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PERMIT APPLICATION <br /> BUILDIPJGIMECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 F,4X 425-257•8857 �wnv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED fROM 8 AM11 TO 4 PM <br /> SITEAD�RESS: y.r PROPER7YTA%p�I �UI ZUGOI"JOGL �� ll�\ 1� ' � <br /> /7 � AL w E� 6zor, . 'v. .� <br /> LEGAL fc�ne�.v con;•uction�. Shoh PIaU'su6division�Ty�� N� - _ <br /> Lot No �Z (allach copY of long le9al descrio�ion) <br /> OWNER ,U �`1 !JW LLL Phone�E-mal NZS'33�'S�'.�.YJ �� �ty �'�1eZ57w<iM.,�ei-u � <br /> nca«s �p RoX / 4,N c�iy,s�a�erz�o YYISLL (..RG ' A RGgL <br /> APPLICANT: Q.�ner �a+ne%sAgenl Conlrartor _Ccn;ranor'sAgent _Tenanti-�:�c��+��-a+�a��o��_=sr;no.;rec..�ouco..�o���resc+:�i <br /> CONTRACTOR C.DR+`�6RS'fLldc H�`'nES �'�1W LLL LBILic. � � 02� u 4�c� coee�5.u�.nD�I9197 <br /> naa:ess7U I�ok �� Z`I �lt�l.�. C�E�< �WA 4�iD�Z ano��ema,i '-f2S'-33°'`w�'� C:;eNesx� µa : S �, <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT�� L�rN1�T^��^� <br /> ano�e,E�maiNti-7 Y•S�Pw`' �S� �c"aRN�RS�EkW+rcS.� <br /> c <br /> F3UILDING PERMIT APPLICATION Cot�iRACT PRICE oF woRrc <br /> HEAT SOURCE: <br /> Exis6ngUsec(6uilding____ -- -- <br /> Ga;_�_ Eicctnc__ Other___ <br /> PreGo:.eC Use cf Gu:��ing V Ew 5f"� — - <br /> Eud.Cin�lypc �Single Family _Duplex_Townhouse _blulti-Family _Commercial <br /> Tyce of proiect'. \_Ne�.v _ Addition __Remodel Repair T.I. _S.Gn SorinV.b�r _Demcll0on Chance o`Us"- <br /> DESCRIFTION OF WORK��r!d:nonal soace prondea on ma nacti I: <br /> I�EuI �F� �,��=� �Z `� <br /> MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type o`Prcject: �New_Addn _�Iterallon_Repalr Type ot Pro�etC �New_Addn _Alloralion_Repair <br /> Show Numbw(zf c/fi+fures <br /> Shaw Number(#)ol lixtures Toilet <br /> � q,�C-air handlinq units <br /> � � Forced air s stems 2 Bathtub <br /> Gas pipin ! Lavatory(wash basin) <br /> Waterheater 1 Shower <br /> Gas freplace I Kitchen sink 8 disposal <br /> Gas ranac ! Dishwasher <br /> 1 � Clothes washer <br /> ( C1011leS uryef <br /> � Ran e hoed e � <br /> � Sink(servicelbar,mo letc.l <br /> 5 Exhaust(an <br /> B;+Ck9ow preventer <br /> Heat pun�p Unnal <br /> I � Unit heater <br /> Boilcr Onnkin Fountain <br /> Refri cra;ion Floordrain <br /> � Woods;uve Grease trap <br /> Roof drains <br /> � � Ductlng Medical Gas <br /> � Othcr <br /> SPRINKLER / SUPPRESSIQN SYSTEM O�her: <br /> � Nurnbcr o(Heids Other: <br /> il,q:l�yo�� rl.xitll �... .. .niT1o>>� 'd�lrsapp' � a'��11ncn'Iros��nelnCaM1uuam]co�*t`[I AIIG�o�6�onsoll�wsan4orGi�+.lncosqoveming��islypeolwarkw0lpCmn��ln�1 <br /> ...tli whr.IMr sn��Led nom�n or rol Tna granl n 1 cl a t�erinu axs ncl p'esumo I�9��alonita maEe and 1 com H w��I�o Sl�le ConlracloranLaw IB 27 RC'W anEe396�200A WAG � <br /> 1 r,nil am oulhame0�y14�e onoor oi ihis pmpcit/lo pod:im I�c aoih lo�w�zh a0P� <br /> � � �� � ������ � 1� ti2lif.l ��� <br /> � � (`g�..i�. <br /> pwqedAuthbrized AgenlSiqnalure <br /> i <br />