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PERMIT APPLICATION <br /> BUILDIN( �ECHANICHL!i'LUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 vn,vw.evereltwa.org <br /> APPLICATIONS ARE ACCEPTE�FROM B AM TO 4 PM <br /> PftOPERNTAXN PER }L�� - —� <br /> SITE ADDRESS: y+ l7I �G�Z-�"�����t' � — <br /> �$L I PL 1.� E Exc-r�. R c1J II <br /> LEGAL Icr new conslmcUon� Shcrt PiaL'subdivi,ion C'�?y �_( H� <br /> Lot No._7 (allac�copy oi long le9al descripl�on) <br /> OWNER ��O nl lJ�ll L�-L Phone�E�ma:l yZS-317�'S�3'�t'1 �CG��L'.Je25rt>+1FHc e"S'u <br /> CirylSlale�ZiO M.6L G'ti—' ' A .�0z— <br /> namess po ox / y `� <br /> APPLICANT: O��nEr �O.+ner'sAgenl CoM�dCior _COnl2clersAgent _Tenanl�m.s;.m•�=eaie-e•oico�ze^:bont��ee.^ertoeowo•���mes:a:e� <br /> CONTRAC70R (_.ORr�c 2S'R�E N cm�S NLJ L��- L&I Lic.» ' eR•'� N 47o coe e�s.u�.u U��919� <br /> ade�ess]>D (3ok �N l�I /ltz l� Cd E�� ,W A F`�0��— ano��;emau �-(15=33°�5'E"L e�tNe�sxNe NL c i �, <br /> TENANT BUSINESS NAME CONTAGT FOR PERMIT�� �,a�7ZNGnf <br /> Phore:E�ma.l NZj-�j�-S°,�$�SF� .CaRNeRiTvdEF��`7ES.0 <br /> QUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> NEATSOURCE: <br /> Existing Use of Building__ ___-- --- � <br /> Gac_� Elecine O;Fer___ <br /> PrcFos[C Use c(6uildir�^, V�W SF� <br /> 6u!'�,Ciny lype: �S'�n,b�Fan�,ily _Duplex_Townhouse _hlulti-Famil� _Commercial <br /> Type o(FrcjecC \ Ne:+ �C��6�� Remodel R�poir _ T.I. _ _Siqn__Sprinkler_. Demulition_Change ol Use <br /> DFSCRIPTION OF�^lORK i ���� ��- r ��'�'"'�'"c�'.`�': <br /> ���1� —,j- J� 17ijS'iL_ �l�iU <br /> MECHANICAL PERMIT APPLICATION <br /> PLUMBING PERMIT APPLICATION <br /> Type ol Prcject: .�Ne�.v_Addn _,��Ileratlen_Repair Typo of Projec4 „�New_P.ddn _Alteratlon_Repair <br /> Shm�Number(C)o/(ixNres <br /> Show Numher(Y)of fixfures <br /> I � Toilet <br /> qIC-�ir h:�nClinq units � g��hNb <br /> I I Porced air systems Lavatory(wash basin) <br /> � Gas pipin9 Shower <br /> � Wa�er heater � <br /> � G�s fireplau� i Kilchen sink&disposal <br /> � � Gas range ! � Dishwasher <br /> Clolhes drycr � Clolhes washer <br /> 1 ... - W uer Iwater � <br /> � Range hcod " + - <br /> � Ezhaust(an Si��k(servicelba:;mopletc.) <br /> BackAow prevenler <br /> Heat pump � Urinal <br /> � Unil healer <br /> Drinkin Founlain <br /> Bailcr I <br /> Floor drain <br /> Refri eration Greasetrap <br /> Woodstove Rool Croins <br /> ' I Ductin� ptedical Gas <br /> � Olher---_ . <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> I Nurnbcr of He:ids Other: <br /> IP.��.Ly[`�hh'�I�d�Iln�nr,1.� ��dC f�l' r' 1 �1�1`w1�Is1 '. GL It�udndCOfttttAll0��r50i6011dw5dndDf4�N11C0590vefning�M1'SIt00ClwntkNdlCOtOmp:O� <br /> �nll�wflBI1�U�5pIX11q4h0�CY1RP0i i! (j � �.��.�C� .IJI�.S V.1{`��.Su �.I. �'vO.IWI�CtAY�OVGId!�OfCdOCUI�liOpfOvi50llO�dl1`/O�hBf5�dI00liUC.IILIAfCIJllii�3[OnSIN[�4n <br /> ti.iil am nut�onled Cy,Mo oen�,r ul tlus p�c;�^ry la c^d.�nm m�wor�Is xncn apN�caron is mado and I comply mt�Ina Slale CaMractwa Law 1B 17 ftCP�and Y96I00�1 YlAC <br /> I / <br /> -''' ►�l � //z� '1;� <br /> � � �- (RaviseA620111 <br /> Ow�arlAulhorized Agent Sipnalure � <br />