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� . � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-88�0 FAX 425-257-8857 www.everettwa.org <br /> 3—� <br /> SITE AD�RESS: PROPF iV TA%k ,� P RMIT � <br /> (ol�oa S�c.nhi,�,r � d � � o v� � i � z � � <br /> LEGAL lor new consiruceore Short PIaUw6aivision Loi No._ (attach coDY a�long lega�descnption) <br /> OWNER � I � Q� ,� Pho.�el6ma�l {p . �� • � �� <br /> Adtl�ess o 3 i �,�y,s„��,Z,o Q� ��a� <br /> APPLICANT: Owoer OwrefsAgenl Conlracloi _Co�IraclorsAgent _Tenant�m�;iom�doakne,o�m�um�A.Tmoo�..�,�oao+�o+� 1� <br /> — — ��.,sS <br /> CONTRACTOR n � e Lic.N� iry Bus.LI a QI 0� I � <br /> Adtlress yl � � honcl[matl <br /> TENANT BUSINESS NA E CONTACT FOR PERMIT <br /> (9, 2� S�t.�t�d <br /> P�one/6maA <br /> BUILDING PERMIT APPLICATION GONTRACT PRICF OF WORK 7n/�O ) � <br /> EkisUnq Use of Bwlding tHEAT SOURCF�. <br /> Proposed Use of Building Gas Q E�ectnc Olhei <br /> Building lypc� �ingle Family _Dupiez_Townhousr. _Multi-Family __Commercial <br /> T e of ro ect. New Additlon Remotlel Rc air T.I. Si n S nnkler Demall�ion Chan e of Use <br /> DESCRIPTION OF WORK(adAJmnal spaco provided on Iho Aack) <br /> �.pl ��.e,e� �-e�r��� S � � c�a 5 �J r�sc� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeotPro�ect _New_Addn _Rlteration.�epalr TyDeolProlect: __ New_Addn _Alleratioo_Rep�ir <br /> ShowNumbnr M nffrfures ShowNumbcr N alfirfures <br /> NC- ah handlin unitS Toilet <br /> Forr.r.A air svslems Balhlub <br /> Gas >� ��n I wato v ash basin <br /> Watci hc;tlet Showr.r <br /> Gas}��c lacc Kdr,hen smk A dis msal <br /> Gas ran e Dishwasher <br /> Clolhes d er Clothes washr.r <br /> Ran c hood Wnlen c�aler <br /> 1-rhaustlan Smk scrv¢Mbadmoletr. <br /> Heal um BackOow reventer <br /> Um�hcater U�mal <br /> BoJer Dnnkin Fountain <br /> Refrit r.riiinn floor dram <br /> WOOd510VC GlC�SC U8) <br /> Dur.tin Ronl Arains <br /> ��tlP.f �fL'(�1CJ�Ci�S <br /> SPRINKLER / SUPPRESSION SYSTEM otnc� <br /> Number of Heads Other. <br /> I�crCby u�mly,tpat I havo��'nd dnd eumineG Ib�s applrtat�on dnd Ynow�lin xamrt lo bc imC d�d correcl.All prnvrt�nns oi laws an�nrtlinanf,Cs OovCminq Ihq typc���u'oM wfl t�C pimp <br /> W11hM�nIhP �.pCf�iC1I�1ClCippl1�01 T11CQf.lPIRIQO�B�IqRt�IAOMO0I�I�CS1iTC�09NCduIh0�11yIOV01�1I00�UntPl1�11!plpvM1rtlf10110YO111CfSITI001�0U11dwfCQ111T11lIgCOnSINC��On <br /> Tnal l am a nonzcd�Y�Im owncr ol th•pmp ry In ncdnrtn Ria wnM Im wlurh appl��i� Il l, adc and I mmf�ly wtlh thc SI,Nc CnnlrnUnrs law 19 77 HCW an�99fi]G04 WAf, <br /> T <br /> � e ;�� �� <br /> Owne A� onz d Agrtnl Sig rlur � D' e (Hcvucd PR074J <br />