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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECFiANICAL/PLUMBINGISIGNISPRI�IKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St, Fverelt, WA 98201 425-257-8810 FAX 425-257-8857 un+nv evereth�ia org <br /> SITE ADDR S: PROPERTY TAX N PEHt:�IT 7 <br /> 9 0 3a� nU�. s� ���.e.�� p 0 - o <br /> LEGAL for ne�.v eonslrucuon Sr•�ort P'aVsu�arvrs:en�`�C.N2�d�t� r�� Lel I.o� laltaen eopy d en�3,�9a1 deso ,'.�.ori <br /> OWNERSTq��� PJaC,.�'- \L i1nF�L5 Phone�L�mail �4Zs� 153- ZBoU <br /> �-L.a s,,., Ul�rn_�-rc wr.�� w��-1 � o �JT't(L�iT ttiA <br /> naa«ss 5�, 10o c�i,�.,i�ierz� . ��2oQ <br /> APPLICANT:_O.vner _O:meYsi,yenl _Cr,rirac!ur ._Cc�IriUars.tqen; _Tenar.!�.r�;�r^.:e.,'=.....-im:....-�.;-�•o....�r���.c::.�.:+ ��..,.:�y�-..., <br /> CONTRACTORSrzAiTISL Pp.t�F�L L-�vk6S s��ie ��c s5@./+CT NY�oS v c�'y ��:s ��� �D - 'uob ''�O <br /> aDa��ss SAv�n� P�c���Ern,tl rjAµa�. <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT -Y.��..kN ���y� <br /> v <br /> anonerE�ma �Z�� 3b � '- ���G <br /> BUILDING PERMIT APPUCATION CONTRACT PRICE OF WORK _ <br /> Existing Ust ol Bwlding H[AT SOURCE <br /> Proposed Use of Bwiding Gas_✓ e�ca��c _ _ otce�._ . <br /> 6udaing lypr �Single Family _Duplex_Townhouse _h7u!t�-Fam�ly _ Commerc:al <br /> �vpe ol pio�ect V New Adddion Rzmotlel _Repair__T I _ S�cn _Snnnkler Demolit�on_Chanqe ol Use <br /> DESCRIPTION OF WORKjacmno�aispacepro�•cedo�meoackl Z G�2 �{��Lf��� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type o1 ProjeU: �New_Addn _Altcralion_Repair Typn ol ProiecC _New_AdAn _Alterauon_Repair <br /> Show Num6cr(p)al7isfures Show NumbCr(dJ o1/ix(ures <br /> NC-air handhng unds I `odet <br /> � Porczd a�r systems 'Z ��������� <br /> '3 I Gas p�pmg Lavatcry(v:ash basin) <br /> � Water hea�er Shower <br /> � Gas Lreplace � Kdchen sink& disposal <br /> I Gas range U�shwasher <br /> \ � Cb�hcs dryer � Clo�hes wa5hef <br /> t Rangc hood i ' <br /> (p Exhaust fan Sink(sc��.vice�badmopletc) <br /> .--. Heat pump Backticw pievenler <br /> Und healer �— Uimal <br /> paler -- I Drmkm9 Founta�n <br /> � Reir�geration — I Roor drain _ <br /> .� Woodslove � Grease lrap <br /> Dudmg I Roof drams <br /> � Olher .� Ided�cal Gas <br /> SPRINKLER / SUPPRESSION SYSTEM otner <br /> Nmrber al Heatls Olher <br /> Iheie'�yceNlyt�all�aee�ea�antle�ar��calnisappucaLenanCknowi�esamelo�ehuea�dc�necl Allpion;�o�sollaxsantlor0ln�ncesgovem�ngl�islyDealworkxilbewmpiea <br /> ,:n.1�Mcl^.eispenLe�n(�eino�nol TpeS����inge�apeimilOueSnolpresumelogiceavlhon!ylov�a•�aieorcancelinep�ovismnclanyoRerstalecrbcall.twregvlxlingco�sWCLen <br /> t1ia11JmalherSPaEy1�2o'.vnelOfltliSD�Cp¢�ylopetlorTlll?x'Crkicfv.n'[�aCC��=abOnisnd�C.n]Icenq�iy�af�t04$IZIPCcntldC�etsLa.v187iRCWarq2qu:C]FIiWC �� <br /> // l � <br /> /�'/ <br /> l�" 3-►3- i4 <br /> Own �AuthorizedAgentSignalure Dale (r°�'�sed??0�3) <br />