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� i <br /> Pf=RMIT APPLICATION <br /> BUILDlNG/MECHANIC:ALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, [veretl, WA 98201 425-757-SII10 FAX 425-257-8857 www.everettwa.org <br /> SITEADDRE$5: (� ) ^� PROPERTYTA%d PERMIT O � D� <br /> '`/�i ZS� (/ " cr L, <br /> LEGAL foi new conslmctwn. Short PlaVsubdrvaion__ Lol No_ (���ech copy ol lo�g le9al desu�plron) <br /> OWNER G�� � (�Vt.CCr--- Phonc�[-mail �G� / .S�`��. � <br /> � ��-G— �c� <br /> ,�����z yl`z-��� ���Y,S����,Z�P �"—c.e� c,eJ1�--� �=�r� <br /> APPLICANT: Ownci Owner'sA9enl Conl�aclor Canhador's�geni lenanl�mw�c�o.�nc�i:nnoim�u�n�omino�..��,�oin.�on�,�^��:�.,:.o <br /> CONTRACTOR !�-� �— S��e���� � C�Iy us. Li^. �T SZ <br /> �dnress zt� �/ � (i✓G S/i��lr. 2 J�� �honci[maii �F� /�> —SJ � <br /> TENANT BUSIN[SS NAME CONTACT FOg�PERMIT <br /> Lr��d�5 G'`/r(�� c�-�-✓' (� <br /> PhonC�[-mail `� 4 w— 1 S� �J � <br /> BUILDING PERMfT APPLICATION CONTRACT PRICE OF WORK <br /> Existing U�c nf Budtling _ SL� _ _.._ HEAT SOURCE. <br /> PropoSCd Use of Ikitlding_ �r _ Gas_ Eiec�ric_ Olher <br /> [3wlding lype. _Smgle Family _Uuplea_Townhouse _Mulli-FamJy _Commerci�l <br /> iype of pro�ect IJew _�ddiuon _Remodel _Repair__ T I _Sign___Spr�nklcr_Demoh6on_Change of Usc <br /> DESCRIPTION OF WORI��O�iy� '����sn.��.�f��ov�deoy���et�-k� <br /> '� J��..�c�-•— . j,��,,e�t�-fj� <br /> �c c�•.zJ�z Ul� G.r � <br /> `� .� .� Y� �'J ��� O <br /> i�f �, �- , ���';���� �i� �� � � - <br /> �- <br /> MECHANICAL PERMIT APP�ICATION PLUMBING PERMIT APPLICATION <br /> Type ol PrajecC _,New_Adtln _���e�.tion_Repai� Typc oi PrqetC _New_Addn _Nlcratlon__Repair <br /> Show Number(M)o!lixlures Show NumGer(N)ol Gxtures <br /> � A/C—au handlm9 unds _ Z � Todet <br /> ( Porced au systems � d�����0�� <br /> j Gas pipiny I I-�valcry(wash basin) <br /> � Walen c�ater 7_. � Showe� <br /> � Cas fueplacN Kdthen sink 8 AispoSal _ <br /> � Gaa ranyc _ Dishwasher <br /> � Clothes dryer � Clothes washer <br /> Name hood Waten c�aler ___ <br /> —� Cxhaust lan •�� S�nk(servicelbadmop/ete� _ <br /> Heat pump Har.kfiow preveNer <br /> � ilnd heater Urmal <br /> BoJcr i Onnking FouMain <br /> I Refugeral�on I Floor diain <br /> I Woodstovc Grea;c trap <br /> I Ducbng � Root dia�n, <br /> Other 1vledical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM �� utrier <br /> � Numbcr nl Hr.arf; � Other. <br /> i pcn;hv�����ry�h.v i h.�.0 ma�nnC crammea ihn app'¢a'�'on nrd Vnow�h•sn�m+�n Lc truc and co��ecl NI pronsmns ol laws an�orCmances govem�nq ihrs lypc ol wod vn'I he r,o��pi etl <br /> ��r 9 il i r peuheJ nercm nr nat iM1e granLn�ol a permA Aocs ot pre. �•�i n � �n r Iy to v �I �i ^ccl��e F o zivn ol:my oil=c�viair nr iot�l H+�requl.il r.�roti.fni.brn <br /> In.�tlmm��ihol¢et1�yl�eo.vnmoll�s��mpRrtylopedo�m�hewodlorwfrN:l�P�rit�_ smnlca¢Il�on{ yv:ilili_ J��eC��.nVaU�-i. leu�OLl_�J W)ib:f��1AVeM. \� <br /> /�-- ----- __ � ,�j 7 � <br /> , - , <br /> OwnedAutlmnrod Agr.nl Signnturo Dal_ fi:n�r.�.d 7/.'9f'J <br />