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PERMIT APPLICATION <br /> BUILDING/MECHANlCALIPLUMBING/SIGNISPRIN KLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITEAODRESS: � � S�. r S DROPERivTnxu PE MIT / � <br /> �Z' �� �o <br /> LEGAL lor new cons�ruction: Short PlaUsubdivision Lot Na_ (atlach copy of lung legal descnption) <br /> i <br /> OWNER � PhonclE-ma�1 <br /> Address � i ,lJ � Cityl5utrlLp ,J� v` .� , ' <br /> � <br /> APPIICANT; Oancr _OwnefsAgenl �_ConU.ctor _ConlnclorsAgent _Tenanl���v�.�,v.x,ru,o�m��.mx�m.��,maA.Anit�.•.ra:.�i ' " <br /> CONTRACTOR ate Lic.# � ity Bus Lic p Q II2 <br /> AAdress � :� ^ Phono/Email ���� � <br /> TENANT BUSINESS NAME CONTAC FOR PERMIT �G�� <br /> ���.. �, <br /> PhonMEma�l � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK '���. C}7 <br /> ExiSiing Use ol Building � Y � _ HEAT SOURCE' <br /> Proposad U50 of Bwltlina _ Gas �C` Electnc_ Ot�cr_ <br /> � <br /> �uilding rype: �[ Single Family _Duplez_Townhouse _Mulli-Family _Commercial <br /> T of ro ecC New Addilion Remodel ,Re air T.I. Si n 5 nnkler Demolition Chai� e ot Use <br /> DESCRIPTION OF W ORK(additiona�spaco n���ded on tno back): <br /> �-c.�IQ-C�� UG(.S T"�i/� U�� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Pro�eci: _Naw_Adtln _Alterallon�Repalr Type of Project: _New_Addn _Alteratlon_Repair <br /> ShowNumDoi p o/firfures ShoH'Numhcr N o//]rfurcs <br /> A/C—airhantllin umt5 iadel <br /> Forced air s stems Balhtub <br /> Gas i in Wvalo wash basin <br /> Walcr heatcr Slwwer <br /> vas fre lace K��;che�;ink 8 dis osa! <br /> Gas ran c Dis�washcr <br /> Clothes d er Clolhes washcr <br /> Ran o hood Walcn c�ater <br /> Ezhaust lan Sink servicelbadmo IMc. <br /> Heal um �ackllow revenler <br /> Unit healer � Urinal <br /> Doiler Urinkin Founlain <br /> Rcln cralion Floor drain <br /> Woodstove Grcase tr.i <br /> Duclin Root arains <br /> Olher Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM otner. <br /> Numbor ol Heads Olher. <br /> I�emby cerWy Ihal I�ave mad an0 ewm��noC Nis a0pl�lron anC Mow pix samo�o pu Wo an0 wrtecl.NI pmvenns ol laws arul ortl�nanu�s qovemmp Ne lype ol xuh M+II bo comp <br /> wlpwTOVre�sp�c�ficahereinu��o1 T��oS'anOngo�TOa+ndaou5nolpresumc�ogrve.Nnnnptuvioq�lco�ainu•INopmvmanolanyolncrsWaoed�r.�IlawnJuL�unV�nsmutnm <br /> T�ai l nm ao�omeE oy Se owncr ol t�5 mCeM�o�eAoim Ne��M lor v,Tit1�apy�wlro^�'S��adc anC I comDN°^��Ne Sutc ComaUoS Law 1B i1 RCiY anC 796100A WPC <br /> i <br /> � /��� ' � <br /> Owner(�Nhori:od Agent 51gn.luro Oaro �Hcv�s��d 9/201�I <br /> � <br />