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From: 02/�512013 10:25 fi906 P.002/002 <br /> �, � � � � � � <br /> PERMIT APPLlCATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everetl, WA 98201 425-257-8810 FAX 425-257-8857 wv+�n-everettwa.org <br /> APPLICATIONS ARfl AGC['TED FROM 8 AM TO 4 PM 2—�� � (� <br /> 51T[AOORE°S: PftOPCN7V TA%p <br /> , Si IU e 1a.�2 e. R� c �oo P�ii i � 2-0 <br /> LEGAL for nnwmnslmct'on S�ort P�aVsuCO�vis��n_ lot No.� Iatlacl+coVvef Ieng leqa�aescne��cn) <br /> OWNER ���-1 1 --�Pnon�1[-maii �- �5� -�� Q i 2 <br /> Aatlmss ` 1 i GitY/5tatelZ��p � _ ) �/ <br /> APPLICANT. Owner Owner'sAaenl �Contraclor Coniractor'sAgen Tena.ittm-:un��••�•�+��rm,u�.�Mnm.v..�.rmeo.o+„in..o.ce� <br /> eoNrrucToa � �n ' � � e2 ' n �a i u� a� S�Y��'J��"iy`3�C co�a�5 .�� u r S:7 <br /> nnamss �7�(01 ���Z '1VC- I�t ��1� �:lll� `n1`1 ��'03` ' vnonciEmaw �(11i ' r —q��yl,'`0-Ir'.C�hPt�-{P_l�.(i V� <br /> TENANT BUSIM1E55 NAME CONTACT FOR PERMIT �f.�;�� �Q��� ' <br /> uz�-��D���-r <br /> �no,�rr.-ma��i � v;� � � ^rs 5 .��� <br /> BUILDINGPFRMITAPPLICATION CONTf3ACTPRICEOFWORK _�y�G <br /> Fr��sling Use oi�uilding _ � HEAT SOURCE <br /> Proposetl Use af Bnilding 'as__ _ uccric omer _ <br /> f3uilding typc �Singlc Family _Duplex_Townhouse _MWti-Family _Commercial <br /> Typ• I projr.cf New Atldition Remodel Repair TJ Sign_Sprinkler___Dcrnolrtion__ChanGe et Use <br /> JESCRIPTION OF WORK(atleirionai spam p.ovi�ca on rnc 6nck): <br /> '{Z�-w�v�, �'� ��..� I�.e� o� c,.�a.��� �- l� �. a' <br /> MECHAN{CAL PERNiiT APPLICATION PLUMBING PERMIT APPLICATION <br /> iype ot Profecl: _New_Atltln _Allnrnllo0_Repalr Typu ol Prqocf: _New__Fa�n _Rllera�lon_Repalr <br /> Show Numbo�(NI ol liitmes Show Numbe/(Yf olOrtu�¢5 <br /> !UC—art hantlirnq units Todel <br /> Forced aii s stems I 8athtub <br /> Gas pipin Lavato (wash basin) <br /> Watcr heaier Shower <br /> Gas Inc lacc Kitchnn sinY,S disposal <br /> Gns ran c Dishwosher <br /> Cluthes dr er Clclhes washer <br /> i Ran e hood Water heater <br /> Eehaust lan Sink(5ervico/bar/moplelc. <br /> Hcat pump 6ackllow preventer <br /> Uni�healcr Unnpl <br /> Itotln.r Orinkmg Founlaln <br /> � Relriguratmn � Floordr:�in <br /> i Wnotlstovc I Greasetrap <br /> Uuctin T Pcof drains <br /> � Other_ i Nediwl Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � Other. <br /> � Numbcr of Hcads � Ot�er <br /> �.irv:Fyce:t'ylnai Lmniee]enaur.nc,meal�ibeOV�=^�'enentlknvwt�ef�meloEelaeenccmreclnlp�orlaipn�e'Iew�MOorprence+�merninpNstypeolweAvnllEca�m.p::e� <br /> w�L nnri��cr apecFe�nr,cln n�nol TLe y�nnOnp oi e Dermi aoef nol pivame to prve nuIDonry��•v�oln�n ar unarl Ne D'ovnan of tny el�er NeR o:bnl bw ropw�Ynp eoesV�:l..i. <br /> i•ntl I em nutnunmrl UI�i�o ow��,ri el V�M1 propMy lo peNmn Ne woA la vi]cti nfV�s2�mg n nmlo mia 1 ttmDry��Ne SLIo ConLecton I.ew iB i1 l�CW ena i96]09A WAC <br /> ;1� ��-�„�, �i S- ��� �3 <br /> , �-- <br /> O I utberireCA�rn�5lgnotu�e Daie ;«errSedGR01:) <br /> I ✓ <br /> l <br />