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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 w�vw.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPENTV TA%p � PERMIT M �� <br /> �9v6 I'+p� w E r p, c+-1 OI �olZorol6o (,IZ ' �-0 <br /> IEGAL Icr newcon;tru,tan: Shon PlaVsutC�vis��on (.'STY L=(���_Lol No � (altach copY o(long legal desaipbon) <br /> OWNER ��O nl lJI.0 LLL Pn�ne-E-ma�l yts-334'i'S��Qj �� � 2.JE257WF!!o��[S•�' � <br /> Address pG �OK � ��7 GtyState'ZiD �1:�.[. GZC � l{ �PlZ <br /> APPLICANT: Usner �Oener'SAgent ConlraCler ConVact:.r'sAger� Tenanl�.-�sto,:�':e.�eerno^:e^'.��=�c^ecw�e,we:.�n„r-sw:e� <br /> CONTRACTOR �.ORrJE�2S'fU`�E ��mF N6� LLL L81Lic.rt oR� N 4TU COEBus. Lic.# D�19197 <br /> aaa�e�s �l� (3oX �N Z�� /lt=L� r�Z�t ,i,,�� y�,U4,'L ano�e em,a i `/2 f 33v�'S°E:4'� aC.>zNc+sx� Nc t5 �, <br /> TENANT BUSINE55 NAME CONTACT FOR PERM1iIT 5� �a�7xN�„f <br /> Pnc�c;E-ma���l yt�-7� V-S°Q;��� C�R�7��257cn'ENw^icS.V <br /> liUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exi::;ing Use cf Bu��ICing ______ _ HEAT SOURCE: <br /> Prcposed Use cf B�ildirg NE W yF� .____ Gas_t Electnc_ Otti=r_ <br /> GuilCln,typc� .�_SinGleFamily _Duplex_Townhouse _Multi-Family _Comm^rcial <br /> Tyce of F��ject: � Ne:v _ �ddilion Remodel Repalr _T.L_Slqn Sprink'�;r Den�,o!dion Chanqr, o`Uc� <br /> DESCRIPTION OF�VORK(aCd�hor.al sp�ce proviCed on Ihe backi�. <br /> . / <br /> ��;E l,�l �>i-1' I`'J� � ( � - U� J �1� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type af Pro�ect �New_Addn _Alteretion_Repair iype of ProJact: �New_Addn _Altoration_Rrpair <br /> Show Number(riJ ol firfures Show Numbcr(d)ol/ixiures <br /> NC-airhandlin units Toilet <br /> � � Forced air, stems — BathNb <br /> Gas piping Lavatory(wash basin) <br /> �_ � Water heater I Shower <br /> I Gas freplace 1 Kitchen slnk&disposal <br /> / Gas ran c I I Dishwasher <br /> � Clothes dryer Clothes washer <br /> � Ran e hood ° " <br /> j Exh�uslfan Slnk�servicelbarlmoyelc.) <br /> � Heat pump BacFllow O�eventer <br /> � Unil heatc: Urinal <br /> 6oiler Drinking Fountain <br /> Refri eration Floor drain <br /> � Woods!occ Grease trap <br /> ' I Duclinq Roof drains <br /> � Other M1ledical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM other: <br /> Number of Heads I Other. <br /> I l�nrrm/c�•�1'Y Iha!I I�avo reod nnd mxminoC iM1ls�t c`u:on nnd Anow t7u samo lo tm Irue a W von erl A'.i pra�:�oos ot laws and orartwtncos 9overning Ihrs Iype^I wixk wJl M mmplml <br /> wthwnnit�erspm�Ge�here.nornol Tlwgrantngelape:initloc,rniCresumologcoauthorAytov���nloercaecelB�eprovisunolanYol�or5lalewbealUwre9uW1in9wnsWeton <br /> iMll,����+�hcnsd by�0e ewnor ol IAis propmty lo peAorm Ino wo�A lor wns�ao0l calon n maCo and I comp!y wAn�ha Sple Comrdcmro Law 1827 RCW anE i96100A\VAC <br /> I % 1 <br /> ii <br /> �� ��%� �� �`�, �L Z' <br /> � <br /> Ow�adAul6aiizod Apenl SlgnaWte ��.�'�=• l(:���,etl 670t21 <br />