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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everetl, WA 98201 425-257-8810 FAX 425-257-8857 �vww everettwa.org <br /> 05 • . , -. 1 Z _ /D—1� <br /> SITE ADDRESS:� O ` � �� VAOPERTV TNf k P RMIT 9 _ �� <br /> a� /�J.�i!:�C-�/' . <br /> LEGAL lor new cansuucfon Snon PiaUsu�drviswn Lol No (allach copy ol 1on91eyal descriptian) <br /> oWNER kV P- �u rr� (��- �d�r �SG�♦ Pnonc�E�ma:� .1�Gr✓i rvsE-:- . CGc r� S m-� � 'y�.w�G. Gyy� <br /> �am�ss � �� f'�`� A �K �"Gc�'�— o�v�siaie�z�P �v«�.---t- wA- � Yyu� <br /> APPLICANT: Cwner _OwnefsAgent _Centractor COnira[IOfSAgCn1 _TenBn11'��sicm�aeaierrrota-:em.rcmmawr.eri�,to.a��m•ec��'1 <br /> CONTRACTOR State Lic. # City Bus Lic a <br /> Atlaress P�onC�EmBtl <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> pcone�E�man <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_�� � <br /> [xislirg Use of Bwlding HEAT SOURCE. <br /> Proposed Use of�wldir.g Gas__ Eieanc_ Olner____ <br /> Buddmg type �,Smgle Fam�ly _Duplez_Tcwnhouse _�dulti•Famity _Ccmmeraal <br /> T pe ol orojeci New Adddion _Remode� _Repav_T I _S�gn__Spnnkler__Oemohtian_Charge ol Use <br /> DESCRIPTION OF WORK�acmnonai space p�ov�cea on rnc D�cti� f-G,Z��f� <br /> K • 9q q�Ls �D 11-�'>*,st-/-r�' /�✓inTury /u-'-�' �'� <br /> C�nnG�� �� � � <br /> MECMANICAI PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projocl: __New_AEEn _Allaration_Ropair Typo ol Pro�oct: _New_AAdn _Alteration_Ropair <br /> Show Numbcr(a)o!/i+turrs Show NumDcr�M)o!li�Nres <br /> A1C-av hanaling unns � Todet <br /> F3ath��b <br /> � Forced a�r systems � Lavatory(wash basin) <br /> /, � Gas p�ping Showcr <br /> ' � Waler healer <br /> Gas lireplace KAc�en sin;8 disposal <br /> � Gas range I Dish�a�asher <br /> � Clothes dryer I Clothes washer <br /> �Range hood � �Vater heater <br /> EMhausl lan I Sink�serncc/badmoD�etc) <br /> � Heal pumD I BacF1'ow prevenler <br /> � Urnt neatcr � _ Utina� <br /> � (3odcr I Urmkmg Foun�am <br /> � f2C1fIqEG1110n I f'OOf4f01❑ <br /> woodstovz I G�case Irap <br /> Ducbng i F.00l drains <br /> � Other_ � bted�cal Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � o�ner <br /> Number ol Fieads � Other <br /> I nere�y cemty�nat I�ave ieaC anG e.am�ne0 t��s aDN�tq�and Anow t�e same ro x vue ana conrq Aii pm.isons c�Iaws a�0 a�awnces qovemmq iMf type oi wod+n�be compkea <br /> vr.,�rre�ner seecd�ra nercm or not The giantmg ol a pertnn aoes�ot pesume to gne aNndny�o vwlate or an:.el L�a Corsmn ef an�t:�et itale a bwl law requlal��,nB w^t•tua o� <br /> T�at 1 am aua�a�icE ey Ne av.ner ol tn�s popertr lo pedorm me woA b��rK�aDC4w;ron K maae an0�wnp,y w:n Pt Sl.r,e Cco:rar.ns law IB 27 RCW anE 296 700A�5'AC <br /> [/A /(� ' i��� 7 <br /> �7/f�l ti3l__-"E%�' `� _ "�'�_ /2 . � <br /> O�rAuthorizoC Agant Signaluro Date (Rev�sed 1?Of J) <br />