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' � � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLlTION <br /> CITY OF EVERETT PERMiT SERVICES <br /> 3200 Cedar St , Everetl, WA 98201 425•257-8810 FAX 425-257-8857 www.everethv/a.`org <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �O"1 �� <br /> SITEADDRESS: VROPEPTYTA%p P ITn <br /> � ��Vt�"�/��! `J�S�' O��1717 � 0��� <br /> LEGAL ior�ew cons�mcuon Snon PiaVsu�a���swn Lot No_ (anac�[opY o1 long legal CescnpUon) <br /> OWNER �yv� � � ���� Phone[�maA <br /> naa«ss �\q\S S �L — oiyrsia;e�z�p "� <br /> APPLICANT: Ovmer OwneYSAqen1 COMractar ComractofsAgml Te�J�i�mmiem.�v�.,nn.�m�om�,�..cri,.o..�.,me�..�n���n,.n.+�m <br /> CONTRACTOR S L 8 I Lm a OS CO[Bus Lic. M <br /> AdAress �5��� S� ��� �C. G`��'Y�\� \�11NV Phone�Lmail�yv�J)��V • 1 V� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT p � _` ��� <br /> c�C!\' <br /> Pnonc�L�man b> � - ��VS <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK��� � <br /> Exrstmg Use ot 8wlding ___ HEAT SOUHCE- <br /> Pioposed Use.otf Bmltling __ Gaz_ _ Flecinc_ Omer__ <br /> Budding lype� L Smgle Famdy _Uupler_Townhouse __Mufli�Family __Commercial <br /> i�pe o1 pro�ecl. New Addrtion Hemotlel Repa��__T I _Sign_SO��nklcr _._Demoldion_Change ot Use <br /> DESCRIPTION OF WORK(adtlemnai si�ace pmwtletl on me hacwl� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProjecC _New_Addn �Alterobon__Repart Typv ol Prajecb _New_Atldn _AlleraUon_Repalr <br /> S�ow NumDcr(k)ol l�+turet S�ow Numbe�(IQ o!Grtures <br /> A!C-au handhn�und5 Todet <br /> forr,eA au s stems Aathtub <br /> Gas pipin7 Lavalor (wash ba,m) <br /> Water healer Showr�r <br /> Gas fneDlaa� Kdchcn sink 8 aisposal <br /> 3as ranqc Dishwasher <br /> Clo�hr,i dryor Qothes washe� <br /> Ran�c hood I Wale�hCatet <br /> [rhauzl 1an S�nk�;ervicelbadmop�Mc) <br /> Heat pu�� pack0ow preventer <br /> Uml heatcr U�inal <br /> F3oder D�i�kmq Fountain <br /> Rclr�qcralmn Floor tlrain <br /> VJootlslove G�easc irap <br /> Uucling Raol Arams <br /> Other MeAical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM n��•c� <br /> Numbr.r ol Heatls Other <br /> ����•��.��v<n�Lty mal�nzvr re:uf an�t.•.ammrn Ilus npnNcaunn:m�l�now n,,.•..mn.m Uo inic nnn wrtecl nil pmmann�.nl�arrt:mA nN nnnv•,pnvanrnq�M1m ryne ul wa��w.n t�r cnmpn,�� <br /> we,��rn�r�nc�.n��.��n�n•umu�nm tn,.�,um�npmnn.,�rv�am•�nmp,n_umivon.�• .�Enonrv��Y�c�au,n�c.�n,..�mep�om.rn�annynnn,,•.mrrornx.nt�wicpW:�enpc n•.im�xon <br /> 1 t�d'I nm mi�LmlrO lry Ihr nwnrr nl IPr.pmprRy�u C^rinnn tiv,wnP In�w!��rl�nf0��r.�t�,in✓.m.W..r��i nunYN��'.1��im Sbir Contic¢iors I.aw I tl]!HC VJ and:9G 9IXi�VJAC <br /> � \J��"l�� <br /> Ownr.r/AuthontcA�9enI5i � ture Uafr (Pevr,enG40f?� <br />