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• 0 <br /> ' MIT APPLICATION <br /> BG� E <br /> U1LDINCHA1I '',ALJ LUMBINGISIGNISPRINKLER/DEMOLITION <br /> • I . OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, I A 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> ,i PLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> " (PROPERTY TAX it PERMIT I <br /> SITE ADOIRESS: ort i 30& -o a 3 <br /> LEGAL for nevi constructle t: Short Pr:tt/subdn"•i : rt <br /> Lot No. (attach copy of long legal description) <br /> ` [ — q _ 5, •Li , <br /> OWNER E r I CYl 1 - r ) 'p_; PnoneiE•mall } , 1 <br /> 1_�T)IC ipc,\Le C r > ,e 4— CrtyistateIZrp ) \irC,+'t-t LOCA . Cj$ac <br /> Address „ <br /> APPLICANT:_Omer Owner's Agent % Contractor __Contractor's Agent _Tenant imuse pr um n Meter el oo•rrrl hireihr ower le eewon tithe eancei <br /> CONTRACTOR�Il/SSI 1.0U-ill— U;, • ,t43-'e( H^&4 (SIL 8 I Lie Al OZSCCX-Otrigt�I,^ . COE Bus. Lie.14oL cr 1i(1� <br /> PL, `, 14 (I LDL.U'l ) L �v-7 I 1r�honelEmai1 Ogl LO 3 �)iC <br /> Address y 1 lil ��(Q'C,> �'11 1 <br /> TENANT BUSINESS NA HIE CONTACT FOR PERMIT R i&\ It. SII ) <br /> Plume/E-mail CAstscoo_(IT( ' 1 l 'Q02'' L)ir) <br /> BUILDING PERN IT APPLICA-I ON CONTRACT PRICE OF WORK &CO- <br /> HEAT SOURCE , <br /> Existing Use of Building <br /> Czts___.._ EkAri•: Other,-- <br /> Proposed Use of BJ In!I <br /> Building type: Singh!Family _Dupl..) Townhouse —Multi-Family _Commercial <br /> Type of project. ___Nei i Addition �, 2amodel Repair T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF W:)RK(ad0.7rotrel sp t• •providcdon me Ufa/: <br /> pi. <br /> MECHANIC.!,L. PERMIT PI 'PLICATION ! PLUMBING PERMIT APPLICATION <br /> Typo of Protect: _Now •_Addrt _Altera.I nRepair Typo of Project: New Addn _Alteration Repair <br /> Shone Number(Jr)of flrumes <br /> Show Nu'ibex(ti)of fixturesShow <br /> NC—air handlin.• .nits Bathtub <br /> Forced air syster' <br /> Gas piping Lavatory(wash basin) <br /> i Water heater Shower <br /> Kitchen sink&disposal <br /> Gas fireplace � pjshwashcr <br /> Gas range ' <br /> Clothes dryer „ Clothes washer <br /> F2angc hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump _ '. Backllew preventer <br /> Unit heater Urinal <br /> Drinking Fountain <br /> Boiler Floor drain <br /> Refrigeration <br /> Woodolove Grease trap <br /> Uuctrncl <br /> Root drains <br /> Other Medical Gas <br /> SPRINKLEFI / SUPPRESII DN SYSTEM j Other. <br /> • <br /> Number of Head. 1 Other. <br /> 1 hereby Certify Mit I neve road end erlarrTnce Una app'; Ion and Meow the woo to be true,and aw'ret All ProveJono or laws and ordln,tne ns on nrnrng Itis type et work*el be oompied <br /> WO!whether speatien herein c'not.Thu granting of a :i TO does not presume:o give auUromy to malate or celled tete prnlslon of any caw stole Cr local au reg'M'ang wnairuction <br /> Thai I am aurhorrzed by ten ow err 04 this property to pt'i ' n the`ark for'which appication is made end I comely with the Stat:Conlmelets low 18.27 RCW and 296.2COA WAC. <br /> f l - 6)/1.•. L I !3 (Revised 6/2012) <br /> Owno►JAuthorftod Agent Clgnaturo <br /> Date <br /> td d90:Z0 £l l6 unf <br />