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PERMIT APPLICATION <br /> BUI�DING/MECHANICALIPLUMBINGISIGNlSPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �wwv.everettwa.org <br /> / 2 —/ 7'—� <br /> SITEADDRESS: iROVERiYTA%a P ITa <br /> � �_ O <br /> LEGAL�or new cansirucron Shon PWUsuDd�nsion Lol No._ (attach capy of long iegal descnplion) <br /> OWNER Phone�E�mad <br /> AEdress GIyISIa�e/LD �` Q'� <br /> APPLICANT:_O+.'ter _Oa*icr'sAgen� ✓Contracmr _ComraaorsAgent _Tenam�m�,io�o•�a��i.e.�m�o�smirommeo.Te.meownnm�.o.,«i <br /> CONTRACTOR \\ � ,� Stale Lia# L Cily Bus.Lic.� <br /> AGCress P�one.'E�a�.l <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> �'�o.e� �t�.5- �a.�•3��� �Seo� <br /> PnonelE�ma:� <br /> BUILDING PERMIT APPLIGATION CONTRACT PRICE OF WORK ?j `d'1'f•C� <br /> Existing Use o(Building HEAT SOURCE: <br /> Proposed Use of BuJding Gas Eiecinc Otner <br /> Bwldmg rype�. �Smgle Pamily _Dupiez_Townhouse _Alulti•Family _Commercial <br /> T eof ro�ecC New ACtlllion Remodel Re air TJ. Si n S nnAler Demoiition Chan e olUsc <br /> DESC RI PTION OF WORK(add�nonai svece n�o���ded on me oacw): <br /> V,�•o„\\ �o� �X�il.��`' <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol P�o�ect: _New_Addn �Alteration_Repair Type ot Projecl: _New_AOCn _Attaralion_Repair <br /> Show NumDa tl af fixtwos S�ow Nam6er e o/firtwes <br /> � A/C—air handhn unds Todel <br /> Forced air s slems Balhmb <br /> Gas i in Lavalo wash basin <br /> Waler henler Shower <br /> Gas liie lace Kilchen sink&dis sal <br /> Gas ranc e Dishw�asher <br /> Clcdhes dr er Gothes washcr <br /> Ran e hood Walcr healer <br /> Eahaus�lan Sink SCrvicc/badm0 �Clc.) <br /> Heat um BackOow reveMer <br /> Unil heatei Uiinal <br /> Boiler Dnnkin Fountam <br /> Refn cratian Floor drain <br /> Woodstove Grcasc ua <br /> DucGn Roof arains <br /> Olher Mediral Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Olher: <br /> ��e�e0y ceMy tNt 1 tuve reaE an0 eammed Ne a0d�lon aM�no.�Ne same�o Ee Ne aM conM.M proreions ol Liws aM o0u�rce5 govemn9lhs pye ol rro�k r110e cnmp <br /> wph wttllh��SpCLdipO fICfCN W 11DI 11M Afd�M901 d pCI�110 EOCS�OI O�PSUTP 10 B�e�NM�1y IO vddlC Of LlMCI1hC plOv6�O�01d�y R.hCf SI�IC p bG11�lw fPQuidlilla CO3V1�:IUf1 <br /> thA I dm autMnieA Oy Ne mme�al tns proUeM�o ce�o^^��e woA Ia rih[n aoD���o^3 maCe dn01 cDmpN�It�e Sldte Con?dnors Uw IB 77 RCW aM�96 700n N'AC <br /> OwnedAuthori:etl Agent Signalure Uale (Reracd 9/101aj <br />