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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 FM -- o� �( `-\7- <br /> SITEADDRESS: PftOP[RTVTA%N P T� <br /> lSo2 ' I�UG(�QY - OU <br /> LEGAL for new construclion� Short PlaVsu6division I.ot No_ (atlach copy ol long Iegal descnption) <br /> OWNER Qf' Phone�E-maJ ZS —3z7— 3607 <br /> Adtl�ess , �a Z - �G ��-✓- CdYl51ate2ip NQ�nQ,�"'� W�j' [ � ��/ � <br /> APPUCANT: Ovmer �Owner'sAgent Conlractor _Conlractor'sAgenl 1-enantlR��s�o�c�aaumuo�oi�o�sP��i��a�eo.,�,.����oeowcn��ino,oac�1 <br /> CONTRACTOR ( � 81 Lit t! COfl Bus Lic t! <br /> Addiess Q Z 6 ' h` �.(,}Q (.J �Z�� �U�� � Phone/Email ��-33 p 's� <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> K ,� 1`Q(� V �j(,�/(/'Pj�l� PhanclE�m�il 'Zi��3Tj8 9 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK __ <br /> Ezisting Use of Buddmg HE�T SOURCE: <br /> Proposed Use ol Oudding Gas___ Eieanc__ Omer_ <br /> Butlding typr _Single Pamily _Duplez_Townhouse _Multi-Family J�Commerc�al <br /> T�;pe of project New Adddion xRemotlel Repair T I _,Sgn __Spnnklcr_Demohuon_Change of Use <br /> DESCRIP?lOkOFWORK �atlmf�or.aispacep�oviCetlonlhe�ack). Z - Fle.ttr S �K�es� ( - y�,�o� S�y(le � <br /> 2.. — ({�.*-,c� °.�k /C� � Z — r� K NC� c9-.�r.�k S. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Pro�ucC _New_�ddo _Altomllon_Repair Typo of PioJecl: _Nev:_Addn _Allorallon_ Rep��� <br /> Show Numbcr(aJ oI hx(ures Show Num�rr(M)ol lirNres <br /> AIC-air h.mdling untls ! Talet <br /> _ 1=orced au systems i dathlub <br /> Gas p�pmn I Lavatory (wash basin) <br /> __�_ Walcr he�di•r ' Shower <br /> Gas Grepl,ice � Kdr,hen sink &disposal <br /> -- l;as ran9c Uuhwasher <br /> Clothestlryer � Clothrywashr.r <br /> Range hood � Walcn c�ater <br /> E,�haust 4m ___� ( Sink(servicelhadmopletc� <br /> lieal pump [3ack0ov+prevenle� <br /> Und hea'cr Unnal <br /> patler � Unnkiny f'ountam <br /> � Rr.lrigcration (�loordiain <br /> Woadstove Greasc trap <br /> Ductin9 Rool drains <br /> Oti�er Med�cal Gas <br /> SPRINKLER / SUPhRESS10N SYSTEM � ou,cr <br /> Numberoflfead; i Other. <br /> I Oere�y cerfAy Ihal I nmc rcad an�c.nnireE�hr,at�P'�=�'��n anJ/now ihe;nmu io t�„hee and enrrccl.NI pwoi�.innr.nl iaw,and ortlmances 9ovemn+g I��s lype ul woM1 rv�'I�e u;�np'�."1 <br /> wilM1w�cl�e�spcuGrJpc�cinnrnol TOcqranicqOlaP�,�^���oc:ntlpic:eruc;ocncaut�only'umoUlcaomc��I�M1cpmv��,mncl:myo',�rts�amcrin�.dla�ic9Waungcom,tru;tmn <br /> IPOIImm�W�or dpylpnOvmv�Oilnyj��opa�tyl pminrmllirtworkl0r�i'�rt�,�pp'��.,��ionisma�lxB+:�Irom�AywnpDiC9aleCocbdc�or;�awifl�/HCW. ',:7�7UO�VJ�f, <br /> ��////����� G <br /> %% <br /> ��/ <br /> OwnCrlMdhorizod Agenl Si�n01w'e D.ilc ll�ewtcd(/701:) <br />