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� • <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-2b7-8857 www.everettwa.org <br /> SITEADDRESSy�-� [� PROP[RiYTAxq P Nf�T�#/ ���_ <br /> � V � \ ' Y_-�C �it� <br /> LEGAL lor new conslrucGorc Shon PlaVsubdivision Lot No._ (altach copy ol long Iegai Oesuiption) <br /> OWNER 1 1�1C vn'-en Phone�C--mail <br /> AOtlre55 � � � � �' �< ���� � Cdy�Sfatr/7ip <br /> APPLICANT: _Owner _Owner'sAgeni �Cont�ador Conirador'sA9en1 �enanl�m�ti��o.maamnc�oi�cmmii�o��inoo..ne��oao�.oammeso��c� <br /> CUNTRACTOR ��(,I.c�('.�c/� c1nS�- n Slale LiC. # G�y�U5 LIC # <br /> nddress SJ�� �C��'S f' N� S� i � �zl� PhonciEinai� y2S j 3D- U 21_ MC�on r�,� <br /> TENANT BUSINESS NAME CONTACT FOR�P\ER�T ��` �SQ^ r ... �<� . C�n <br /> � • 1 <br /> �hone�[-ma�i y25 �3� (�uZ'� <br /> BUILDING PERMIT APPLIGATION CONTRACT PRICE OF WORK ! � �e <br /> [zis�ing Use ot Budding \oCt��. � o� � __ �HFAT SOURC[. <br /> Proposed Use ot Budding J��C ��Q,__ Gas�j. Eledric Other____ <br /> Butldmg type� �Smgle Famdy _Duplex Tovmhouse _Multi-Family _Commercial <br /> Typc ol pro�ett New Addilion Remodel _Repav_ TJ. _Sign_Spnnkler,Demohl,on_Change of Use <br /> DESCRIPTION OF WORK(addrticnal space o�ov�eedon�he bxN) 1 I I S�'^ <br /> 1JC� Q � JM1., ���`� ��� u�P�r.�j� �'_1�CT��Ln 1 . �^ ���l�t �' � �° <br /> ij�..��.���. . (>,],�J1 �,�.���4 ��,r) -�o� �e r �e,.,��� �Ile j�.� a.l� ,�-�„� <br /> MECHANiCAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc ol Project: _New�r Addn Allcration__Repair Typo 01 Project: 3New_AAdn _Alteration_Repair <br /> SNow Nurnbrr(p)o/lirfures Slrow NumGCr(a)o/lixhirCs <br /> AIC-air handhng unds f Toilcl <br /> fciced air sys�ems I RaRilub <br /> I Gas pipmg I Lavalory (wash bas!n) <br /> � Waler heater � Shower <br /> � Gas lueplace Kilchen sink&disposal <br /> � Gas range I Dishw;isher <br /> �r-Clolhes drler I Clolhes washcr <br /> Ranqe hood I �N�Icr heater <br /> � Fzhaust (an Smk(servicelbai/mo��ete) <br /> I leal pump � f3atk0ow preventer <br /> Um,l hea�ci Unnai <br /> f3oiler Drinemg 1=oun�ain <br /> � Refn9eiaLon Floor drain <br /> Woodstove Grease�rap <br /> � �_ Ducbnq __ Rool drains <br /> Othcr 1�edical Gas <br /> SPRINKIER / SUPPRESSION SYSTEM Olher <br /> _______ NumUer of lieads I O�her <br /> I l�mrby�eniiy Ihil I nqvc�i•a��anA umm nrd IMs appl�c:�lion an�Ynow Ihe snme lo bc Imc nnd coner.l NI pmvisions ol liws antl ora:nann�s gocr.n��ng�his typ�of vm�k will bc comp!�od <br /> viAli whether speObea pere�n o�nol l�e��nnling of a permit�oes nol prcsume lo q��e eulho�Ay lo v:Nate nr rrncul Ihe prowsion ol aoy olhn state or local law re9o�nbnq consltUCLon <br /> i�al l am nvlhon)c0�y I�e ooinrf o11Ms prope�y lo peHorm I�e worY b��•��iqq nppi�r n�i,n•;mnCe an�I compty ivdp Ihe$IBIe CONracloro law 1 H J7 PGVJ:�nd 256 200�Wh.0 �/ <br /> �� cr� I Z <br /> �- _�.J_���� <br /> OwnedAu�honzud Agenl SiynaU�re Uale (Reve.nA iq013f <br />