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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANiCAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EV[RETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATONS ARE ACCEPTED FROM 8 AM T04 PM —I I —I <br /> SITE MURESS: C�3'JJj !ST PV� 5 K. �D g PROPERiYTA%II P MIT�O — D I I <br /> .� <br /> LEGAL for new consWdiorc S�ort PlaVsubtlwision Lot No_ (atlanc�opy of tong le9al Acxnption) <br /> OWNER I PhoneJE�mail Z 5138��0 <br /> AOtlmss 3� � Sr � J GrylSla�rJ7.ip � � <br /> APPLICANT:�Owner OwneYSAgen: Convactor ConVac�ofsAgcnl Tenanl�m�s�ao.,eunm�m�ma,�sm:r�mN«on.�ioaown�nvaw,��1 <br /> CONTRACTOR lvN� L 8 I Lic.p COE Bus. Lic # <br /> Adtlress PlmnrJEmal <br /> TENANT BUSINESS NAME CONIACT FOR PERMIT <br /> PnonelE�ma�l <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> ExisUng Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Eiectnc_y� ONer� <br /> Building type: �Single Pamily _Duplex_Townhouse _Multi-Family _Commercial <br /> T ol ro�ecP. New Addition Remodel Re air TJ. Si n _ S nnkler Demoliticn Chan e of Use <br /> DESCRIPTION OF WORK(aaed�one�space v���ded on me bace): <br /> R�R��inS j/}; �v�!-' ,A-�r�- (2L��o-�-- <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMI� APPLICATION <br /> Type of Project: _Nuw_Adtln _Alteration_Hopair Type oi Prajecf: _New_Addn _Altemlion_Repair <br /> SAow NumDcr(N)o/fiirtums Show Numbcr(Ml o/fiirores <br /> A/C—air handhn unds Todet <br /> Forccd air s stems Balhtub <br /> Gas i in Lavato �wash Das�n <br /> Waler heater � Shower <br /> Gas fireplace Kdchen sink 8 tlis osal <br /> � Gas ran e Dishwasher <br /> � CloUies d er Clolhes washer <br /> � Ranqe hood 1 Waler heater <br /> Exhausl fan � Sink servicelbadmo letc <br /> � Heat um �ackflow reventer <br /> Unil hcatcr Unnal <br /> � Doiler Drinkin Fountain <br /> Reln eration I Floor drain <br /> � Woodslove Grease Ira <br /> Duclin Raol Arains <br /> � Olhci Medlcal Gas <br /> SPRINKLER /SUPPRESSION SYSTEM � Other <br /> Number of Heads Other. <br /> i nrmOY a'nM inal l navo nra�l ana omm netl t�is nppl�eiYon ana�now��e c�ma io le.wn anU mrtra NI pNnslons 01 pws an��NinnntsF gnveminY Iltls hpo ol wnt�w.!I�u mTpmd <br /> vnl�wbol�nr ry�mliotl�nmin oi not l�n 9mNmp ol n prtnM annr.nnl prt:�imo Io prv^auinor.ly In vioL�lo or ranculmo piovlslon el any omor rAnlo or bcallaw mpuL��ing can^.Irudinn <br /> Ihal l om auNOMM 0�I�c owne�ol t�b.pmpertr to parlorm Ina woM1 lor wtirh appt¢ahon Y:madc nnd l mmply vnl�t�u Staln ConVarfors Law 1B 21 RCW.na]001fH�4 W�G <br /> -�,� g- ��^ �J <br /> OwnorlAuthorfie A �ig nlum �atc fRevisal(✓J077J <br />