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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Eveietl, WA 98201 425-257-8810 FAX 425-257-8857 v✓vnv.everethva org <br /> S-�4-/4 <br /> SITE ADDRESS: I-� � , 7'j ���_ PROPERTY TA%u �E VI,`b _ O <br /> IC�1 U <br /> LEGAL�or new Con5lrv]bon. Short PI�UsuEtl�vis�on �o�No_ (aitach copy of iong iegai descnpi�on� <br /> OWNER CCi�+�C(1C�Pi �li ✓�,S r` PhoneiE�ma�i <br /> Address �. ��v ��c.�E�' Giy�Slale2ip /j. ��� <br /> APPLICANT: _Owner _O.vner'sAgent Com�ador _ConlradoisAgenl Tenanllm�si��o.,00am+ercimnsc�.i�mn��oo.�«ioa�wonnmonoace� <br /> CONTRACTOR .�A) J� (e Stale Lic # ���s = 02-L�� Cdy�us Lic.# <br /> adaress �Q. �O 6(lvt � Z� Pnone'Emad �/ZS �7U �// v <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT ���n 5 yGK LO�"� ��� <br /> Pnone�Gmad [cV' V�1' S� G/�- <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK "9 7��� <br /> Eeisting Use ul 6udding SF� HEAT SOURCE. _ <br /> Pwposed Use of 6widing _ Gas__ Eiectnc_ Ciher_ <br /> 8wltling IyFe _Sm.gle Famdy _Dupiex_Townhouse _blulti�Family _Commeraal <br /> Tppe of prc;ect Ne�v _Adonion _Remodei _Repair_T 1 __Sign_Sp�inkler_Oemoli�ion__ Change ol Use <br /> DESCRI PTION OF WORK(aec�r�onai space p�ov�ded on ire nacN) <br /> I����-i�,' 1-E�--G6-�.-�1°,S Sa�- � pl,�.,..s,l„-� o��. .,4�1� �,,,,�k,'ts <br /> �5 ,�.�.� c��P,�, i nsula��rt, dr���vwtl re p�u� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> typcofProjecc _New_Addn _Alteralion,_Repalr TypcoiProjecl: _New_Addn __Allcration_Repair <br /> Show Number(aJ ol lisfures Shaw NumDer(N)ol/i+fures <br /> NC—a�r handling unAs I ToJet <br /> � Forccd air systems � E3alhtub <br /> ��j � Gas piping Lavatory(wash basin� <br /> � Water heater � Shmver <br /> Gas�ueplace I Hitchen sink&tlisposal <br /> � � Gas range Oishwasher <br /> i Clothes dryer � Clothes washer <br /> Range hood � Watei heater <br /> � Exl�aus�fan ' Sink(scrnce�bar/moD�etc� <br /> � Heal pump � Back(low preventer <br /> � Unil healer � Ur�nal <br /> � l3oilcr Dnnkiny Pountain <br /> � RefrigeraLon i Ploor drain <br /> � Woodstove � Grease Irap _ - <br /> � DucUrg I Rooldrains _ <br /> � Other Metlical Gas _ <br /> SPRINKLER I SUPPRESSION SYSTEM � Other <br /> � <br /> Number of Heads I Other. <br /> I�cre�y ceh•1y Ihal I nave iea0 anE e.am�ned Ih�s apphcahon and know I�e same to be We anC conecl All provis�on5 0l laws anE ortlmance5 goveming IMs lyre ol H�arF w+'I Ee campSeC <br /> v.iln xTelMr spenred peiem er nol ine granling ol a permit daes nol pmsume lo gne auroonly lo vioiaic or cancel O�e p,ovision of anY o�hei s'ale or lotvt law�egulaling ccnshutlicn <br /> T�al I am aulno�iaetl Oy��e oxner ot mit pmPe�y lo perfo�m I�e wo�h lor wnich app'�'cancn�s maEe ancl i comp'y.•.••��itie S�aie Convaciors La�.v 18.77 NCW an0 75G 2�OA N'�C <br /> J/ /�- <br /> O�vncr/AuthorizedAgen Signature Ualc (RenseC3l;0�31 <br />