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PERMIT APPLICATIQN <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 w�w✓.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AA1 TO 4 PM <br /> SITE A�DRE55: y� PROPERTYTAXk PERMIT# _ <br /> 319 I p4in1 E yy, w! ol �olZ�oo�voc� 7 �;, <br /> LEGAL for new con,tmUiorc Shoh PlaVsubdwision � '�"Ty �� F�TS Lot Na ?7 (atta:h copy o�long le3�l d�scnFtio�) <br /> OWNER (�0'�n1F2S'CGJF rrt�ti IJW LV�� Phene:E-ma��l ��25'�1i�'S�1'v�l �� �GJE25nn+FNo.•CS�� � <br /> Address rp �1,OX � �{�� GtylState'Z�p 1�'7TLL (..� � �1 �0Z <br /> ppPLICANT: U�ner YjO.yner',Agenl Comractor _ContracrofsAgenl _Tenant��m�n:���earo:voim�.zm�.��onr.ea.�nioea»oamneswce: <br /> CONTRACTOR C.ORr�EYLS'R�`�E NcmfS N�J L�G L81Lic.n oRrJ U 47o coes�5.u�.tt o�19197 <br /> nadress 7U ok �� Z�I �lts l�C��< , W�a `i✓u��- ano�e ema i `l1 S'-339 S�E4� C�tN��sn�= Nc, r S ��; <br /> iFNANT BUSINESS NAME CONTACT FOR PERMIT�� �A�7ZN�r.f <br /> Phone/E-ma���l N7�-7,�j�-��Q„�,,�.51�C�RN�R57�1Ek�iES.�� <br /> EiUILDINUPERMITAPPLICATION CONTRACTPRICEOF\NORK <br /> HEATSOURCE: <br /> Eaicting U5e of Building _ _ <br /> PrcFoscCUaeofGollding Ne'�� �F� <br /> Gas_�_ EIecL•r.__ Othe�__ <br /> Eui'.Clr;typc�. �Single Family _Duplex,_Townhouse _h1ulti-Family _Commercial <br /> Tyue ef�rolecC _Ne•.v Addition _ Remodel _ReOair _T.L_ _S�.r,n Snrink;er_ Demcliti�n G�,arGe of Use <br /> DESCRIPTION OF WORK(ade�henal space providud on fhe bacAl: <br /> ;�E.u� �r�i� ��sz�- `(3� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJect: �New_Addn _Alteration_Repair Type of ProjecU �New_Addn _Alteration_Repair <br /> Show NumGer(YJ ol Iixtures Shaw Numbcr(tt)o(/ixtures <br /> NC—alr handlin units Toilel <br /> I � Forced air systems �— Bathlub <br /> Gas pipin t Lavatory P�ash bas��n) <br /> 6Vater healer I Showet <br /> Gas fveplace I Kitchen sink E disposal <br /> � Gas ranqe I I Dishwasher <br /> � Clothe: dryer Clothes washer <br /> � Ran9e hood -l'�---��WalSr hmler <br /> y Exhaust(an Sink(servicelbadmop/etc.) <br /> Heal pump BacFllo�v preverler <br /> Unit heater Urinal <br /> Boitcr Drinkin Fountain <br /> Refri eration Floor drain <br /> W oodslo��c Grease trap <br /> � Ductinq RoOf drains <br /> � Olher____ __ hledical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM othcr: <br /> Numbero(Heads � Other <br /> Il�rr��Cyce�Llyl`�ollha�erea�fan�e��mmo�lt4�snpp'�catanandAnavi:insameto�olruoandmrtecl A4pmvisqnsoi1nw52nAord��nancosgowminglhisl�paalxorkw�libe<ompla�l <br /> rv:IT wM1C1�C1 SOttdiC����INCtI W npl TItO Jrd�`.lut�CI 1 pCnpA�nCS POI pr�+i Wn0�0 Qrv0 dW�v`fdy 10 VOId:O Of CdlICB���10 plOYISOII 0�2�Y Oi�df 5�310 O!1p[dl l.l W IC�U4liitla COOSINCIq� <br /> i net�am amtw�uod by/I�a owner ol t�is pm�^�IY�o P^��°'m�i�c wo�t lor nbKn aoMaaWn is maEa and I mmp!y r.�t�Ihe Sate Contractors Law iB 27 RCW a�d Y96 200A VIAC 'I� <br /> / <br /> � � `� (� '�� ���Z <br /> � i�n�" r��.,��e�zo�zi <br /> Owr�crlAulhoiized Apnnl51gna1ura ' <br /> � <br />