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�ERMIT APPLlCATI� <br /> BU{LDINGIMF_CHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY nF EVERETT PEFtMIT SERVICES <br /> 3200 Cedar S'., Everett, V/A 98201 425-257-881 J FAX 425-257-8857 www.everettwa.org / <br /> 7.-d 7 �/.S <br /> SITE ADDRESS: PRUPERiY TAX p PERMIT R <br /> gI ��a.l�,�-S�---�V-e,�'e� PI o - <br /> LEGAL lor new constmclion. Shoit PlaUsuUtllvision __Lm No._ (�Itach copy ot IOn9le�al desciiption) <br /> OWNER� �� '��j1(/1 PnonerGmail � !�'„l� <br /> �4���55 5 �s 1 C��Y,S����,ZiP , � . _ `g <br /> APPLICANT:_Ownet _OwneiSAgen� __Conlldclor _ConlydGoi5A9ep1 _Tenanllmvsin'onauamneroiwnsnniimmmeo.merwaowon:�mespace� <br /> CONTkRC70R � 1 � State L�c # Cdy�us. Lic. # <br /> AdJrc�s PO goX �-132�� one/Cmail � p � y <br /> � d.�-jG� I Ov1 ' i <br /> CONTAGT FOR PERMIT <br /> Phoncl6mail <br /> BUILDING PERMIT APPLICATION coNiRACT PRICE oF WORK <br /> Exislmg Use of[3uiiding _ HEAT SOURCE�. <br /> Proposed Use ol�uilding Gas Gicctnc_ Other__ _ <br /> 6wldmg Iype. _Single 1-amily _Duplex_Townhouse _Multi-Family _Commemial <br /> Typc of pro�ect New Adddion _�Remotlel _Repair_T I._Sign_Spnnkler_Oemolltion_Change of Use <br /> DESCRIPTION OF WORK(addmo.aai space provided on the Gack): <br /> 1 V�S-t-r,�,-I I I V✓'I�ct�av� .,v�5�-�ir�� <br /> MECHANICA� PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 7ype ot PwiccL _New_Addn _Altcralion_Repair Type ol Project: _New_Add1 _Allcralion Repair <br /> Slrow Namber(NJ oflixtures Show Number(M o " <br /> NC- air handliny umt; l�odel <br /> FoiGrd air syslems f3alhlub <br /> Gas piping l.ava�ory(wa:h 6asin) <br /> Water-hcater - Stiower <br /> __.�_._—-- <br /> Gas lirr.place Kilchen sink R tllsposal <br /> Gas range _ (Jishwashcr <br /> Clnlhes drycr Clolhes v�asher <br /> Ran9c hood Waten c�alcr _ <br /> Fxhausl lan Sink(serncNbar/mop/cic.) <br /> I Ical pmnp Backlluw pre�eMe�(instde bldy) <br /> UnA hcatcr Unnal -- <br /> Boticr � Unnk�ny Founlain <br /> Refn9errdion __ 1=1oor drain _ <br /> -- WooAstove � Giease Irap —.---- <br /> � Duclinq �---- _.___ '_ Roof tlrains __ _ <br /> Ofher MeJical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other �j(1���O �Q.(���I...i <br /> I Number of Hr.ads __1 ` Olher: �1/M� <br /> -- — '— - � - <br /> I I�eirbY cutlAy I�al l have w:v!:m]eaammed Ihi;.PPI�.uAion an�f knon Ilic,amn to�u truc�wJ couCtl All provi5iont OI laei.anA o�Amdn[es gOveining Ihiti lyp�ol wOrk w�.11 be comVl�d <br /> enh vi�rl�c�specil;ed he�crn or nol lhe 9r.mlin9 0l o permd tloes nol p�mume lo g�ve�Nhouly lo vmlaw or canccl Ihe pmvivon ol any olher slale or beil lx.v mA�������9 construd�o� <br /> IOaI I am�umo�¢ed by IF.��nwnoi nlltr5 pmpeitY lo pcAorm ihe wnik Im w1uc0 appltalion is mo�le an01 comPly wnh Iln Slalo Conimclors Law 10 27 RC W a W 79G 700A W�C <br /> l�h�- �`��_��,l1.�.,�-J � ���'��J rrev�.ticdai;��s <br /> OwnedAuthon J l�gent S gna urc �>��� � � <br /> \� Z <br />