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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everelt,VYA 98201 425-257-8810 FAX 425-257-8857 �ww�.everelhva.org <br /> AFPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRE55: y.�. PROPERTV TA%U O I I D I ZUD�IG� �.h'2# " � <br /> `320 I f L W E� -r � �, oN <br /> LEGAL for newconswction: Shen Plae'su5diviswn �.2T7 L2C 1�� Lol No.� (ateach mpY ol long legal des:ripM1onl <br /> OWNER �O �e r� lJN� Ll�:� PnonelE-ma�l ���5-'>3�'S��✓QJ �iZ � ZJEZStWFHc. cY.u ' <br /> nadrezs �p �oN l Y N c�iy�sia�e�z�o Y�ZLL G� A �8L <br /> APPLICANT: O�+ner �O.x:er'sAgenl Ceniractor Ccntraclor'sAgenl Tenant�m�sio�o.ueoisee�c!;:-:r�,ec�+^e:re��000.wn��e•esr.a:�l <br /> CONTRACTOR I.OR+�6Rs"fU`�c {�Gm�S NLu LL�- l&ILic.» 02� ,� 4�G COE6us.Lic.# D�19I9� <br /> ncc«ss7G I'>oX �N Z�I /1t=L.�- C�E�< ,W� 9`.iJ�LZ PhoneEma! '-/ZS=3'�°5°�BY� C�eNo+sx� Ifc cS �, <br /> TENANT BUSINE55 NAME CONTACT FOR PERh11T�� �q�h'�2NG� <br /> Phonc'E-mady7�-7� v- ��Q.�/�F C-ofZN�i25TU1EH•+MES.V <br /> EiUILDINGPERMITAPPLICATION CONTRACTPRICEOFNlORK <br /> Exislin Use of BuilGin __ _ HEAT SOURCE: <br /> 9 `�------ <br /> PrcposeG Use of BuilCiny_NE W 5F� __ Gas_� EleCnc__ O:her__ <br /> Gu�ICin,^,ty�:c �Single Family _Duplev_Townhouse _6lulli-Famdy _Commercial <br /> Tyce of projecC ' New _Addilion Remodel Rea�ir T.L Sir,n SGrinkler__Dernolition___Chonce ef Use <br /> DESCRIPTIONOFWORK(a:.o,benalspa�eprovidedonn�a� .��: <br /> �VEt,� ��IZ -- '�.��.� L-�2�i <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT AI'PLICATION <br /> 7ype ol ProjecL �New_Addn _Alteration_Repair Type of Project: ,�New_Addn _Allera.lon_Repair <br /> Shaw NumGer(kf ol lixtures Show Numbcr/p)o/listures_ <br /> � NC-air hanClinp unils TOilcl i� <br /> � � Porced air s slems 1 2 6athlub I <br /> Gas piping Lacatory(wash basin) 1 i <br /> Water heater 1 1 � Shnwer � <br /> � � Gns fireplace I I Krtchen sink 8 disposal <br /> � � 6as ran e 1 D�shwasher <br /> � Clothes dryer � � Gothes washer <br /> � � Rangc hood 1 ' <br /> 5 Exhauslfan 11� Sinklservicelbarlmop/elc) <br /> Heat pun��p Backflow prevenler <br /> � Unit hcatcr � Uiinal <br /> � Ooiler Drinkin Founfain <br /> i � Refrigcra�ion j � Fioor drain <br /> � Woodstove Grease trap <br /> ' I Ductin Roof drains <br /> I ������ _ Aledical Gas <br /> SPRINKLER I SUPPRES510N SYSTEM Othcr <br /> � Numbcr oi Heads I Olher: <br /> I P.v�.F�nc:1�y L"„�t i��.ava rea 1 a�d c�amiro f Ili s apP��cal nn and Anr.w inn samn Li l c L u�an.t:ortocl.All pmveions ol laws en0 orOrtun[os govemmg ihl5 iype ol xak wdl be mmnled <br /> N:11x�1C1I1ClSVOCi1�Ot11tOlPillttf101 T�1�{i'��'��������(�OInt�IdUCSIlOIpICSuf.t0l�q'VOfl'J�It:�i�yl0�b�.lIBOlCi1f1CCI1�0Pf0V15qf�D�dl1�O��IOl212�80f�OCll�IWfB(j11�81iI18COn5IR1�I�011 <br /> 1 i:�tl am a�nhor¢od byJ��a onner ol lhis p�opeai le e^�','^���'�e wak lor whwh appiealun rs mo0o anC 1 eompry ndn t�o Stale Cantroclors Law 18 27 RLN'anE 298 200A�YAG <br /> � �� [o�2�/r , 1I) <br /> �..- <br /> � . � <br /> Ow�crlAu�doFlxedAgont519wWm �11Q `F�� � � �� �� <br />