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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., [verett, WA 98201 4?5-257-8870 FAX 425-257-8857 vnrow.everelt�n�a org / <br /> �- -1 —I S <br /> SITEADDRESS: / PROPfRTYTA%# v i���Z��Z� <br /> / vC c <br /> LEGAL!ornewconstn:c5en- Sno�Pla7subCrv�sion LclNo_ (asachcePVollonglegaidescripbr.n) <br /> 2 �f' PnenclE mad 3 SS- �v 39 <br /> OWNER �U��c // 6i S <br /> nec;�ss o:y,si�«iz„ 035320 <br /> APPUCANT: O+ner _U+nefsAgent en!ractcr _CentractofsAgenl _Tenanit-�.��c.9.�c�+�•r��o�«.,,.�u.tma.o.-.�noeo.�:n,.,v..,M.� <br /> ��P CG n��� State Lic. M G�l ryb "C / � City Ous. Lic tt <br /> CONTRACTOR U:Li e �J /(� <br /> i•.adress � (.i"�`� p� �� i7 Pno�eiEma�l �(�lo �(/lyj <br /> TENANT BUS�NESS NANIE CONTACT FOR PERMIT <br /> Prc,c.'F�m�:� T -1vNtiN i"�O�Mc)l•(Jw— <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �'�� <br /> Existing Use of Buda�ng NE.�T SOURCE: <br /> Pwposed Use o1 Bw:d�ng Gas _ E:ca���: __ Olhc�__ <br /> BuAd�ng lype _Smgle Famay _�up'ez_Tpwnhouse _�.1Wh�Fam�ty _Commeroal <br /> T�; eo( roect. Ne�v Atltl�lion Remodet ._ R- epair-_ T`� _ S�gn , S rinkler Demohtlon Cnance cfUse <br /> DESCRIPTION OF WORK(ooa::enai s��vcr r�e.,acd on Rie eac.:) <br /> �e�JC�.ce ������. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolPro�rct: _New_�Addn _Alteratian_Repair TypeafProjecl: __New_Addn _Alteralion_Repair <br /> Show NumOcr(x)o/firtures Show NunrOcr(p)a�(Rfures <br /> NC–air handlin un,ls To�let <br /> forceA art s stems Balhtub <br /> Gas i in Lavato �vashbasin <br /> 6Valcr heater Shower <br /> Gas��re lace Kilchen s�nk i dis osal <br /> Gas ian e �ishwas�Cr <br /> Clalhes d cr Clothes washer <br /> Ran e hood Watcn c��ler <br /> ExhauStlan Sm4 sernce/hadmo /etc <br /> Hcal um� tiac411ow 'eveNer <br /> Unit heatcr Uunal <br /> 9oder Drin6in Fcuntain <br /> Relri eration Floor drain <br /> bVoodslove Grease tia <br /> Ductin Rool drains <br /> Other �dediwl Gas <br /> SPRINKLER I SUPPRES310N SYSTEM otncr <br /> Number ol Heads Other. <br /> I�ci<Oy cetty Na:l Oave rea0 anC c�amned Nis aCP����p�r^a Mow IPe same lo Ue W e anC canect NI O��swns ol I.rn's an0 eNinxnus gm�em�,ng C.is�Fe ol wo�k wi�l Ce¢npl <br /> ..rn wneNer speUcd�crem or no1.Tl�e grameg ol a permA Coes nol presume Io gnc auNon:y�o eulalc o�emcel Nc pmnsion ol any oNcr slate or Wr�l law:e9v:�ung conslm tion <br /> ThallamauNoOxedGyN mer IU�spmetlylopertoiml�ewoAforwMrl�aDP���tionlima�eanalcampNw'NNeS�aleCenlraclorslawlB:7ftCY/ana798'.00�iWAC <br /> �� , � �M � a�r�-�� <br /> Owner/Au nrirrA 7er.iSiynature Dale (Revisea9R01.1 <br />