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�v"e,Qs VyO' <br />PERMIT APPLICATION <br />BUILDING!MECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St, EvereB. WA 98201 425-257-8e t 0 FAX 425.257-E857 ~v everelrNa oirpT C / <br />APPLICATIONS ARE ACCEPTED FROM 9 AM TO 7 PM d J <br />SITE ADDRESS. 19D5\ <br />PpOOPEPTY Axa 0� <br />PER4"II" <br />03 <br />LEGAL I:•ncwmrstmor, atncr Cory of lung egA1 desClaa01l <br />OWNER TnQq✓� �� <br />.d ,-„ ��obwnlTa�1 sF <br />coon^:— ZS-9\ �o <br />olyslatezp �v2re W ei8101 <br />APPLICANT. _` _ C, ,str�r^• <br />CONTRACTOR p ILSILc a 1(,- '�9•QQ COE Bus LIC 9 <br />Ana,"�. 31 S� "J" S �. '' Xre 1?WE <br />Pl< nEi-,� LUS 41d SSV <br />TENANT BUSINESS NAME/ <br />CONTACT FOR PERMIT <br />u2s 1la 1 � <br />Pnsre�E mat b \ on o <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK LrJ rJ _ <br />Eaabng Use of Bude!ng I+EAT SOURCE <br />Proposed Use of Budding Cos PeCno n••.r <br />Building type _ Single Family _ Duptes _Townhouse _ Mulp-Family _ Commercial <br />T oe of oro:drt Ne1v Addition Remoeel Repair T 1 Sin Sprinkler Demoldlon Channe of Use <br />DESCRIPTION OF WORK radSnonal spaca pmmcee on me be,,) <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typo of Pmlort _Now _Addn 141lcmllon _Rrnan <br />snow Numbor (q of thrums <br />Tyre of Pro)rcl _Nrw _Addn _Ale-atwn _Ropan <br />Shew Nutshell r*) of l!• rules <br />rl urn15 <br />Aor <br />Toilet <br />se - Forced air Systems <br />e a Syshrotem <br />eatn;ua <br />Bahl <br />Gas pp mo <br />Lavatory (wash basin) <br />Water healer <br />r Shower <br />_ <br />Gas hrelance <br />KOChen sink A d SPOSat <br />Gasrande <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Ran ehood <br />Water heater <br />Eshaust fan <br />Sink ("Nice+harrmooretc 1 <br />I Heat pump <br />Backflea preyenter <br />Uni( neater <br />Urinal <br />I Boiler <br />Onnkino yountam <br />RelnnCl ali0n <br />Floor dram <br />Woodslove <br />I Grease Trap <br />Duchog <br />Root drams <br />Other__ <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Numhel of HcaCS <br />Other <br />I netanl mn.N Mal In'" m.a ono eramnod this npinutcn.0 Shaw use use 1u oe true and mllca is nro.nime a Uvs non nMmanfre pornm�p n�a IMa M 1vPls ens De mmasta <br />MM,hhetherspe4M1eGMrown01 the planLnp 01 A ndnnl4,ps, LYOsurhl,,It" hethwAy 10 ooW!em Ca-KlI Me Ora,thi C Milliliter slate b 1114 rCpidsth; Amlrotli <br />motlhm auCaruea Py me owner of nl!s Prnpmrym Perform Me vunl ..tol+IPnsd W. she We and l mel wen Me slate Cre"On La. 1927 RCW ahe 20A 209A WAC. <br />Owncn4utnon2ed Agcet Iqn lure Care fRevsee 6e2012) <br />\l,X.0 <br />