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� • <br /> �' PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLII'ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vnwv evelettwa�rg � <br /> 6 a � <br /> SITE ADDRESS: � Q , I I PROPERTY TAX N PERhtIT z r O� <br /> W � <br /> LEGAL lor new consiruclion� Sho�1 PlaUsubdivisron lol No (allach copy ol lrng Iegal descuplion) <br /> OWNER � y'("' FhoneiE�maJ Z,� <br /> nddiess L .�Mr � � r IGw C�ty�SlateZp <br /> APPLICANT:_Oemer Owne/SAgeni �CConIrOUar _COnlraCtol5A9en1 _TC�dnl(m��sipm�to.�:e^eroiconsemreminoc+rorioea.+ur,mmosuacel <br /> CONTRACTOR TC IMS Sta;e LIc # I C Vln SSSL (�c�iy o ��. n (Q <br /> naa�ess �2�e � �F r-�An E Sce�# �'nooeiemau -� � <br /> TENANT BUSI ESS NAfdE CONTACT FOR PER611T <br /> DL / ZuG Q��l ( <br /> Phanc�6mad hµSl lV� l i l� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF YJORK__.�SJ+�GG � <br /> [xisling Use of Bu�'.a�rg HEAT SOURCE. <br /> Proposed Use of P,wlding Gas___ Electnc_ Other� <br /> 9wloing type _Single Family _Duplez_Townhouse _64ufti�Famdy ZO Commerual <br /> Type r,(oro�ect New �Addition Remodel _�Repav___ T, I _S�qn_ Spnnkler,_Demohuon_ Change ol Use <br /> DESCRIPTION OF WORK(add,nonar space po�aCed on rhe bac�l- <br /> lrs���c,.�1 a�- c. Ch�.c.g� t--�., �tiSJo� S �a�-�C <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPIICATION <br /> Type ol ProjeU: _Ne�.v_Addn _Alteration_Repair Type ol Project: _New_Addn _Nteralion_Repair <br /> Show Number(N)01 liafures Show Number(n)o/Gxfures <br /> � NC-air handhny unils I Todct <br /> � Forced air syslems I Flathtub <br /> I Gas pipm9 � Lava;ory(�vash hasin) <br /> Watcr heater I Sho�,�er <br /> Gas fiieU��ce � Kitchen sink 8 d�spo:al <br /> � Gas range Dl,hv+ashcr <br /> I Ciolhes dryet � Clolhes v:asher <br /> � Range hooJ � Wnicr heater <br /> � � Exhaust lan � Sink(scrvicc%badmoplelc� <br /> � Hca�pump � [3ackllow preventef <br /> � Um�hBd�B� � Urindt <br /> � E3oder Drin4ing Pounlain <br /> � Itefngeration � Floor dram <br /> i N,�oodsiove � GrEaSB tfap <br /> Duc6ng � Roof drains <br /> � Olher � 11edical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � Other <br /> � NumberofHcads � Oihcr. <br /> I�ere�ycenBy al haveiead Ce�am'redlhlsapF����I��onandMnowlhesameloEeWeandmnecl.Alipiav�>icnsollawsandorCnancesgovemin9lA�stypeofwoikx+'IbemmpteJ <br /> oYhr.pelner ecred�erei Thegr�nlrngolape�m�,Itloesnotpmsumeio9iveau�Po�nybv:obieorcanceiNeC�o�i�s��enclanyo��ersiaieoriou�Umvregu�alingmnsimcf�co <br /> T�atlamau ori ���y eo� .rcli 'sFmFMyloperlormt�e�vorklerH�ichaFp�.�wucn.maCe�n�lcemp�.yv:<ntne5la'eCcnba:mesLawiEll79Cl\'.���:°s20JiC,tC <br /> � Z� i <br /> OwnedAulh rize Agen Sigi urc Dale (Revised3RUf3J <br />