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_ � • <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> 1��3a -I� <br /> SITE ADDRESS: PROVERTY TA%11 PERMIT <br /> 3 oa M LT�r� 11 C�ezK '1�Kv �- lo0 0 y0 Oo3olSov S Z� U <br /> LEGAL kr new consWction�. Short PlaUsubGins�on Lot No_ (atlach copy o�long Icgal tlescnp6on) <br /> LJA 1 <br /> OWNER/Yl C��e(' L�.C. ��6[����N Phone�6mal �(o'�/,j ^,J,30(7 <br /> Addre55 QQ j��/,� p� � ST Q C�y�Stare2�p sr}}��� (�A 1 O � <br /> APPUCANT:_Owner _Owner's Agont �Contractor _Contrector's Agent _TenaM imvsiom.mo a ier.er orco„xm ro�me o-.ner�o ao wn m u,�soa�e� <br /> CONTRACTOR 5 i 1., � Stale Llc. A Cit Bus Lit.# 7i-i� <br /> atlaress � 'rJ �S -& F'QGsd�� t.4. � n!�y��fl�ldel �a7 Pnonertmai 3�00 ' yv?�'" Z'`�'�fs <br /> ._ vY.���i+. <br /> TE A TBUS ESSNA e �TTADbFo�P�R2�'� 360 �a'g '�{ ��S <br /> �I��Tc�'-�ee--}-o�l �� pnone�E-mad lodd���r /1�/��"USP •G'o/+'L <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK � rT�Ovr� <br /> Ensling Use of Budding HEAT SOURCE: <br /> Pmposed Use o(Building Gas ElecUic Omer <br /> BuilOing type: _Single Family _Duplex_Townhouse _MuIU•Pamdy �Commeraal <br /> T e of ro�ect: New Addition Remodel Re air T.I. Si n S nnkler Demolilion Chan e of Use <br /> DESCRI PTION OF WORK faddmona�ipace p�ov�ded on me baca,)r � <br /> �AYi4'�GA'F� �} ��S'�791I �7CE"e�i0� e.�LAti1Ne� /16.'�"'�t'r' W A�� 5r�A1 . <br /> j, . L. l� _ TllUwt:�lVa�ion)�$AeK� 'Tni��J�e�.u� l }1�ovnPE' <br /> MECMANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProject: _Now_Addn _Altoration_Ropair TypoolPro�ecl: _Now_AAAn _Alleratlon_Repair <br /> S�ow Number A ol�xfures Show Numbcr Y o((.rtures <br /> A/C-air handlin unils I Toilel <br /> Forced air s stems Dathtub <br /> I Gas i m Lavato wash basin <br /> Waler heater Shower <br /> Gas fire lace Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Glothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhausl fan Sink servicelbadmo letc. <br /> Heat um BackOow reventer <br /> Und heater Urmal <br /> Boilcr Drinkin Fountain <br /> Refri eration Floor drain <br /> Woadslove Grease Ira <br /> Ductin Roof drains <br /> Other��,_�__ Medicai Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other. <br /> NumberolHeads Other. <br /> I�emCy conAy Mnl I�avo mad anE o�� - U iM` FD�iwbon anE lnow Ifie samo lo Oe Irue end<ortotl.!Ji pmvis!ons ol laws anC oNinenms goveminp 1�¢rypo a�woA w�B Ee camp� <br /> wnnn^�oiAerspecF�eUnom�oroot egra BoloDermoOoesnotpresumomgrvnaulnonrylovblamurwncalmoprovisronolanyotnersialaorbraiWwreguutmgcanswclnn <br /> Thai I am ouUotlxcU by ino awrar I Ihis opony lo pcAorm I�e work�arwnkn aDDt�lron a maUe anC 1 compty wim t�e Slate Conlyddors Ww IB.27 RC\Y an0 2B9 200A WAC <br /> � �a�.so �� � <br /> OwneriAuthorlxedA9 ignaluro Date (Rev�setl920�a1 'Z <br />