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� i <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETI PERMIT SERVICES <br /> 3200 Cedar St., Everelt,WA 98201 -425-257-8810—FAX 425257-8857—www.everettwa•ag <br /> APPLICATION3 ARE ACCEPiED FROM!AM TO 1 PM g'd3`�� <br /> SITE ADDRESS: PRO►ER1Y TAIt t PERMIT• <br /> o R'To <br /> �t3��ro.rew co�ar�a�: snac vuuwea�h.w�, �a rw._ c.n+a+ooar a�w�•w d••�+a��) <br /> OwNER "— � • rn�we+n.�i <br /> aereas cNyrsnwZip <br /> ONTRACTOR <br /> > �a i�i�.r nq c� • 0 21?- /Z <br /> ,e.. ., y � c. , s l',� A:i�t +vzt rha�MEm.0 y1 _ <br /> '�• r�R-�m.ii RICE �2S- b'7 - ! <br /> dU1LDIN0 PlRMIT APPLICATION pMTRAC7 prt�CE OF WORK A' S�GY� n� <br /> Eziating Use of Buildirp �i n t ti�a tAR HEAT SOURCE: <br /> Proposed Uae of BuiWina �6 E� � <br /> gaild�rq type; _Sinpb Family _Dupbz Tamhouee _MuM-Famiy �Cannbrck� <br /> Type of Projed: _New —AddRa^ —Remodel _Rep�ir�T.1._Sipn Sprinkbr_Demolition_Chanpe ot Use <br /> DenaiptionofWork(edaitbnelspscsProWdedonMeDsrJU: �C �nl tXAhl I�co.vl %-k'o.xt <br /> /�Ic�e 1��u:v�Br�.7ci i-oF. //Hn�4 :�A5rf 4,n, <br /> 'i?✓� H k%AtL %e /viJ .JALL <br /> Haw you shrErd woiicirp wkhout a p�rmN7 _YES X NO <br /> MlCNANICAL PlRMIT APPLICATION PLUMOINO PlRMIT APPLICATION <br /> ryp�p�proHet _IMw_Addn _AMMtlon_M�Yr TYM a�t _IMw_Adtln �AMwMlon_WpMr <br /> SlpwNumAr WRrhuu SlawNunMr o/R+Me <br /> AIC–air handlin unila I Toilel <br /> Forced air aystems Bathtub <br /> Ges i i Lavato wash basin <br /> Water healer Shower <br /> Gas fire lace Kitchen aink 3 d� I <br /> Gas ra I Dishwaelror <br /> awnes a r c�anes wasner <br /> I Re hood Weter heaMr <br /> Ezhaust 1an Sink aervicelbar <br /> � Heat um ���"' ��� <br /> Unit heater Urinal <br /> Boikr DriNci Fountain <br /> Re � eralion Floor draln <br /> Woodslove Greaee <br /> I Ductin Roof dnins <br /> � O[her Medical Gas <br /> SPRINKLER/SUPPRlsEION IIYETEM a�� <br /> Number of Fbads I �°� <br /> I hereby certiry Met I heve roa0 aM examine0 tlNa applicel'an en0 kraw tlx seme 10 Ee tive�co^eet.�M Ma'i�m'd I�x'°and aWnxaea 0���^0 <br /> enb rya�a waa wn ee eanWke v.im wnen,er aaa�naeM«na.rne aronune a.parmn aoe�no�abwme ro a�•�+M ro v+d.ro«c.ncal <br /> the D�abn ot anY dher atMe or bul law ne9ulatinG conshiwtbn a Me P��d coratructbn.Thet 1 un aNhorirnO M Ma owner d Mh p�opaty <br /> to perlorm lM wak( ' � � ia mede and I comply wiM Ihe Stata Contraclars Law 18.27 RCW nM 298.200 WAC <br /> .�> �1 <br /> ��. �'-- 3/�Ul/ <br /> ANAMntl Apant 8iyn+d+n Date (MviaW 7/20/f1 <br />