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� • <br /> PERMIT APPLICATION <br /> BUILDIf�GIMECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �wwv.everettwa.orgr ' / <br /> i� <br /> SITE ADDRESS: vaoPEaiv iax a PE M+T� <br /> b � c E!C �Kw 280 0200400 o I�t - 0 � � <br /> LEGAL Wr new conslmci�on Snort PlaUsuhmv�swn Lot No_ (attach copY o�long ie9al Cescr�ptron) <br /> OWNER EPE p(U � L.LL Pnonc�Emaii 20 232 - 996a <br /> naoress (0 3 Z O L KGJ 1 E�,d W ie �f'op c�tyis�ate2�p ���� L g b <br /> APPLICANT:_Onner OwnefsAgenl �Coniractor _Con�r3ctof5P.gent _Tenanl�mmio�.�aoamn.,o�ccn.umimm�neo.nen000w�����e.�,u�l <br /> CONTRACTOR ELiAd C- � T�G o s�������.# RE��RFP lozu GlyBus. Lic� 7jI095 <br /> AdCresspo P�oK ¢28 P EStor( bJR 98oso P�onMEmad Z6G (oa2 - (0(03l0 <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT ZOCo S9 S" 7SSI <br /> h1ESTLE o F��-E Pno�ae�m�i LEtTN ` R���A�/��'F�rt� .GoM. <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 1 23S.00 <br /> Eaishng Use of Building �JAR.G t1o�SE HEAT SOURCE�. <br /> Propased Use ol Butlding �/�"P� �oJS�. Gas Elcunc Otner <br /> �uiiding type: _Single Family _Duplex_7ownhouse _Mulli�Family X Commercial <br /> T eof ro�ecC New Atlddion Remodel Re ah T.I. S� n S rmkler Demoilt�on Chan e o(Usa <br /> DESCRIPTION OF WORK(addi0onai space p�ov�tletl on tne oack)� <br /> �XfEr/7) $PR�.�II«G/� �o �/E�A4E To �6h/ oGF/cE . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 7ype ol Pro�ecl: _New_Addn _Alteralion_Repalr Type ol Pro�ect: _New_Addn _Alteration_Repair <br /> Show Num�cr a ol(+fwes Show Numbcr n er r,.m,cs <br /> AlC—air handlin unil5 Toilcl <br /> Facetl av 5 51Cm5 BathWb <br /> Gas i m Lavato wash bas�n <br /> Waten c�aler Shower <br /> Gas lire lace Kuchen vnk 8 d�s osal <br /> Gas ran c D�shwashei <br /> Clolhes d er Clothes washcr <br /> Ranqe hood Water heater <br /> Ex�aust fan S�nk service�barimo ietc) <br /> Hcat um 8ackllow revenler <br /> UnR heatcr Unnal <br /> Botler Dnnk�n Fountam <br /> Reln eration Floor drain <br /> Woodslove Grease Ira <br /> Ductin Roof drains <br /> Olher Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> Number ol Heads Other <br /> 1 nereEY�eMy ina11 nave rei0 dnC enmmca Ihis app:��CaOon anG lnow I�e sBme Io oe Imv ana canetl.MOronzrons o��aws anC ardv�ances Bovemmg I�is rype ol woM1���'�be comp <br /> w9h wnelher sOecAeO herein o�not 4�o B�anLnp ol a pertn�l Gocs no1 pmsume to give auNanry lo violdle or W ncet lne piovisi0n ol any oNer stale or IOGt1 Idw MBWlting cans W rUan <br /> Tlial I am au��onieC Ey I�e OwnC�ai��is pmpeRy lo OCAortn I�e woM lor whic�o0puw4on is ma0e anC 1 comOH���IAC Sla�!Conlnclon l0w 1B27 RC W��4 296 200A W AC. <br /> /� /L yrt.v�-� //-2¢- !4 <br /> OwnerlAuthori¢etl Agrnt Signalure OaIC (Remsed 9G01.) <br />