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425-252-1666 CMNEATING 01�37�.SOp.m. 10-29-2014 2/3 <br /> �RMIT APPLICATION• <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMO�ITION <br /> CITY OF EVERETT PERMIT SERVlCES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-BB57 www.everettwa.org <br /> �z� -a �-i <br /> SITE DDRE : �� � �...�^I PROPERNTAXp PEF(IT ' O ' O� <br /> �� <br /> LECaAL lor new cnnslrucllon: ShoA PloVsuhdlvislon Lol No._ (altach eopy al long 1e9��descrlptlon) <br /> OWNER a Phone�E-mall 25 33 f <br /> Address � CIIy151ale1Zlp <br /> APPLICANT:_Owner Ownof,A9enl �CONfHC10� _CON��dOrGAgC�I _TCnd��1�+�sio�.�aaata:�arclwnsar.ummVao.nermeav,cnminoepunl <br /> CONTRACTOR � C �(� ('� Slate Lic.#Q � Bus. Lie.N ���Q"1 <br /> nddtnssl�'�. � � �l;l�{ii.1 �VIS IO�DI PhonNEmalldF�J��IL�� 1I" .�. Il� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT '1�G ZG,C�' �(Q� <br /> �„��,1„� "f J �J <br /> CJ��j�l1 <br /> PhonelE•mall .� , ,1�1 � , �� � • .�� <br /> BUILDING PERMIT APPLICATION coNTRACT PRICE oF woRK <br /> Exisling Use of 6ullding HEAT SOURCE: <br /> Praposed Use of Building Gas Emctrtc Other <br /> Bullding lype: _Singlc Family _Duplex_Townhouse _Multi•Family _Commercial <br /> T e of ro ecl: New Addillon Remodel Re alr T.I. Si n S nnkier �emolition Chan e of Use <br /> DESCRIPTION OF WORK(addaiana�spaco provldodon tl�e 6ecA�: <br /> JnS�Z+ti( '�c�;C� u�c� ��� <br /> MECHANICAL PERiVi1T APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol ProJoct: _Now_Adtln _Alloratlon_Ropalr Typo of ProJacl: _Now_Addn _Allaration_Ropair <br /> ShowNumAor p olflaYums ShowNum6cr M olllrfuros <br /> NC—alrhandlin uNls Tollet <br /> Forced air s slems Ba1h1uC <br /> Gas i In Lavala wash hasin <br /> Water heeler Shower <br /> Gas fire lace Kitchen sink&dis osal <br /> Gas ran e �Ishwashcr <br /> Clolhes d er Clolhee washer <br /> Ran ehood Walcrh�alar <br /> �huust tan Sink service/harlmo /elc <br /> Heal um I Backllow revenler <br /> Unit hcaler Urinal <br /> Baller Orinkin Founlaln <br /> Rolri erallon Floor drain <br /> Woodslove Grease Ira <br /> Ductin Raof drains <br /> Olher � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> NumberofHeads � Olhec <br /> I�erthy ce�Ly t�el I Anua mad ond a.umined l�la appOwVon and know Iho samo la tle We nnd wrtect.All pmvisiom a(law)and oNinnncaf Oovem'ng lMa typa af work wvl Oo campl <br /> wilh w�l•Iher spaeKod AemN or nal.Tho 6���Ing ot o pertnit doef no!pmsumo lo B�vo aulhonly lo vlGdte ol eancoll�o pmolslon al any ol�er s1o19 or la W law mgWaL'ng Com W tlion <br /> TIiBI i am oul�orized Cy Ihe owner of IAIa pmpetly lo pedarm�ha wad fm whlc�oppCcnl�an If maJo ond 1 comply Kil�Iho Slaie Contmctou Law 1B 27 RCW onC 296.200A WAC. <br /> � D �1� !O •Z4•/1-�' � <br /> Ownorl lhorizodAgontS nature �alo (Ravlsed920f4) <br />