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r'EF2MIT APPLICATI� ���2, '93 �j <br /> BUILDINGIMECHANICAi.IPLUMgING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetriva.org <br /> �d —/7 --/ <br /> SITE ADDRESS: cnoaEntt rax p RMIT% <br /> 0 3�'�AdFsF FdF,QF ,�/fl doyao?..o/zo/oov 9-03S <br /> LEGAI br new construction: Shorl PlallsubEivlsion Lol No._ (a0ach wpy ol long legal tlescriplion) <br /> OWNERE-'vE�E�� /i!/��/�lU v/ � % Pt�onelE-m��l /1���� Z � <br /> A;Idmss .3/D 7 �L1�S� Al�f. l cayis�.�i�n.�P �dFjpF <br /> APPLICANT:�Owner __OwneYs�geni _Contractor coo��Tciorsn9e.,i TCOJnI(mustprohaeater.oralwnsamhommoewrcrmaowoM�inNxspaz!) <br /> CONTRACTOR State lia k City Bus. Lic. # <br /> Atl�ress Phone/Email <br /> TENANT BUSINESS NAME CONTACT PJR PERMIT�D� NFFF <br /> Phonel[-mail 7Z.�i,��00. Ei.�/�,/ /CD�/UCu'C���� ���7 <br /> BUILDIMG PERMIT APPLICATION CONTRACT PRICE OF WORK .3 S7/• � <br /> Existing Use o(Building HFAT SOURCE: <br /> Ptoposed Use o(Building Gas [leclnc ✓ Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Pamily _Commercial <br /> Typc of projecC New Adtlilion �Remodcl �Repair_T.I. _Sign_3prinkler_Oemolition Chanqe of Use <br /> DESCRIPTION OF WORK(addinona�spaceprovideeonmeeeck)�. <br /> si0/�✓G , F/1.A/�F�D oc�E-.�'l�ANG <br /> MECHANICAL PERMIT APPLICATION Pl.UMBINIC PERMIT APPLICATION <br /> Type ol Pro�ecl: ,_Naw_Addn _Allcrrtion_Ropair Typo ol Projocf: _Nov.•_Addn _Ailoralion_Ropair <br /> Show Numbcr(p)o/lixfures Show Numbcr(qJ ol Iixfures <br /> NC—air handling unils ToAel <br /> Forced air systems � [3alhWb <br /> Gas p�pmg � Lavalory(wash basm) <br /> Water heater Shower <br /> Gas lireplace Kitchen sink &disposal <br /> � Gas range Dishwashcr <br /> I Clothes diyer Clolhes washcr <br /> Ranye hood 'Valer heater <br /> [.haust Lin Sink(servicel6admop/elc) <br /> Hcat pump � Uackflow pieventer <br /> Und healer Urinat <br /> Bmlcr Drinking Faunlain <br /> Refrigc�alion Floor drain <br /> Woodstove Grcasc trap <br /> Ductin9 Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Olher <br /> I he�cby cerlM�������have rca7:md cwmineE I�is app0��tion nnd know ihv snmc lo De truo ana wnetl All provisione ol lnws xnA ortlinanccs 9oveming ihis type o1 wm4 vnll be avnpr,•tl <br /> wr,h.Mei�er spec�mtl herc��n or not.IDe 9ranunq ol n permii tloes nol p�esume lo grve am�anty to vmlate or cancel Ne Cmvision at any a,�er stale or Ixil law requ�aim�consW dion <br /> lhal I am:u�� n[cd�y i�c awncr ol ll�is property lo pertmm I�c work lor wTic�apD�iwlqn if maEc and I wmpty w',h Ilm$leto Conlracto�s Ww 1827 RCW ana 296 200A N'AC. <br /> 9/�.r/` 1�z <br /> OwnedAuV rl •d Aym�t Slynalura Ualc (Rcnscd3?O�J) <br />