9 0l a permA Eocs nol p�esume l0 9ive auinonry�o Wola'e or tancen�a provrslon cl any amer s�a�e or local�aw regNa[i9 cons�rocbon <br /> Tha J am aulnon:eE by t�e owner ol lhrs propeM�a P��Orn��e xoh tor w�ic�applicalioi is made and 1 mmply wnn I�o Siale CanlraUors Law 1 B�T RCN anC 79fi 700A WAC. <br /> ,:=-����{��v�''-t-�a-�-•ti� _ _ _. <br />