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- ' �ERMIT APPLICATIC <br /> BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLERlDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., [verett, VVA 98?_01 47_5-257-8810 FAX 425-257-8857 w���.everethva.org <br /> g `-'�� � '(�" <br /> SIT[ADDRESS: � \�'�` � _ V� PNOPCRTVTA%p q�-RMITk� !DI -i <br /> Yvl <br /> LEGAL for ne�v consirudion�. Short PIaVSWdivision Lol IJo._ (atlach copy o(Icng Icgal descnption) <br /> OWNER 7j ` �j], PhonMGma s�� �� �077 <br /> Address 1Q �(�( � v� CilylStalclZip ���-(� ��. <br /> APPLICANT:_Ovmer __OwneisAgent Cenhaclor ___Cnnhadoisllgenl Tenantl����vi:+oroo.,i.+.,m�o��:�oitmmi•.o�wn�ran.,wcmm����spacH <br /> CONTRACTOR C �(LFj N , , Siat^Lic. ,Y�=� O ___ I City(3us. Lic. ft p�-�q <br /> V` 21-.-E/J �AT(! EA'-�: /�� _�.L"J- <br /> — 425 252 -3 i i•t <br /> Addmss ZI ZU i�C��C PhonclEmail <br /> TL=NANT UUSINESS NAME CONTACT FOR PERMIT <br /> ►Cct.� 5qw C�zs� 7�2 3ay <br /> PhonNEmail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICL"OF WORK_� D� . •� _ <br /> Lxistiny Use o(�uiidi�g HL"Al�SOURCE�. <br /> Proposed Use o(Building Gas_ Llecldr,� Olhcr. __ <br /> l3uilding type: �Single Family _Duptex_lbwnhouse _Muiti-Family __Commerrial <br /> l�ype ol projecl: Nevi Addilion _Remodel _Repair_T.I._Styn. SprinHJr.r__ Demoldion _Char�ge of Usc <br /> DESCRIPTION OF WOF.K(adaiGonal spnce ,ruvrd�don the'+ar,k)' � <br /> �C��sK �, .�-�.��� (�� b�.�c��ttss Ncw.� �.�-,{� si� <br /> MECL�PANICAL PERMtT AE'F'LICATLON PLUMBIIdG P[RMIT APPLICATIOM <br /> lypcofProjecC _Nevi_Addn _ Nlcr.linn_Rnpair TYPcolprnJeel: _IJew_AdAn _ Alte�ation_Repair <br /> Sho�v Ilurnber(H)o!lix(ures Shotv Numbcr(J!)o/Iixfurr; <br /> NC-air handhnc�umis � Toilet __ __ <br /> � Forced air systems I Bathtab _ <br /> � Gas p�piny � Luvabry(evasii basin) _ <br /> Waten c�ater � Shov�er <br /> � c»s ioP�i��� _ _ � K+i�i,�;�,sinM A,Jisposal <br /> I (it15f�11tJC _J !)i:Ilvl.lSll�f <br /> � Ciolhe:diycr � C�othr:r:vinsh�.r_ _ <br /> -- - �—�R�ngc hood � Walun c�alcr <br /> .. � fxhaust fan . Sink ��^rvicr./badmnp/eir..) <br /> ---��_ �----- <br /> �_ liea�pwnp � 13,ick�ln_�prevenlr.f --_ _ <br /> � Unil he:der � _Urinnl _ . <br /> 13oiler Uiinkiny I�ounlain <br /> Re(riqcialion Plnai rfiain <br /> � Woodslove __ _ _' Grc�sc trap <br /> — . _ __—'_ <br /> __._-_—__ - __- -__ . <br /> � UUGIinG _ Noo dr.nn; <br /> '_ - .._ __ .-_. _ — —_.._ <br /> _._-__"__-_� _--_ __. __ --_ . _- <br /> Othr,r _ I Medical G��s <br /> SPRINKLER I SUPPRESSION SYSTEM _ _ Olbr;�, <br /> � Mumbrr af IL�nd� _�)�her <br /> I hcreby eei�Ay Il�a�1 havc icaJ and cr.aroineA Ihi:,py icnllnn nnJ V now Ihc.�mo lo b^_��m•:�nd r nncrl.49 pimi,.Inn;nl I:rn+nnd nrJ�n;nan:Jnv��minq ihi.typc nl wn�Y,vn�l ir�rmmpbed <br /> wiil�vAmlhm speolictl�niein rn nM.I pe yianiim�ol a pr.lnnl dnes nui p�csurt's l0 9Pm nrt�hoidy lo violule or�eucJ tl�u�,.uvr.�nn d anq o'Lcr;lalq nr brnl lau icguiawq,nn V n:�rv.n <br /> tt�.J I am nnihonec�l hy Ihc ewrv.r N ihii ptcpedy lo pnKrr.r��hR��'orY,for v�hlr,h appliudu�n I;madr.".,I I i ucl�ly vnil�'lio'.I.;;e fu'r�n I,.r�I a�n I ft'l/Nf,W and i JS 7���A WAf, <br /> (/I���,� �-6-�_��- <br /> Ovmm7l�ulhniimdAyonl�i9natunr _ - . I;d�,• (iter.•v.-J"';ia13J <br />