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/ PERMIT APPLICATION <br /> BUILDING/MECHANICALJPLUMBINGI�IGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Fveretl, WA 98201 425-257-881U FAX 425-257-8857 www everenwa.org f / <br /> APPLICATIONS ARE ACCEPTED FROM 3 AM TO 4 PM � �- � `�( <br /> 517EADORESS: O • rAOpEaivTA%u P IT _ <br /> I.EGAL br rnw mnswdio�. Snort V�aVwDc�rvon Lot No__ (anaU�wDY ol b�g ie9ai descnpuon) <br /> l Y�4J' eJ <br /> OWNER I��Sul vnonuE.nad �`j " �I �O <br /> aarnss �y.a. crty�Su�elt�o LL�� Oo•�� <br /> i APPUCANT. O.K'�er O.+*+c/SAgc�� CMHraGo� ContraCorsA9em tenam„�.:+io�+�a..�-.�.�m..����,To..�.,m��-o^"�.�:-+R� <br /> IC04TRACTOR .2 L 8I Lic N Soc.clem:�9i5oTcoe 8�5. ��� � i <br /> I 5e�rrss aQ�s �4Q.t �d �, (,� Pno�elEmail aQ '3! ' �' "/ <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Pno�UE-ma�i <br /> BUILDING PERMIT APPLICATION CONTRncT vRiCE OF WORK <br /> Eaishng Use of Bwitling HEAT SOURCE. <br /> Proposed Use of 8uildino Gu_�Eicttnc_ omer___ <br /> BuilCir,g type�. ��Smgle Famiy _Dupiex_fownhouse _Mulu-Fam�ty _Commemal <br /> T of ro ed: New Addrtion Remodel ReOau_ T I Si n SD�inkler DemohUon Chanqe o1 Use <br /> DESCRIPTION OF W ORK�aaemonar spaw pmrbeo on me oaa). <br /> �f� -f� �� �-�C.�� -�� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLtCATION <br /> Type ot Pro�ect: _Nw_Apdn _AReralim_Rcpai. Type ot Vrqect: _New_AEtln _Altcntion_Rcpair <br /> S�owNumAn(I)olfirturrs SAowNumea(�1 olhrtures <br /> � A/C-air hantlhnq untls � Tode� <br /> � Forced a,r s stems Bat�lub <br /> ' Gas o�o�� Lava�o (wasn Das�n� <br /> � Water ncater Shower <br /> I Gas fire lace K¢chen sink 6 dis osai <br /> : Gas rangc Oanwashcr <br /> Clclnes a cr CIOI�es wasncr <br /> Ran e�ood Water heater <br /> E.x�aust lan Sink(semcelbadmopfetc) <br /> Heat um DaUifow prevenler <br /> Und heater Unnal <br /> _-- _ ____ _—._.___ — _—. __ --._—._ <br /> Boder Dnnkm Fountam <br /> Rehi erabon � Floor dram <br /> Woodstove Grease Irap <br /> Ouum Roof tlrams <br /> CYJ+er Medicai Gas <br /> SrPRINKLER / SUPPRESSION SYSTEM Otner <br /> Number d HeaOs Other <br /> ��ereq fu6y C�at 1 hire iedd anC eumreE Ne apytlton Si0 4+b«O�e stme to De true anC mrtep AE Orormna o1 LMf ant aEn,vicea gwM.vq L1e rypt al rO.n.wS De canDl=C <br /> .rJr aheC�e�spedeE nerm w nm TTe prmwp d n pnmrt don nm O+ewmc u Ohe ut�om�to vNa:e tt ur�f E�e;rovam cf anv o:�w sta:c a br�!la..ieyu�::rW mn�u�c:m <br /> l�.at 1�un auNmveC b�R�e owner ol Cu O�Oe�Y b pe�dm��e�wr\ip�MCi uy0�G maCe anC 1 romGh mn Me 5!Y GenVstm�L.r.�t 8 2�AL'tV m�0�7(M1:.V:.iC <br /> /"1 <br /> �� ':% (�.�� �/�1�� <br /> Ownerl ulho -uC Age�t SigMure pa c (Revrsca 4'lnt:i <br /> i <br /> � <br />