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• • QG <br />PERMIT APPLICATION • <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/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 />APPLICATIONS ARE ACCEPTED FROM E AM TO 4 PM <br />SITE ADDRESS: <br />a7 1AI1 M°G/« '46 <br />PROPERTY TAY 0 <br />009'ov <br />PE I N <br />fiz -02..t <br />LEGAL for new construcl,on' Short Fiat/$ubdn, sion/jv/ Lot No (al:ach Copy of long legal dCSenpbon) <br />OWNER E N- t o <br />Phone/E-mall /ZS'3 S- <br />Address ri% G✓•Af C /E <br />CnylStale2,p 15!I&'i- -7-L✓II yPlc% V <br />APPLICANT: —Owner _Owner's Agentk_L_Conuacfor Contractors Agent ienan:h,,.roq.aeevan mcros.m wore vie ow,e.0 ao.wmne swat <br />CONTRACTOR d 'A fire u"/^W,N 5 <br />L 81 Lit # 0 J r0%%L7 COE Bus. Lu: # /1c.'S/C• <br />G <br />Addre5s /L'SZ/ /�lVi / _ N.VWr\'ri W/H �0j PlanelEmail <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />Pndnd/Emait 1S- 3- $SS E/�'f!s Pc Kier N'b/�>I,['CM <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK 28f -3400 • ''r' <br />Existing Use of Building <br />HEAT SOURCE: <br />Proposed Use of Buildmg_60,'1r&6r- <br />I Gas_ Lleunc Omer___ <br />Bulding type'. _ Single Family _Duplex _Townhouse _ Multi -Family _ Commerdal <br />T e of rojecL ' New Addition Remode! Repair T.I. Sin Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (additional spaco provided on the back). <br />QyPJ?oSC/D j6',c 3u�laE%Actfrl� /OO57je ?g, �jy CiE <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (N cf fixrures <br />Type or Project: _New _Addn -_Alteration _Repair <br />Show Number (0) of reures <br />A/C - air handling units <br />Toilet <br />Forced airs stems <br />Bathtub <br />Gas piping <br />Lavatory wash basin ..� <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gas range - <br />Dishwasher <br />Clothes dryer / <br />Clothes washer <br />Range hood/ <br />Water heater <br />Exhaust fan <br />'Sink semicefbar/mo letc. <br />Heal -,in <br />Beckfiow reventer <br />Uni eater <br />Unnal <br />Boiler <br />Drinking Fountain <br />etn oration <br />Floor drain <br />Woodslove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I hembycerbfy Mat l have read and eaammed din app!2awn and knowthe same lobe nueandcened Al'ipmvmionsoltaW aOdordmancesgovemng M6ppeolwoMwilbecompMed a <br />wd eMer spepfedhemrnor notne grantag of a pens l does nor presume to gNo aNhonty 10 v,oble or cancel the provision of any evict stale crocal Law mgumng constNLCen W <br />1 <br />Thal I am auNo al by an. owner of Mrs pr perry to pednrm ono work for Wren applwti0n 6 madn and I comply wdn Me Stara ConYadors Law IB 27 RCW and 296 200A WAC G <br />\ a. <br />w <br />.2 l -1y f r <br />Owner/Authorlcdd Agent Ignature Date (Revised WO f7) Ifs <br />