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A��. 2i 2915 10: U3a�9 �;�� 9U> > F 2 <br /> � � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/bEMOLITION <br /> CITY OF EVERET7 PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257•8810 FAX 425-257-8857 www everettwa org <br /> �+- a y� �s <br /> S ITE ADORESS� PROPERiY TN(A P[RMIT# <br /> LEG11L�0'nCw fAf1:W:ton Short PiaUuuhdnis�on Lot No <br /> __ (���wPY�Icnp taaal tlescnPbo�) <br /> OWN[R J T'U Pno�c/Emyl -`1�` — D` Q <br /> ndtlm„ �'L.. C,ry/S1a1rJLP � <br /> APPUCANT: Owf�ef Ov,n¢�SAaoM. �Cantrnqor �ConVa[�OY9AgBnl T9112f1lIn�%�D'9•�f.�qm•c�wue.l^aTNam+wvlac000r:ieme�paul <br /> coNrraacToa 'S � C�"1 s��e�c.a bS HT S 3U � a�5 u� tt� <br /> aaaress " r <br /> '1 �ll� Pho�PlEmad <br /> TENANT 9USINESS NAME CONTACT FOR PERMIT <br /> Phone/E�mmi <br /> BUILDING pERMIT APPLICATION coNrrzacr vRICE OF WORK �5�� <br /> EXi54ng Usf o1�uiltling HFJ1T SOUftCE <br /> Proposea Use ot Bui'ding Gas FJtttnc Othcr <br /> �uildmg type: _Singl9 Famfty _DupieX_TOwnhouse _h7ulti-Famtly _CommorCi31 <br /> T e of ro eCt New Addition Remodel Re au T.I. S� n S rinhle� Demolilion Cha� e el Use <br /> DESCRIPTION OF WORK(ada•ricnel aeecc om+�ae0 on Nc bnG): <br /> ii��►� he� p�mp <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APpLICATION <br /> ryDaofProJacL• _New_adtln _Altero�ion_Repa�r TyDeolProject: _New�Addn _ANention_Repa�r <br /> ShowNumber x o�fi�tures S�owNumDor olBrrurnr: <br /> NC-airhanClin unit5 Toilet <br /> \ Forced air s �tems Bathlub <br /> Gas I in Lavaro wash basinl <br /> Walcr heatcr _ SAower <br /> _ Gas fifPplaCe Kilchen sink&tlis os31 <br /> Gfls lan c Dishwasher <br /> Clnlhes tl •�� Clothes washer <br /> Ran B hootl Water hr.ater <br /> E�eusllan Sink 50ry�CCPoB�/m0 CIC. <br /> Heal um p?ckHow fevenler <br /> Umt he3tcr U6nal <br /> Boiler Unnk�ng Fountain <br /> Rehi xralian Floordroin ' ' <br /> WocCstove Grease tra � <br /> Ducting Roof drains <br /> OUOr___ Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM I olher <br /> Numbor of Heads Olher <br /> • Inem�/cenRyIDetinavereaaenae�ammeCNe�Op��pLOPa�tlMorNosamoloColruxandconatlP➢pmWcwn5o11aveanEorC�nu�uegovem�n01ti�5bpeo�wWkwdioecampl <br /> with wneNer sped�oa noret�or not me grenurig ol a cert^�I oon na1 ples�me Io prvx aWhmy to hokln or cancel Ce D�rsion vl eny other state or bcal law repua W g oon6wc4un <br /> That I am xuNo�ized Fy Uio armei af Nk o�p�'ro pertartn Ine woa Iw wnlrn app[nlon a m ax ano 1 mmY,ry�ry{pt Sldk Cvntraqon lan IB 27 RCW antl 206 200A N:AC. <br /> N�zz�IS— <br /> wnor/Aatnonzee Agent Siynawm Dale (am,see 9/8ote) <br />