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� ���� <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING�ISIGNISPRINKLEFt/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetriva org <br /> u �oq--,3 <br /> SITEADORESS:� O� PROPERTVTA%u P RM�� �O^� <br /> L.� <br /> LEGAL tor new cans7r�clnn� Snon P�aYsu�aivizmn_ Lot No._ (�ii�ch cepy ol long�egal descnpUonl <br /> OWNER �`(�Q � honei6maa <br /> naa�ess �,r.� c�rrs�a�az�, �} v,�, �c <br /> APPLICANT: Owre� _ OwneYSAgent ✓Coniraetor ConlractoYs%+genl _ienanl�-�n�c��+-�+�oenc�m�s�-ie�,,,ro�..�e�ua:.on.oe�eo.,c�� <br /> � <br /> CONTRACTOR � '_ C �\ Slate Lic. i! C GI 6us. Lic # d� <br /> Address \" � r� X �—�O � ���nelEma I � '��},g�. <br /> TENANT BUSINESS NAME CONTAC FOR PERMIT <br /> !� Cti{a,S ZDIG'Cl\�'1'���.�J 1 <br /> W\�� �fqC.-h O� V Pnone�6mail L'1r1[� '425— —C� <br /> BUILDING PERMIT APP ICATION CONTRACT PRICE OF WORK `Fc�o�' <br /> E.isUng Use ol Buu�mg_ HEl�T SOURCE <br /> ProDosEdU5eolDudd.nJ Gas__ [lectnc___ Olhe�___ <br /> �wldmc type� _Smgie Fam�ly _Duplex_Tacnhouse _A1uui-FamJy _Commercial <br /> Type of pro�ec!. New Add�hon _Remodcl __Reoa�r_ T.I _Sign _Spnnkler__ Demoh;ion _Change of Use <br /> DESCRIflTION OF WORK laCaihona/spac�prcriCed on�no nack) <br /> ��p P�(�L ���- "Lb0 �-�2�1"R`Cc�-EbC' <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APP4ICATION <br /> Typo ol ProJacl: _New_AdAn _Allaration_r7epair 7ypo of Pro�oct: _Now_Addn _Altoration_RvOTir <br /> Show Numbcr(u)ol fiqures Show Numbcrybl o/Orfures <br /> r1'C—air nantlling unds To��°� <br /> Porced ah s slems Bathtvb <br /> ' Gas u�Ging I Wvatory I�vash basin) <br /> Waler heater I Shower <br /> Gas fireV���G'- � Kitcr,en sink 8 dispo>ai <br /> Gas ranqe Dish.vashcr <br /> Clolhes dryer I Clolhes wdsher <br /> Range�ood � Wa;en c�alcr <br /> F,h:mst lan � SmM(serviceibar�moplelc) <br /> Hcat pump � Bad.l�Ow prevenler <br /> � Unit heatrr Unn3i <br /> Boi'er I Unnking Fountam <br /> � RC(n�erahon � Fiocr dfain <br /> bVoodslovc I Greasetrap <br /> Duding I�ool drains <br /> Other Med�cal Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM otncr <br /> Number o(Hcads i Other. <br /> I�eie�ycen�.tytnatlnavereaCanaeraminealNsappl¢auona�0�nonP.osamelo6elrueenGcorren A9pro�isioneollax,n�OON�nancesgovemingln�sl�peo/woM1xdibemmc�etl <br /> xnp whether spec��eU nceein or nef i�e 9�dnLrq ol a pemR Coes nat D�esumrt lo gNe.u:nenly to vq�ale ce taoccl Ipe p�ow9en ol a�/cl�er slate cUrcdl law iegalahng<ons;;vcPon <br /> t�a�I am ai• nzee�y i�e e . . .is pie. �y to FeHorm IM1a Mcq kr•��Ui apphcat�on is ma�e and i cump'y w�n:ne Slaie Convalors L�w 1B 77��W an0:96 2CU4 Y:AC <br /> � 4�o�i��3 <br /> OwnorlAut orizedAgonlSignaure Dale (Rewsrd.Y'0f3) <br />