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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425•257-8857 www everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PR PERTY TA1(M PERIAIT 0 <br /> ,� ,, o op�ool� c: 6 <br /> LEGi1L lor new cons',ruclion. S�ort PiaUsuDdnaron Q�L T�-CI�-F� lol No� (attach copy ol long IegalOesrnp�onl <br /> OWNER QU,� ,Br�ers Na�eS Pnon�[-ma�i 7�-Zq�-Z �c�l' n44t��(L�7�Pi),� <br /> nearess 7�' A<,C- .UG— oryrs�a�crz�P /n r S��I E (.tlr� Z <br /> APPLICANT: er Owne?sAgent Comraaor ConlydCOfs�gent Tenam�n�.,s�wm.aaom.a�s�mnm�v,eo.-.s�mco.onNe.,w.�� <br /> CONTRAGTOR �C. �T �TD L 8 I Lic.# � �K. Z O I COE Bus. Lic.p <br /> AOG�C55 ,�/�� NC P�o.^eJEmad -Z 0-Z� 9 <br /> TENANTBUSINE�SNAME CONTACTFORPERMIT ��,e���44cicbr'e}J�EYI, <br /> Joel I-+a a ck ro,-, <br /> PhprieJE�mail Z -z, ��2 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 3 <br /> Exisling Use of Buildmg � ( HEAT SOURCE-. <br /> ProposedUseoBmlding `,�F Gas_ Eiecmc_ o�er__ <br /> Budding rype� �Single Family _DupleR_Townhouse _Multi-Family _Commercial <br /> T cf ro'ed: New Addiuon Remodel Re air T.I. Si n S dnkler _ Demohtion Chan e ot Use <br /> DESCRIPTION OF WORK�adaaio�ai spacc pmnoeo on me flacw). <br /> Bti�� ►�2 w S � w� a ��lr c��-�-C1.cI��� ��l r 4 �e, <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProJoct: �Naw_AEEn _AlferaUon_Repsir Type o�Pro�ect: _New_Adtln _Altnrauon_Repeir <br /> Show Number(e)o/fixtums SAow Num6e�(�)o/fiatures <br /> AIC-airhandlin units �_Tollet <br /> � Forced air s stems Bathtub <br /> � Gas i in Lavato lwash Oasin) <br /> / Water heater / Showcr <br /> / I Ga5 fir¢ lace / KifChen Sink 8 dis o5al <br /> I Gasran e Dishwasher <br /> / Clothes d er Clothes washer <br /> Ran e hood / Water heater <br /> F�chausl tan Sink senicelbadmo letc. <br /> Heal um Backilow preventer <br /> Unil heater Urinal <br /> Boiler Dnnkm Fountain <br /> Refn eralion Floordram <br /> Woodstove Grease Irap <br /> Duclin Roof drains <br /> Olher Medicai Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM O�her. <br /> Number of Heads Other <br /> I�emby ccrt.ly t�T�I�ave mad an�e�aminM mis a�plciEan ana Mow Me samo ro M we and mrtefJ AA pruvisrons ol Lnvs antl oNmanms Bovemmg IAa iype of waA wil�e�nmp+c0 <br /> wN wtlrl�er sp•aRed�emm or not.1Tc gran4nB o1 a prrm�tlocs not O2'sume lo prve auTorEy ro vioLllo w einml lne pmvivan ol any oNer sUtc at Mal law mguLitnp ronsW tlron <br /> ThatlamauNoiuoU0yl�aown o1N�sprope9ylopetlo�mNawaMbrwhrl�applraEansmaaean0lmmpyx�l�NeS4tleCan[adorslaw1821RCWandt9Gh10A\YAC. <br /> 3- Iz-2o �3 `/ <br /> O erl �ori:ed Age� ign ure �ate (RevrsedY10f2) � <br />