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� � <br /> PERMIT APPLICATION giy�`i-035 <br /> BUIL.DING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITiON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl., Everett, WA 98201 425-25)-8R70 FAX 425-257-8857 �wnv.everethva.org <br /> i-i �—l�1 <br /> � SITEADDRES�• oA �� ���� PROPERTVTAXp P tlTp <br /> Y3 /�'/- oo paZoi2 o�oho �� -D 38. <br /> LEGAL tor new conslmct�on: Shor1 PlaVsubdrv,ion Let No. (allacn copy of lang iegal Aescripl�on) <br /> OWNER��C�FJr D(�SI�U. ,(�� D . �I Pnone/E�ma�t �J, ZSG _ Q� Z L <br /> nddress Q (jOx �,j � J car�staterz�o Fv�,��! .,�� ��Z�� <br /> APPLICANT:�Owner OvmefsA9:m Coniraclor Cumracror'sAgeni Tenanll��;io�oa�ea�eae�eknxmWmueo.�.ci,eo+on.,ucu.,ce1 <br /> CONTRACiOR �/7rl Stale Lic.N Ciry Bus.Lic.� <br /> Address Pho telGma�l <br /> TENANT 6USINE55 NAME CONTACT FOR PERIr71T�� r— <br /> /) /l Kni!/. /'�cf� <br /> �/C/V ���� v/�" ✓ � Phoncl[�mail lZs��n(�� G✓ �L� ko�✓NP���a�. ��h <br /> BUILDING PERMITAPPLICATION cONtRq„TPRICEOFWORK1�/�d. v7J <br /> Exisling Use ol Ouilding ,S/��___ H[AT SOURCE: <br /> Proposed Use of Buildmg Gas Eiecuic y Oiher <br /> Building type: _Smglc Family _Dupl�x_Tovmhousp �Mulli�Family _Commcrcial <br /> T e of O�o�ecl New _ Adtl�tion Remodel �Repair T.I. Slnn $prinkler__Demoiition " Chan9e ol Use <br /> DESCRIPTION OP WORK(aded�ona�sn.�ce wov�dcn on mc back): <br /> C�ifi���E-- ,��TF-.e f/E-AT�,�s <br /> MECHANICAL PERMIT APPUCATION PLUMBING PERMlT APPLlCATION <br /> lypeof7rolecl' _New_AdJn _Alteralion__Repalr TypcolPro�ect: _tJew_Addn _Alteretion_Repair <br /> ShowNum6er(N)olli+fores ShowNumbci(b ollixtures <br /> NC—air I,antllinq unils Totlel <br /> Foicedars slems UaIMi,D <br /> Gas I inq � L�va1n (wash 6isin <br /> Walcr heater Shovmr <br /> Gas fire lace Kdchen sink R tlis osal <br /> Gas ranqc Dishv.a5her <br /> ClaUie,d cr Clnlhes washer <br /> Ran e hood W;il�r heater <br /> __ Exhau,l lan Sink(servicelbadmo /otc. <br /> I Heal um Backflow xwenler <br /> Unit hcaler Urinal <br /> 8odcr prinkinq(=ountain <br /> Rclriqeralion Plaor dram <br /> Wootl5love ' Grease Ira <br /> Ductin Rool drams <br /> Olhrr MediWl Ga7 <br /> SPRINKLER I SUPPRESSION SYSTEM o�hcr <br /> Numbcr ol Heads Other: j <br /> I hemLy pslM Nat I�ave ma0 and enminM In¢opDb�ilion anC Mnwi Vm s�me m Ee Irve and mnect.M pmvi:lon:al bvr,nna oNnancea povemmp Ihls pye ol vroA m9 Ee cnmpl <br /> N�N�CI�Ol;pCofin.E�M¢'�nOfnOt i�C9vnM1ngof.�Dc�m��(1oMnnlp�etun'.c1oq�+eaulM1or,rytorola�cortanU9�Anpronsionoi:�oyoll�e�5�alocrla:tllawiequ'alingeon;IN[Lcn <br /> lhal I a . t�y P . �mer ol l�is o�operry lo perlortn IM1e woM lor en�ch appto�linn rt matle am I mmnlyvniM1 mc$lats f,ontraclw:law 19]]Hf.W,nd 39G 109n WAC <br /> �� ��� <br /> CwnedAuO�/r AQent Sl�wture Ua1n pp,.i�;s��nqp'�J <br />