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� � <br /> PERMIT APPLICATION <br /> BUILDING/M�CHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425•257-8810 FAX 425•257-8857 wewv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM!AM TO 1 PM <br /> SITEADDRESS: /,/ � C � �G P�OVEIITYT � � P <br /> •r � � <br /> LEGAL for new construUion: ShoA PlaUsuEdivision LM No._ (etta�h oopy ol bnd tuy.:�desuiDGon) <br /> OWNER � S �(J PhanME-mail ' / . <br /> atlress � (/ GryiSta�e2+p .�7T p � �� <br /> MPLICANT: Owner OwnefsApent _ Conirador COf1If8CiOf'SA)!fN _TM8111(muppavMe�ME�r01e0n�MhanN�wwerbOowMinPMpNs) <br /> CONTRACTOR L 8 I Lic.M COE Bus. Lic.N <br /> Addmss Pnone/Emeil <br /> T IN E CON ACT FOR PERMIT ,.SJ orq� - 1 <br /> PhqielE•mBil yL�� -� / ��"-" "v <br /> BUILDING �ERMIT APPLICATION CON�CT PRicE oF wOwc <br /> Epsting Use o(Building / HEAT SOURCE: <br /> Proposed Use of Building Gas Eleetric aher <br /> Building rype: �ngle Famil _Ouplex_To nhouse _Mul6•Famiy _Commercia <br /> T of ro'ect: New Addifion Remodel R air T.I. S' n S rinkler Demolfion Chan o(Use <br /> DESCRIPTION OF WORK(seertiona�spacepmvieee on rne eacx): <br /> A����d,� o� �� .¢,c�� —' .FCS �i�x �t6�uEC-�,G�, <br /> MECHANICAL rERMIT APrLICATION PLUMSING �ERMIT Ar/LICATION <br /> Typa ol Pr l: _lNw�AAdn _Albatbn_R�palr Typ� 1 ProJ�el: _Nwv_AAdn _AlWatlon_Rsp�lr <br /> SAow NumMr )ol Ritures Show Number of Nmures <br /> AIC-airAandlin units Toilel <br /> Fwced air s stems Bathfub <br /> Gas i in Lavato wesh besin <br /> aler healer Shower <br /> fire lace Kitchen sink 6 dis osal <br /> Gas Dishwashar <br /> Golhes er othes washer <br /> Ra e h W r heater <br /> Exhausl fan Sink r�ice/bar/m letc. <br /> Heat um Badcflo reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fou in <br /> Ref� retion Floor drain <br /> � Woodstove Grease Irap <br /> ' Dudi Roof drains <br /> Olher Mediwl Gas <br /> SPRINKLER/sUr�RESSION SYSTEM OMer. <br /> Number^;Heads Other. <br /> I MrtEy cemry N�t I�ave re�a and e�ammsU tMs applinlc��nU knav Ilrc same lo Oe bue mE carecf.M O���s�1 Wws enE ord'nanas govamhg i�is rype ol wak wi0 E�wmpAeA <br /> wp�v.�elner cpetlfroO Ilereil or nol.TTe granWp of a Dem�R Eoae na1 D�suma Io 0��auNpMy lo vbiala or fanc9l ine 0����^ol any omer stale w Iowl law m0uutlng consbudbn <br /> 71u1 I im• wl[ r Ue owner ol Als pmpa�ly lo peho1m Ne worA iorvA�N sppYra�lan is maCe anU I compy wIM t�e Slele Conna Wrs Law 1l27 HCW anE 7BB.200A W�^.. <br /> 3-i�-� �l z <br /> a�lA Aoriz Agent Slgmture Date /Revised 62017) <br />