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�ERMIT APPLICATI� <br /> BUILDINrIM�CHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES " <br /> 3200 Cedar St., Everett, WA 96201 425-257-8810 PAX 425-257-8857 www.everetlwa.ory <br /> � _og-i5 <br /> SITEADDRE S: PROPER7YTAXp P RMIT <br /> yao ��.���E w s. �. O " <br /> LEGAL lor nmv conslmclion: S�otl PI,iUsuhdivision _Lol No._ (attach copy ol long legal descriplion) <br /> OWNER �EO�� 5��2����Gn Phone�E-mail yo�-3��Y9 <br /> naa�es5yap //�iZ�LFT/E LcJ� S•GcJ. City/StalMZip CJ/�TT" l.rl� • c�.ZD� <br /> APPLICANT:_O�vner _Owncr's�gent _ ontiac�or _CoNraclor'sAgenl _Tenant�m��sioro.,:oomnnm�omo�iaommeo.,r�ioou,ni,:n�sv��c) <br /> CONTRACTOR,J�LL7/�lti�% f l.�4lfA'/-�l6 si�i� i_��. n .Sou7///,vf�D 7/C aiy a�s. u�. a 039a3d <br /> ndd�ess��/0� SW �l/rS�A ->�� �� ��A' /��DG Phonc�[moilF:06^ gao�– I�—J � <br /> CONTACT FOR PERMIT <br /> PhonelC�mail <br /> BUILDING PERMIT APPLIGATION CONTRACT PRIC[OF WORK <br /> Existin�Use of E3uilding � HEAT SOURCE: <br /> Proposed Use of Building_ Gas� Eiectnc_=0mer.__ <br /> Building typr _Single 1'amily _Duplex_Townhouse _Multi-Pamily _Commercial <br /> Type of projecf. New _Addition _Remotlel __Re air_T.I. __Sign_Sprinkler__Demolition__Change of Use <br /> DESCRIPTION OF WORK(addinona�space pro��ded on me back): <br /> i.�,sl�� ��-�=� ���i�� t%� rr�r-�--� � <br /> /'��� � - <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLiCATION <br /> TypoofProject: _New_Addn _Alleratlon_Repair TypeofProjectv�New__Addn _Aiteration_Repair <br /> SNow Num6cr(N)ollixturts Show Numbcr(p)ol/ixtums <br /> NC-air handlmg unds Totlef <br /> Forced air syslems Hathlub <br /> Gas Piping I ovatory(wash basinl <br /> Waler heoler Shovrer <br /> Gas ineplace Kd�.hen sink 8 dlsposal <br /> CJJS filOt]L` �JI511\VdShL'f <br /> Clothes di er Ciothes washer <br /> Range hood Waler heater <br /> Exhausl lan Sink(sr.iwcNbar/mopletc.) <br /> I1eal pump Elar.kllow prr.veNer(inside bld9) <br /> Und heatcr Urinal <br /> f3oi�er Dnnkm9 Fountain <br /> Rofri9cration f loor dr+" <br /> � Wcodsiovc - _---- _ Greasetiap �_ <br /> � Uuctiny _ 12oof drains <br /> r Other__ Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other �JfFTG1� S�UI�C <br /> Number af Flcads Olher <br /> I he�eby CCtlily Ih: �ave rCoO antl examincd Ih,appLw�ivn an now he snm�•lo Lu Ime nnd cnrtM.All pmvisions ai laws antl onbnanv�;guvrin�in�thr lype ol work w 1 pr ionipLcd <br /> vnlp whelAel 5 .qG^A hero�ll or nol TLf ran:iny tl e,not piesume l0 9ive uul�onlY�o violale o�cmc!,I Ilre pmvuu.n ol any r�hr�•.hi�.or IocA 6�w u•9ulitng ron•Jmcii^n <br /> al I,m aul �n[ed t�y Itie nwnm ol lti pwP o Pedo n he work In�whkh aDD��cnlion is miUc and I am:pry wnh ih�,l;bdn(An�ai;o�,L.rw t u.2]i:L::anJ:'�'�)UOA N';�f <br /> V — � / <br /> O4mcil�Whor2etlAgent" ynaWru � (17,•v<,.J.�.^Olb� <br />