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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257•8857 e•rvnv.everetiwa.org <br /> $ITE ADDRESS: PROPERTY TAX tl PER A T" <br /> 2ic E ��A�?rNE E�'Ew' C� G� d ' � <br /> LEGAL lor new conslr�cUon� Shcrt VlaUsuh�ivision Lot No_ (�Ilach eap7 0l long Ic9al dtsuipUon) <br /> OWNER /-�5�5 ELC. �j(f�:'-kl P�onME-mail �d S 5�( 24N9 rfj�59�7 �: C mn�c ,L'4/� <br /> namess ISZ� 44��� {�G�C6 Stq/ c��r�sia�crrP Cv'62ETr evA 9RZ03 <br /> APPLICANT:�Cweer C�,vner'sA9ent Car,racier Contrac�ors��gert _Tenam�-�u�z,.ana'erer�i�e��:e-•.••c:,voun��uea.:�h.,:r.oe:a:�� <br /> CONTRACTOR S1aIe Lie # G�y Dus. Lic k <br /> f.aC�ess Pnonc�Emal <br /> TENANT BUSINESS NAM11E CONTACT FOR PERMIT <br /> PAorclE�ma�l ry� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �OV11_ _ <br /> Ex�sUngUsealBudaicg eG`+/O�M1AL SING�G YAmlCY HEATSOURCE� <br /> Proposed Use of 6uilding �5/�GNTIAL SI r.�UG6 F��nICY Gas_x_ [lectnc_ Otrer._ <br /> �uJdiny lype �Single Fam�ly _�uplex_Tovmhous� _htulti�Family _Ccmmerual <br /> Typc of oro;ed Ne�:� Adtl�llen �C Remeeel _Rep3ir_T I _ _ S�gn _ Sonnkler __. Demcl�b�n_ Chanr,e o'Use <br /> DESCRIPTION OF WORK Wc�i�onai sp�cc F��:dsd on rn=oac*i <br /> KGn,o�cc oF k�re�enl Awo E��snn�G- �n''�rF2ven Nc , /�oT��nrs2llGATen <br /> /{t,tcr p�rs� c F 7L sqfr /hODw� /a10 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Pro�ocl: _New_Addn x AltemUon_Repair Typo ol ProJect: _New_�ddn _yAlteralion_Rep�ir <br /> Show Ilumbcr(M)of liaYures Show NumDer(pl of lixNres <br /> NC—��rhandlin9unds I Toilet <br /> / I Forced a�r syslems I �alhtub <br /> Gas iping Wvalory lwash basin) <br /> Water hea�er � Shoe.cr <br /> Gas f�replace i ! Kilchen smk 8 disposal <br /> � Gasrange I Dishuashcr _ <br /> I Clolhes dryer � I Clothes tivasher <br /> ' Ran9e hwd I ; Waler heater <br /> � F�haust lan � Smk (service�bar;mop/etc) <br /> Heat pump � I [3�ckl!ow prevenler <br /> � Umt hcater I Unnal <br /> � Boilcr Grinking�auntam <br /> � Rcingera6on I Floardram <br /> ! Woodstove � Grease trap � <br /> Oucting I RoofCrains <br /> � Other_ _ _ ._ I hledical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM 2 j Other Ne� B/8 <br /> NumCer of H�_ads � Other <br /> I�eiehy ceNly Inat I hava ieatl and c�amined tAis appacai�on an7 Anow I�c same to Ce Ime and wnect A!1 Dionvons ol lorve and ora.vnces gavem�n9 i�is type olwerk w+'I�e comp��cA <br /> w�:n xne;�er specdieC�e�em er no1 TTe granhrg cl a perm:t Gocs ncl e�esmre lo giva av'�homy lo vio�a!e er rancel iPe provislon cl any ctha sta'e er lowl law¢gutatiog censVuction <br /> 1Tal I am autOcr:ed Oy;Te oxner oi 1�i5 pmpe�y to pertwm Ihe wor\lai wnl�1 aepPcai�a.���s m�ae ana I arnply wnq Ne S�ale ConVaclas l�n 18 27 RCW ana 2?6 7COF WAC � <br /> ;�-�,�,��� 1��� �1��� D � z <br /> Owncr/AulhorizedAgenl5lgnaWro ' ate (Rensedl?Oi3) <br />