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425-252-1GGG Ctv1uEAT�tr'G 11�35:06am. 09-�2-201A 5!8 <br /> •MIT APPLICATION • <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 96201 425-257-8810 FAX 425-257-8857 vn+nv.everethva.org <br /> q - z-� <br /> SITEADDRESS:�O.�� ��� � PROPERttTAI(n P ' I� b -O,7D <br /> LEGAL lot new can.(rutlicn: Short Plallsu0�lvlslon Lot ho.___ (�«���oDY ot long Icgal descrip�ion) <br /> OWNER JQ Phone�E•mail �}Z� S�2 ��� <br /> Addmse � Llty/5tate/Zlp <br /> APPLICANT: Owner _OwnersAgont �Conlraclor Controclo�sAgenl _Tenantim���ae.<oo�n�.�i�o�:�m��rme�..�o�aco»��nMms,noai <br /> CONTRACTOR {'� Slale lic. Ct4!1-� Cil Bus Lic. � �'1 p <br /> Atldress �I',J g�"�W �1 rVFi' (]L+�J � PhonMEmall �2� L59 `�� <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT ��� <br /> PhonelE•mall `J �� I �{G�� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK r ►, 550 ' <br /> Existing Use of 8uiitling HEAT SOURCE: <br /> Prcpo=_ed Use of Buliding Gas EieUnc otner <br /> Building type: �Single Family _Duplex_Townhovse _Mulii-Family _Commercial <br /> T e ol ro ecl: New Adddion Remodel Re air T.L SI n S dnkler Demolilion Chan e of Use <br /> DESCRIPTION OF WORK(oed�ucnai spaco plovided on rna eeck): <br /> 1ns+z�► I r�aa�-.��ru.� , 9 as -f�►-n.auz. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol ProJoct: _Now_Addn _Allorallon_Ropalr Typo ol Pro�oct: _Now_Addn _Alloration_Ropalr <br /> ShowNum6cr p olllrfuros ShowNumbcr q a/�aturns <br /> AIC-air handlin units Toilet <br /> Forced air s slems Balhtub <br /> Gas I in Lavalo wash basin <br /> Waler heater Shower <br /> Gas firc law Nikhen,ink E tlis osal <br /> Gns ran e Dlshwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water healer <br /> Ezhausl fan Slr,k scrvicelharlmo letc <br /> Heat um Backtiaw reveNer <br /> Unfl healer Urinal <br /> F3oller Drinkin Founlain <br /> Relri crallon Ploardrain � <br /> Woodstove Greasc In <br /> Dud�n Rool dralns <br /> � Olher f Medical Gas <br /> SPRINKLER / SUP RESSION SYSTEM Other. <br /> Numher of Heads Olher. <br /> I hereEy ceNly I�ol I�ave road antl a.omineC IhB ap0+��bn and kno.v IAo soma lo bo W o ond raimd.AO piavisiom ellawn ond orEmoncee goveming ihh typa al work vnA Oe camp'� <br /> wi;h wnelhe�apeoM1eO Aercin oi nol.Tho 0�^�np ol o partnl�doee nal pmeumu lo givo eul�atliy lo rdn�o or cencal tno pmneion ol ony otne�sla�a or lowl mw regu!abnp constva�an <br /> Thn�I om oulhetltetl hy Ihe owner ol lhia pmpedy lo pedarm t�e wa�k Ior which epPlaa�on iv maCo nnC I mmD�Y w"�h Iho Slofo Conlmcioro law t B 27 RC W an�296 2004 WAC. <br /> �.e.� r��c 9�iz i� <br /> Owno Authorizotl Agon ignalum Dato (Rensed 9r01aJ <br />