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� PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SlGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8657 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / '- � `� <br /> SITEADDRESS:� O� �� � PROPERTYTAIIpD^ SQ � P RMITMZ� Q b <br /> L <br /> LEGAL for new construdion�. Short PlaUsubdivision Lol No (atlach[oDY ol long legal descnption) <br /> OWNER {i A � �Q� C PhonNE�mail <br /> daress � Q '� f� � c�ry�s�aierz�p ✓� (-OL �'• �l �-O 3 <br /> APPUCANT:_Owaer OwnetsAgenl �Conlractor ConlraeofsAgenl Tenant�muiiFrn�x�aonoimnvm�nameomnermoo..omm�o+parn) <br /> CONTRACTOR Z GZY�- D✓�' L 8 I Lic. # COE Bus Lic.# <br /> CGress � [�i�� �-Y� �TV'Q— • . -1 Pnone/Emad �Q �� — / �� � <br /> TENA T BUSINESS NAME CONTACT FOR PERMIT yS3'�g Ia S��J Z <br /> L�GQI�- i�P�YbS' dG� ��rs�fen Fa u,tlr-o �'"' <br /> PhonNE�mail Q�($�f1 {1p rt2a�ZI h•Go <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK O O <br /> Exisling Use af Bwltlirg HEAT SOURCE: <br /> Proposed Use of Building Gas_ Eieanc_ Omur_ <br /> Building type� _Single Family _Duplex_Townhouse _Multi-Fami�y _,Commercial <br /> T e ol ro ecC New Adtldion Remodel Re air T I. Si n S rmkler Demolihon Chan e of Use <br /> DESC IPTIONOFW RK(atldrtionalspetepm �detlonthebeckJ P�'DVl A �y(,S� �f 0�4.Q ( 1�ri f'Uh <br /> TooE� top uni�, ProN� ct� rk.rtaN f�ve ( r) �i'fFi<sers Prb�'de a�C �kd�r// <br /> twflC2) re-lurn �nl(eJ� provtaCe tra�r(�er ��l/el dfi f�tVlaJ.r a� n� prov�'c� aad <br /> i� shrl/ -f�wo(y) roaf c s {,r o�d �exkrcust cur�s wv�'de/ix.�fzrU ex� l� as <br /> MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Projecl: _New_Atldn _Alleralion_Repair TYPe ol Project: _New_Addn _Altoration_Repair <br /> Show Numbcr(a)o/(rfures Show Number fk)o/fi+tures <br /> A/C-air hantllin unils Toilet <br /> Porced air s slems Bathtub <br /> Gas pi in Lavalo wash basin <br /> Waler heater Shower <br /> Gas fireplace Kilc�en smk&tlis osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust lan Sink(servicelbarlmopletc.) <br /> Heal um Backllow reventer <br /> Unit heater U�nal <br /> Boder Dnnkin Fountain <br /> Relri erahon Floordram <br /> WooCstove Grease tra <br /> Duclin Rootdrams _ <br /> Other Medical Gas <br /> SPRINKIER I SUPPRESSION SYSTEM Otner: <br /> Numher of Heads Ol�er: <br /> �here0y cenAy t�al I nave maE ena evmmca I�u applinwn anC know Ne mme to Ee we nna wrtecl.M pmvisrona of lawe anU c:Cmnncea Oovemm0�nn ypeol worv wdl0c comp�me <br /> w�N xficlhCl f0����elcin or nol Tllc 0fan��n0 019 OClrti�OOCS nal p2Sumc Ic prve duNoilly(0 vroW�C ar GInCCI1�C p�OVIfiO�0120y ONcf 541�C Of bL�l Idw f¢0ula�np fAn9WdiOn <br /> TAat I am auNorizeC EY��e ownet o1LT5 DfoO�hY�o DeNortn ihe woik lor wTrJ�appi�eitwi is matic an01 campry w�N NC Sts'e ConUetlon law 10I7 RCW an0 2962WA WAC. <br /> n <br /> OwnedAuthorizedAgent ' nature Dale (Rensed6/t012J <br />