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` PEF2MIT APPLICATION <br /> BUILDING/M�CHANICALlP�UMBING/SIGN/SPRINKLEWDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ALCEPTED FROM B AM TO4 PM � �-a0`� Z <br /> PROPERTYTAXII RMITN � <br /> SITE ADDR.,ESS: Ct;�} ���� �.��a., i - pO� <br /> 3,i 0 1 d� �Yi <br /> LEGAI_tor rff.w construction. Short PlaUsubOrvision Lot No._ (attaU copy ollong Itgal 0esrnpt�on) <br /> OWNER c�1' . � �: ctji '�u.'.-1 PnonelE-mad <br /> naemss�jC.� :i. (�rt' t I�\'� i;'2 City/51a1elZipC:«�?ti�� SS��v�1 lti � ��- <br /> APPLICANT:_Mrtier _OMnei'shgent ✓C�xit2ctor ContractorsA9�l _Tenantim�apo.a..��o�m^+^m"°""^°°"'^^�oaown��m.w.«i <br /> CONTRACTOR � ,IID �JC L&I Lie.# �(�C'11..UT'C'I'�'UD COE Bus.Lic.# -^��v I <br /> (•�>, 'S•Yl- 7C44 <br /> i � ' ��I "C �I���S Ptane/Emad )i,t e�� 2 'cilc�Vlc.�. c. . <br /> AAtlresst`�,�0 �v4u'..r r?I�,t" � v� ` �� <br /> TENANT BUSINESS NAME CONT4CT FOR PERMIT L.��S�3 ycl-�'jGylq <br /> � PhonelE-mail ��U� �n1�0��4.c�^ � �"^^ <br /> �c��. , hA21-i l 4.lti.ctrit.,l ) ':, r Hi'.�;,2r <br /> BUILDINGPERMITAPPLICATION CON7RAC7PRICEOFWORK�� ��� �=� <br /> Ezisting Use of Building �-<<11vV�`- YC'?� HEAT SOURCE: <br /> ProposMUseo(Building Cc11�rv�4rC��2� __ Gas E�ectnc otner <br /> Building type: _Single Family _Duplex_T�ownhouse _Multi-Family �Commercial <br /> T of ro'ed: New Addition Rematel Renair T.I. Si n S nnkler Demoldion Chan e of Use <br /> DESCRIPTION OF W ORK�adedronai space prov�dnd on Ne Dack): <br /> �i_r�'if-r,tl il��rv��r��.{4q C?.�n. tY�'�.f ov� �bc�`ib� L�`i�E:'1iC,�• <br /> 1r.5t�-N Y��-v� l�1 >r��.-. ,,n �i.:.st �lL.:..'r,c•.-� <br /> MECHANICAL PERMI7 APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJect: _New_Atltln _Alteration_Repair Type ol Project: _New_AEdn _A��eratlon_Repalr <br /> Show NumDer(p)o!�rtures Show Number(#)o/pxtures <br /> A/C—airhanClin urits Todet <br /> Forced air s stems Balhtub <br /> Gas pipin Lavato (wash basin) <br /> Waler heater Showet <br /> Gas firen�ace Knchen sink 8 disposal <br /> Gas ran e Dishwasher <br /> Clothes d er Clolhes washer <br /> Range hood Water heater <br /> Ezhau511an Sink(servicelbai/mo lelc.) <br /> Heat pump Backflow reventer <br /> Umt heater Urinal <br /> [3oiler Drinkin Fountain <br /> i Floor Crain <br /> Relriuera6on <br /> Wootlstove Grease lrap <br /> Duding Roof tlrains <br /> Other Mediwl f'as <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> Number of Heads Olher: <br /> I nerebY cMM Uet I heve teuG enA etemneE L�ia apPicetb^enU.now the szme lo�e uve e�w eorte[t.NI p�on�b^s of law,ana wan�xnces povemmp I�rs Irye ol wv�F wAI De comp'�ee <br /> wiltl ydmlher specile0 heren w�wl.The yran�n0 a�a Ven�n e°�s nrl yresume lo„rve autliorily lo vulale o�cenwl lhr piovisr�n ol any otM1er sla�o or local Ww regdNlinp constmrtnn <br /> 7�al I sm euNa�i?A by I�e ovmtt ol Un pmp!•h�a pMorm�he wvA lor whc�a0��re�qn b maCe Ln01 compN����e SI;Ae ConVa<bn I nw 10 21 RG1Y an0'.9Ci.'J�A WAC <br /> 1�.�,,,,,, p ��"1-l"1� <br /> OwnerlAWhorizetlA rrt5lgnature <br /> Date (Revisc0 f✓1012) <br /> 11 <br /> 1 L <br />