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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everetN+a.org <br /> SITE DD �5: � fL� f^s ST P��R SD 6 -� t�a°Z '� PERMIT� � OO <br /> c <br /> LEGAI(ar new consln¢hon Short PlaUsuOtlrvsion Lot No._ (anac�ceDY ol long Iegal Cescnption) <br /> OWNER S'��U� ' S�N t''�Gv �'nonc�E�ma�i <br /> Adtlress 1 1( � � o � S� Qty/Slalc2�p �N l � U � l z�V Z <br /> APPLICANT: Owner OwneYSA9ent X Coniracior ConlractoYSAgent Tenant��.,r:2��a++ie-<<crovr�-�rcec+�e�ur.�onm�µ,+v:���o <br /> CONTRACTOR 1f?-/G4pES t� 1� '�"'S Sta;c Lic. # � r`��EN�a qq Cdy f3us Lic. # <br /> AC�ress IOtJ V S u r�r �^•""' P�onc'Ema�l <br /> TENANT EUSINE55 NAME CONTACT FOR PERMIT <br /> B�� S i�swtcK <br /> Pnonc�E�mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exishng Use of Bwltlmg S r�` �,�,1_f7���.— HEAT SOURCE-�. <br /> Proposzd Use of�u�ldina <br /> � Gas__ Eiectric__ Otncr__ _ <br /> Budtling type _Sngle Family _ Duple�c_To�,vnhouse _Idulti-Famdy _Commerual <br /> Type of pro�ect Ne�.v _Adddion __Remodel _Reoair_T I _Slgn_Sprinkierl( Demolil�on C�ange of Use <br /> DESCRIPTION OF WORK�ado,ncna�spaceGro�ced or,¢e eactil <br /> �emo 9a�tq e <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa ol Pro�ecC _New_Adtln _Altoration_Repair Typo ol ProjecC _New_AdCn _Ahoratlon_Ropair <br /> Sfrow Numbcr(N)ol!ia fams Show NumDcr(r)o!lirfures <br /> h�C -av handling unds I TotlN <br /> � Porced a�r systems � DalhWb <br /> Gas p�ping ( I.avatory(wash basm) <br /> � Watei hcater I Shc�.eer <br /> Gas lireplace � KRcnen smk&disposal <br /> � Gas ra�qe � D�sc;vashcr <br /> I Clothes dryer Clot�es washer <br /> Rangc hood i Water heater <br /> lnhausl�an Sink jservicePoarlmopletc 1 <br /> � lieal pump I BacA!iow preventcr <br /> I Umt healer I Unn71 <br /> � Boder � Dnn4mg Foun�.m <br /> I Refngewtion � Flocr drain <br /> j Woodstove I Grease trap <br /> Ducling I Roef drains <br /> � Other _ I Metl�cal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Olher. <br /> Number of Heatls � Other <br /> i.v.�rpy cen!y mm 1 na�e read nntl a.am ne�Y.s appl�c:,l cn and�aow Inv same�o Ce Ime antl cenecl >��pm�awns ol ians nnC c;inances 9ovem�ng tMs p pe ol�wi4 w I Ce t'on�p'.t:1 <br /> n'�9 nnetecr spec;red nemm or noi Tne granti.ig o�a OertnO Eoes nel pres_me to 9'.ve a�IDerit�to woia'e or�an_el i`.e pm.is�on ol a^��cU,rr saa'e nr i:wl ia..recNa'i^.9 cerstms'o:� <br /> '^di I.IT.]cl�0OIG0�y:�C Ow�¢f OIINS 0�¢ f�0 pG'RC�m III!wO:A 10�h��N uCD�'W�'���5 TBGB O�C I CCmD�Y�'�����•C$�31C lC�`�biC:'1 Ld.v 1811 RC�NdM11:i6 a0':4���^C <br /> i ����� -� � <br /> Own Authonzed Agont Signaturc ��c (Fevrsed Y:013! <br />