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d?5-?57-'656 CM1IHEATING '^'18']Sa.m. 1]-Od-2016 1/4 <br /> P�tMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/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 /> iZ -4-i <br /> SITEADDRESS:��O �f ,G � PaOVERiYTAKp P[ji_M �� <br /> �Yl <br /> LEGAL lor new cans'�ucllon: Shert suhCiviglon Lol No_ (a�lach copy ol I�ng legal detcriplmn) <br /> OWNER ��m 1� PyonelE-ma��l y2 g Q ��jg� <br /> Addre.s ,�,�yv�,� J C{,[J[,Jy V Cay�51ale2ip <br /> APPUCANT: Cwr.er _Ownersngam �Contractor CoNtu:;ofsAganl _TCn�r�inuupv�eeamorr�immenrn�na.no��p•s+ <br /> m Po Wtwl <br /> CONTRACTOR ' � 'C � il ' �1 sc��t u� a � � - — ec a�s u�.a Ol(c0� <br /> ,�aaress���� _ "CL �Li. ��tl'�Tt �`l� ��J'Z-�� PhonelEmaild���7�i.L � 1l�lL ' Il .(: L�II <br /> TENAN78USINESSNAME CONTACTFORPERMIT L4ZSzS�� ���'�' <br /> �e.11��e. /� <br /> Phane�6ma.l t- L 1 . � l- �l'1\I�1��1 Il ( .�[�/l <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 2 3S . <br /> Eaisting Use of Bui:din�a HF1{T SOURCE. <br /> Proposed Use o!Bullding Gas Electnc Oitier <br /> Buiiding type _Single Fami�y _�uplez_1'ownhouse _ldullrFami!y _Commercial <br /> Tv eof ro�ect: New ACdlliun Reme�el Re air TJ. S� n 5 rinkler Oemoldion Cnance ofUse <br /> DESCRIPTION OF WORK(ada.f ona�s�ato F��'.ced on tho back) <br /> I nS� I I h�ci,t �►u-� � Cl,ifu �.nc1 l e-V' <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol P�ole[l: _Now_Addn _Alla��lon_flopair Typo ol ProJocl: _Now_Adtln _Aitaratlan_Ropalr <br /> ShowNumhor n oll7+luree ShowNum6ar 4)olfirfurus <br /> -airhandlin units lr 0.n �f' I Tollcl <br /> Forced air s stems I Bathlub <br /> I Gas i in I Lovato v:a,h bTsin <br /> Water healer I Shower <br /> I Gas fire loce I iGtchen=_ink 8 dis osal <br /> Gas ranae I Dishwasher <br /> Clothr.s d cr 1 Clolhes washer <br /> I Ran e hood i Waler heatnr <br /> EMhaust fan Sink servicc/badmo /cic <br /> I Heal um Baekllow reventer <br /> I Unil hoater �h���� <br /> � Oader prinkln FouNa'n <br /> I Refn crallan I Floardrain <br /> I Woodslove I G•caso tra <br /> Ouclln I Hool dra�ns <br /> � Olhe�._ � Mediwl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � Other <br /> � Num6er ol Heads � plher- <br /> I�ertb�centy Nal I tuve maE enC e.arn:netl tve ap0+�bo��W Anaw IAa ewna to Ca Wo end coimtl A7 Grwsiom a(law�ana aMman;.es povem:ng If�e ly�e cl xeh w71 Ee mmp <br /> wlh.ficihei�peo/etl naein ar nct.Tnc pient:np ol o pertrd Eoen not prmono lo Qive uVl•ardy(o viala:e cr ran�l��o pmrlilon ol nry C�er etato ar beillaw r<�' �np mr.nrvMn <br /> T�al I am evUcrueE bY��e cwnu cl l�il pmpe�Y b P�Rortn Na wh lo�wfiiC�qppS;�Son b maEe ar,01 mcp!y w�th Iliv Stolo Contraaon lav IB 77 HC W ond:90 7G�A WAC <br /> 17P11�'1U. �td.Ut9 C 12 �4� I� <br /> OwnadA4thoNzodApenl�l notum V Dalo (Fev15etl940fa� <br /> L <br />