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� � <br /> PEkMIT APPLICATION <br /> EiUILDING/MECH/aNiCALIPLUMBINGI:iIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SF.RVICEiS �/ `-�3 if(�/ <br /> 3200 Cedar 5�.. Everelt, WA 98201 425-257-8810 FAX 425-257-8857 �Vrnv.everettwa.org � <br /> 614oq-03"T <br /> SITEA�ORES�' U� Qr ��fr ��� �'+ ^� ODERpvG��Zd��OD PEK�aIT# �� <br /> �% J <br /> LEGAL lor nero conzlmclion: Shoq PIa11;ubErv4ion lol No. (alia<h mpy ol long legdl descnplmn) <br /> UWNER���C'�E> Of�.jl/✓G (�'' D . �/ Phonc�L�ra�i �.7��.��. �� 7 � <br /> nddrr,s Q �J�/� �✓ � / C�tylstaielz�p �y C��� L�1�� ��G—C�C'? <br /> APPLICANT:�Ovmer Ovmer'sA9mt ,_Contranor Conlractar'xA9ent _Tenanif��-�o•o..�eaw:e�e+<a,sr.,iromi�ec.�n�ea.�n„•x;,.,c�q <br /> CONTRAC70R �/7r/ State Lic.# Ciry Bus.Lic.# <br /> AAdress . PhonclEmnll <br /> TENANT L•JSINESS NAME CONTACT FOR PERMIT�� r—� <br /> 17��/G l_r9 .s' 6/l..D�/� ,�o�� /���fF <br /> Pho��,E ma�`/15:So�,c'��� ko�✓NP��/l��. ���e <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ("J'A�• � <br /> E:.�sfing Use ol8udding S� _ __ HEAT SOURCE: <br /> Proposed'JseofBuilding . � /�� Gas [iennc �Omer <br /> Building type: _Single Family _Uuplex_Townhou�se M✓ ulti�Family _Commercial � <br /> T eol roecC. New Addilion Remodel VRepair _T.1. Si9n_,Spnnkl=r Demunhon ChanqeofUse <br /> DESCRIPTION OF WORK(acd�nonal ap�ce pro��devon�he nact�: <br /> �y�I�✓��- �,✓�T�/ f���r�'�,�s <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMET APPLICATION <br /> Type ol Projea: _New_Addn __Alleralion_._Nepalr Type ol Project: __kew_Addn _Atteialion_Repair <br /> Show Number d al lixlures Show Nurrrhrr(tl)o(lirhucs <br /> N(,—art hanAhnq unrts TOAci <br /> Forccd av s�stems flathlub <br /> Gas � in Lavalo �vssh basin <br /> V✓ater heater Shower <br /> Ga;fre lacc Y.itr.hen smk 8 Jis osal <br /> G:sran � Uuh�v„hcr <br /> Glolhes tl er (;Inthcs washer <br /> Rar,pp hood Z Wa1cr heater <br /> EMhaust fan Slnk(5ci ai[CPoaflmop/ntC. <br /> Hcat pur� Ba�kllow reventer <br /> Und hcater Urinal � <br /> Brnlcr Dnnking Pounlain <br /> Rclri eratinn Floor Arain <br /> WooA;fovc Grcasc tra� <br /> Duc6nn Hoot Arams <br /> Olhcr fd�diWl Ga5 <br /> SPRINKLER !SUPPRESSION SYSTEM pii,�,: <br /> Number of Heads plher: <br /> I�rzmtyce�AyNatlliaeoma9an�enminMV�ueppl�itirnnnEknowNes:imvlobeWeanEm�mq.Mpmvi:lom.olLrvnandoNna�ce.Baveminglnistryeofwodvnll�ecompt . <br /> xt�W}�CIM1er.pCUlRd�nrr�norNl ilu.p,anlu�golJpertntlJnr:notp�c•.umvlo9ivenulir.ntylovmllemc.mcelibnpronSmnoianyc'�n�•.Ialeorlaalld�xrrgulat�n�conitNrlion <br /> iLal l an .pn• pY 1 . wnrv ol llirt pio:�..rry lo perlo�m ihe wod Inr w�ticn ipLl�ca:ion I;maJn.i;vl l romplywnp Vrr S�a'e ConlraUor:1 aw iB 2716W:nd JfG 7WA 1Y�C ' <br /> /� //y <br /> OwncrlAuth x P9enl5ignature � Ua�c (Rn�„sr�?701JI <br />