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PERMIT APPLICATION <br /> BUILDING/MECHANICAL.�PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATION$ME ACCEPTEO FROM 8 AM TO�PM <br /> SfTE ADDRESS: PROPERTY 7AX p PERMIT/ <br /> o� �JE Ev� �oo v, ov o -0 I <br /> IEGAi.lor new mnstruwon Snon P�xJsubarv�von,��C.��.�' �o� (abch mpy oi iong legal tlesrnp6on) <br /> OWNER �� �� PnonUE-ma:� ZS. ZZ.�j?+?.7 Q�►e 1 sAK4i .4/►� <br /> a� 09 SH�� A�►�1U� CrtyiSureJLo �} 203 <br /> APPUCANT:�Owner OrncYSAgmI Corrtratlor ConVactorsAgen� Teruntirwaao..e.�.eAom�xmrv,sn�...wem.annerwai <br /> CONTRACTOR L 8 I Lic. # COE Bus Lic.# <br /> tlrcss PhonelEma�� <br /> A CONTACT FOR PER IT R�rA� ���5 <br /> 41F•UZZ.S22'7 <br /> PhoR��,��� h Q I�tl sar 1�'�e�• cow. <br /> BUILOING PERMIT APPLICATION CONTRACT rRICE OF WORK S <br /> EKis6ng Use ot Builtlmg Q.�+IOF��.E HEAT SOURCE�. <br /> Proposed Use of Butldmg ��1/.�k��ie Gas __ Eiectnc__ _ Othcr_ <br /> Buddmg rype: �Single Famdy _Dup�e�_TowMouse _MuII�Famiy _Commeroal <br /> T e ol ro eci�. New Addinon Remodel Re air T.1 5 n S nnkler Demoiition Chan e of Use <br /> DESCRI PTION OF WORK/sdemona�spncc o�o.vaM rn me bad�) . <br /> N� 1�F� W1►1'00+�15, �ODRF�� INi1ZW�R- fl�nT1A11S, I►.95U1.a1'1QJ, DRMWA•l•�-� <br /> F�Q7iC fu1��HCs, C.A8�IJ8'LS� PLVM811Jlo. �LE'GZK-l�Q'L, ti9PellIJ� <br /> MECNANICAI PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Project: �New_Addn _Alterallon_Rapelr Typo of PioJect: �New_AdOn _Alteration_RaOair <br /> SAow Number ryJ ol Rnurvs Snow NumDr(!)ol finures <br /> NC-art handh umis Tmlet <br /> Forced air s stems Balntub <br /> Gas i m Lavato (wash basin <br /> W ater hearer Snewer <br /> Gas Gre lace Kdchen smk � dis osal <br /> Gas ran c Dis�washer <br /> I Clothes d er • Cimhes washer <br /> Ran c hood a, <br /> E.haust lan Sm4 semcelbaUmo lelc <br /> Heal um 6autlow reventer <br /> Uml heater Un=al <br /> Boiler Dnekm Founlain <br /> Reln emlion Flcrn drain <br /> WooAstove Grease Va <br /> DucUn Root drams <br /> O�her Medical Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM (hner <br /> Number ol lieads Other <br /> 1�erMy oenlly Nnl I�ma rnad en0 e2mnM tlil5 np�6ralnn nnG tnow I�e snma b�a bux end corted AO{vohwns ol lawa nrd oNnanccc povamMq N�s lype a1 woA w11 pr mm�lx�.f <br /> w:f�wTaTei spe�eG�arem a nat.fTo p'anMp W e permd 0ces noi pewmc ro pHe auL�omy to wb'e or cencel Ne proNsbn C e�y oTe�otale or bW law repula0np mnCNCL�n <br /> 7Ta1 n�ea or � mpnRy lo parlortn OiB wdl lp�MIQ�npPkhbn It maEf anE 1 mmDN Mtli N!SUM Co�treQon ler IB?7 RC W and 1B0 2DOp WAC <br /> _ 2 12---- <br /> r11W rtreE gen pneNie tc (Rensotl620t2) <br /> �/Z. <br />