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06/03/2v>3 xON 10: 53 nnx �-� city ot everett permite 000z/OJ3 <br /> � • <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—www.everetriva.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO� PM � � �-/ 3 <br /> BREADDRE65: �,�^rn AeOnYO� �I �+OFE�AXe �oo P lit , <br /> Gv tX 1"1 <br /> LEOAL br mw conawdlon• SAon MaU�uDdMslon Lot N0._ (aluU CoOY of bnB IBqel OeeCrlplion) <br /> OWNER Y PtwnelE•matl � <br /> Addmea �{�t�J� }� Clty/StalelZlP C �•rS -1 p <br /> CONTRACTOR C)�V�� 1� L d I Lic.A U G F Ii � "I� <br /> Addre�a 2 (S � � 4 P�ore/Emall �j �� � ^ '�I <br /> TENANT�USINE55 NAME � � ON7AC RMIT I u� a mL L <br /> N I � Phanr/E•maR ! �7 U P'' "T • <br /> BUILDING PERMI7 APPLICATION CONTRACTPRICEOF WORK d0 <br /> E�usting Use ol Building HEAT SOURCE: <br /> Proposed Use o(Uuilding Gas Electhc othei <br /> Bullding typr. ✓Slnple Family ,_Duple:_Townhouse �Multi-Femily _Commerciel <br /> Type of pro�ect: ✓New _Addltlon _RemoCel _Repeir_T,I._S18n_Sprinkler_Demolition_Chenpe of Use <br /> Descf�pb'on ol Work(eddrhpnel space prwitled on Ifre�acl�l: <br /> R�IaG� QX�v�h� air hAnd��'' t�- 1�A+ �um� v�PH-h ►1ew . <br /> Hare you olerted workln�wlthout a pormlt9 _YES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> lype o/P�oJocl: ,�N�w J\ddn �Ibnllon�R�pal� Typ�of Proj�cL• _N�w J�ddn �/�Ibratlon`Ropelr <br /> � 9howNumDer olflAun� 9howNumbd o/17rfum <br /> NC-airhand�in uclts Toilet <br /> Forced air s stems Bathlub <br /> Ges I i Levato wxsh hasm <br /> Weter heater SAower <br /> Gae flre lace KitcAen slnk fl Els osnl <br /> Gas ran e Dicnwasher <br /> Cb�hes d er Clolhxx wasner <br /> Ren o hootl Wnter heeter <br /> [�ch9usl fen Slnk eervloMberfmo xtc <br /> Meal um BackNow reventer <br /> Unil healer Unnal <br /> �oiler Ddnkin Fountain <br /> Re erellon Floordrain <br /> Wootlatove G�easa tm <br /> DucU Roof drains <br /> Olfier AAadical Oes <br /> SPRINKL�R / SUPPRCSSION 8YST8M Olhor- <br /> Number of Heaae Other. <br /> I hareDy ceNry thol I hew reed and�xamined fhb eppllcaUon and know the eame lo be true erd conad.All proWfloni ol laxs aM oMlnenppo po�eminp <br /> thls I�pe ol work wlll W complkd vMh wheU�er specHlec neroln or not.The pr�ntlnp of�p�rmlt doaa nol preauma lo pive�ulhoefly to vlel6b w canoel <br /> �he pwWlon of eny dher otale a loul Uw ngulaWip eonsWtllou or lM psrformanre el mnswdlnn.That I am�ul�oriz�E�y IM owner of Ihie piopany <br /> 10 pedotm the wmk or wfikh epplk�tlon 4 msd�eM I eempN vMh ths Slale f:ontnelen L�w 1 B 27 RCW and 2CO2L9 WAC . <br /> a�. � 3 I 3 <br /> OwnadAuihoriz�dAp t 18nHuro Dale _ . (Rov�so071I01fJ <br />