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i <br /> �RMIT APPLIGATION <br /> � BUILDINGIMECHANICALlPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �+nvw.everettwa.org <br /> � �--a—i � <br /> SITEADDRESS: ���� � �e , , PROPERTYTIU(N � PERMITC O <br /> v � ' <br /> �' <br /> LEGAL lor new consimction: Short Pla'Jsubdrvision Lol Na_ (allach wpy at long legal tlescriplion) <br /> OWNER m ��j�. Phonc/E�mail GJ p(� D"7 � <br /> Address GIylSIdIC2i0 ' <br /> APPLICANT:_Uvne� _Ov+nefsAgent �Coniraclor _CenVac�or'sAgenl Tenant(��aic��•�eoeie-��ormm�mnm:ea»��emaa•rn,+r+u��; <br /> 1 �'1Jfl� . ���� <br /> CONTRACTOR a. � ' (, Stale Lic Z�` City Bus Lic : <br /> naeress �^O 6�.exe�t WR qg�or Phcncl[mail �'� 25 I �W�+' <br /> TENANT BUSINESS NAME - CONTACT FOR PERMIT � <br /> �}25 25Q le bl�(o, <br /> P onc��mail •�� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK o�3 � <br /> Exisl�ng Use ol Buitd;ng HEAT SOURCE�. <br /> Proposed Use of Buiiding Gas Eiec�nc Otner <br /> Bwtding type�. _Single Family _Duplex_Townhouse _h'ulti-Family _Comm�rcia! <br /> T� e o(oro�ect New Addiuon Remotlel Re av TJ Si n S rinkler Demoidian Ghan e of Use <br /> DESCRIPTION OF WORK�ad��t�cnal spacc pmmCedon t'+^�ec.l <br /> I n S1-ci.l I A�/� <br /> MECHANICAL PERMIT APPLICATION • PLUMBING PERMIT APPLICATION <br /> Typv ol f'roJacl: _Now_Addn _Alteration_Ropair Typa ol Projoct: _New_Addn _Altoratlon_Rapalr <br /> ShowNum6cr M o1/irNres ShowNumber M o!(xtures <br /> NC 1 Todcl <br /> forced air s slems I � Bathtub <br /> Gas , .n Lavato � wash basin <br /> Watcn c�atet ShOwer <br /> Gas f�re lace Kdchen snk 8 disoosal <br /> Gas ran e . Dishwasner <br /> Clofhes drvcr I . Clcthes wa5her <br /> Ranqc hood �. LValer h�a;er <br /> I [xhaust lan I � Sink ser.acclbar/mo /cic <br /> � f leat uma I �ackllox reventer <br /> Unit hcaier Urinal <br /> [3oiler - Orinkin Fountaln <br /> I Rcln cration Ficor dren <br /> Woodstove � Grease Ira <br /> Duchn ' Roof dra��ns <br /> � Other ' Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM � Other. <br /> � Numbcr ol Hcods � Othcr. <br /> 1�ertCy ceNfy Ihat 1 A.lve laai en0 e�am�ned Ibiz opp1�0.T;on nnd L no.v��e sdme to Ce Lve an�wrtecl All C�'s�ens ol iawa antl oitl:a�ce9 povem�r.q Ins ly po c'.orM w�:Ce comC' <br /> w4hw11eUle(fpCCAieO�tte�nCtp01 T11c0���'+^901�DCfmlCOMn010�C3umC10prveL�l�c�:yloY�old:aOlCdn<ellF.vplv'nf:enol�nlo;he�51at0cilcw'IJ�ieau'al.it�mnsLv[t�cn <br /> lnot I nm aWhonzed Ey Ihe oMner cl lh�s pm0erty la pedorm the wvrk for wH�<h appl:caucn Is made end 1 comply xi.A Ne Sta'e Cantratlon law 1 B 27 RCl7:i-�C 25c iaOA Y•>C <br /> � �Un�.u,sic 9 a �IS <br /> Owner uthorized Agont gnatum Cale �Fe�rsed 9�:Ota) <br />