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_ .__'_ _ _ ". . . . . . .. _' _ . . i _� .. . _ <br /> PERlVIIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGlSIGN1SPRIAlKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—vnv�✓,everettvra.org <br /> APPLICATIONS ARE qCCEPiED FROM 6 AM TO 4 PM I `�6 � �3 <br /> S ITE AOnRESS: PpOPEFTY TrJc q <br /> O O FE MIuR_ <br /> � <br /> IEGAL lor new mns',rvcL�on: Short PlaVsuMivi:ion Lct Na_ (;,�2p�,�py o!long 1=pal E=s�ipL�on; <br /> OWNER [� ,SC L Phorer-m��l Z O� <br /> Address � � � <br /> CrylS;ete2ip <br /> CONTRACTOR LM L 8 I Lic.� /V�' <br /> htl7re_s 3 � � Ph�o-�e7Email -6(� <br /> TENANT B SINESS NAME CONTACT OR PERMIT <br /> ��z4'�*1 ��� <br /> Phoael6mai' <br /> BUILDING PERMIT APpLICATION COIJTR/�C7 PRICE OF WORK <br /> Ex.i;(inp Use of Building HEA'f SOURCE <br /> Proposed Uee oi @uitdina Gas EieUr�c a;hr <br /> Buildinptype. _{b,inaieFamily _Dupiex_7ownhou<_? _tdulti-F�mily _ComTerciat <br /> Typeoiproject: _New _Nddition _R=model �Repair_T.I. Sian_Sprinkler_Demolition Chsno= o(Use <br /> Descripliono`VJorY,(additror,;ispaceprorldedonlhe6ack):���(� +� �j,()S� ) A /—'-�5 .f..��, ,.G �/� <br /> '�� ' C7 /^'i fYt-(i <br /> New G,�s �'-/'WA cc � .5�� Loc,�--r�atii'� „�a �,�, G�s <br /> �►Ai,�� <br /> ave you rted�vorking without�permit7 ,_YES ,�NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PER`rilT APPLICATION <br /> TqpeoiProJect _New_Addn �Alt=ralion_Repair TypeofProjecL _Wev AUdn Aryeration_Repalr <br /> Shovi Number�XJ ol/iatures Shavi�lumber(N,J ol(rxfures <br /> � MC-airhzntllingunita � Tollet <br /> ForccdairEystems � �athteb <br /> Gas pipino <br /> W::terh=ater � Lavalory(washbasln) <br /> Gas fueplace — � Shower <br /> Gas range � Yitchen sink R tlisposal <br /> Dishwasher <br /> � Clothes dryer � Clolhes v✓esher <br /> Range hood Water h�zle�r <br /> Er.hau;l fan SnY,(service,'barlmopletc; <br /> Heat pump � Oackfiow mventer <br /> Unit heater Urinal <br /> Boiler Drinking Founlain <br /> � RNrioeralion Floordrin <br /> W oodslove Greas�trz <br /> Ductin� <br /> - � Roof tireins <br /> Uther <br /> Medical Gas <br /> SPRINKLER!SUPPRESSION SYSTEM I other. <br /> � Numb?r ot Heeds Other: <br /> I hereby ceNly ihal I hzve rea0 anC examine�Nis application eM knon Ihe same l0 6e Lve anC ccrrecl All provisio�s ot lavrs end oMinances poveming <br /> lhis type o1 work WII 6e wmpfed with wfieLh=r spedfied herein or not The pranUng ol e pertnit does nol presume to Qive aulhori.y to vlolale or carkel <br /> Ihe pmvision al eny other stne or lo�al law reoufaling construction or 1he peAorma�ce ptconsWction.Tha!1 em ev'�horize0 by�he rnmer W Ihis property <br /> ta ped he vArk lor whi i � n is e I mm I rAth ihe S•�e Con�ctors Lzw 1827 RGW sntl 29620D WAC <br /> `��i� PY I o//�//3 <br /> Ovmed horkedAgentSignaW pa (Revtsed7110f7J <br />