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( <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> qPPLICATIONB ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �„__,_y PROPERlYT11XN PERMIT;O�OZ <br /> S��iQE�� �!.�t = 5 N�C(Nlil <br /> LEGAL for new consirudbn: ShoA PlaVsu�Givision Lol No._ (attach wpy ol long legal Oaxnpllon) <br /> OWNER C�'1 L PhondE�mail 'j, —ZZ-�� Z <br /> , . � w �i <br /> tldresa A � CirylStatelZip . :� <br /> APPLICANT. 1�' Owner OwnefsAgenl _Contredor ContrectoYsAgent TenBM�muslpo�aa�etrrolcaumlhomN�wwbEowarkhm��pw1 <br /> CONTRACTOR L&I L(c.# COE Bua.Lic.# <br /> Otlresa P�onUEmail <br /> T I E A E CONTACT FOR PERMIT Z�.Z.L7�3•.�1 <br /> � � <br /> �(�e ttusfi� Bar � Gnl� P�one/E•mail �' ��_ 3 25. <br /> BUILDIN6PERMITAPPLICATION CONTttncrPRlceoFwoaK <br /> Exisling Use of Building HEAT SOURCE: <br /> Proposed Use of Buildina ��d d/f y � � L' Gas Electdc OtAer <br /> Buiidingtype: _SingleFamily _Duplez_Townhouse _Multi•Family r Commercial <br /> T of ro'ed: New Addition Remodel Re air T.I. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additional spece provideo on the oacx): <br /> co� ►vt►�f�� , �oti' l o�a 13��►ki�� �Ae.iiii�oti- . <br /> MECFIANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeotProjact: _New_Addn _Alteration_Repsir TypeofProject: _New_Addn _Alteratlon_Repair <br /> Show Number(M)o/lLrtures Show Numbar(N�ol flxfurcs <br /> A/C-air handlin units Toi�at <br /> Forcedairs stems BatMub <br /> Gas i in Lavato wash basin <br /> Water heater Shower <br /> Gas fire lace Kilchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink servicelbarlmo letc. <br /> Heal pump BackFlow reventer <br /> Unit heater Urinal <br /> Boiler Orinkin Pountain <br /> Refri eretion Floordrain <br /> Woodstove Grease tre <br /> Ductin Roof drains <br /> Other Mediwl Ges <br /> SPRINKLER/SUPPRESSION SYSTEM otner: <br /> Number of Heads Olher: <br /> I here0y cenM Nat I heve reed end asemnoC NB epplkatron enC know tt�a semo lo Oe Wo enC conecl.AA provlsiona ol levn enE oNinenae 9%'emhp Uq rype M xark wi1 Ce mmD�etl <br /> w9�wfiet�er spadM1eC herein a noL T�o pranlin0 0l e pe�mil Eoea nol prmuma lo pNa aWio�rty to Nohle orcancel Ne proNfbn ol eny olher atete o�local lew requklNO c�mtmclion <br /> fhnt I nm euNotl:ed��Oo owner o(�Ihis propeM�a Pcrlorm I�o wak lor whkh appbceGon b maGe and I mmpy wl�Na Stato Contradaa Lew 7827 RC W en0 YBB.POOA WAC. <br /> � ;c� � / n/� ! �av�a ►�Z <br /> OwnerlAutharized Agent Slgnatura � �a�e (Revisetl N20fPJ <br />