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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257�8857 www.evereitwa.org <br /> y- / - / <br /> SITE ADDRESS� vROPEniv 7A%r PERMIT� <br /> �z�ti ��.. � �,.�.�t �a�, a- ol <br /> LEGAL br ncw ccnslwct on Short FlaVsu6drvision__ lol t7o_ lafach coGy ol long iegal Ocscr�pUon� <br /> � ^ I, /' F) �' '/ �'L- !I � <br /> OWNER �:.�"� V'�J'� PhonME�'na�l � i„ _ <br /> naa ess �1{�w�- CapSiaici7�v <br /> APPLICANT: �wner Or+neYSA9en1 �Connactor ContrattoYSFgenl _Tenarll^���e2�-�e��arer�i,r.ne-.i��or,.^o�..^avao+cnm�e+c.+s� <br /> _ — — � <br /> CONTRACTOR t'prc�Ga � c�. 5 .' � � L- State Lic a �'Q�-���� � Gty L'us L�c # <br /> naa•�ss'?.3�1pG� M . (. �-� "1 2 � P�oneiEmad �vJ(�" O�tJ�� '�� l�'� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT .rA <br /> ►YtaM�:^ '7.�f��Jv.�� / <br /> Pho�c�E�m.rJ <br /> BWLDING PERMIT APPLICATION r.oNrRncr PaicE oF woRK���oa =' - <br /> Ea�sUng Use o1(3uJding ._ H'tAT SOURC[� <br /> Proposed Use ol 6wlding,_ _ Gas _ [leclnc_ O1�c�_ <br /> E3mltling type: `�Single FamJy _Duplex_Tcwnhause _Mul!i�Fam�ly _Cemmercial <br /> 7ype o!prc�ect New Add�;�on � RemoCel __ReDair_TJ __Swn_Sprirk.ler__DemoliUcn_Chanqe of Use �v <br /> DE3CRIPTION OF WORK(adon;�ar space pti�;Crd o�rno oac�l 'n.<y„1�� �I �{-t'k Z(o�� M�'�V��'S <br /> �nm�x�a r'n�w��=�n5 5�'st-e�v, �'7 31..e. Fv�' acl�:- i.v�� o�,.,�,—�-cs'S. Ihrt-e- <br /> 5d-r;� s �;1� �C (v�. �o rrc.�n, <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Pwject: �Now_Addn _Allcralion_Ropalr Typo ol PmjocC�_'Few_Addn _Altcralion_Ropair <br /> SAow Number(N)ol futurev Show Numbrr(aJ ol li.fwes <br /> iLC—:ur t,andi�ng unus iodel <br /> Forced au systems � E3athtub <br /> Gas �pmg 1 avatory(wash basin) <br /> ( Waler healci ' Shower <br /> Gas fireplace I Kitchen sink&disposal <br /> Gas r,nge Dishwasher <br /> � Clo�hes dryer Clolhes washer <br /> Range hood Walcr heate� <br /> [a�aust lan I S�nk�servicelbarhnoplelc 1 <br /> He�t pump � [�ackfow r�venlcr <br /> Unit heafcr � Vnnal <br /> ��i��_ Urinkin Founlain <br /> � Rcingeration I floordrain <br /> WoWstove Gicase trap <br /> Ductin Nool drams <br /> Oihcr -� y� I �fedical Gas <br /> SPRINKLER / SUPPRESS OH SYSTEM - � omcr <br /> Numbcr of Heads � Othcr <br /> I�ereEy ce.�M����I�ave rca0 nnO caam:neC I��s aDPbca'ion an0 Anow I��e 5ame lo Ce!rue nnd curre:t AA pror�s�em cf laws�n0 o:d:ninus Boveming I�u type oI wo�n^.:I b:cerphc0 <br /> v.rh wTetne specArea Oeiem e�not The qianbng ol a permn Oxs nc�presume to grve aU9onry�o��eia'e a wnc<It�o pmnuon ol any ot�er siale or laal I:m��eqWaling conswmm� <br /> TTat I am avihor�ie0 Oy I�e vnnc�ol l�is D�epeRy la pertoim Ne warl�,br wltlrA applrca:ron is�n.»e ara I mr,py x+ln t�e Sla;e Cenitatlon l.rv i B 77 RCW anJ 756 2UOA WaC <br /> u�- <br /> O or/Au rizqll gent Ig at F � �ate (Row�etll^U7J) <br />