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( PERMIT APPLICATION <br /> BUILDING/MECHANICAL�PLUPJIBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St.,Everefl,WA 9820� -425-257�870-FAX 425-257-8857-www•evereQwa.org <br /> AppLICATIONS ARE ACCEP7ED FROM�AM TO 1 PM <br /> RfYTNl� T� ' (� <br /> SI7EADDRESS: ��[ �� $ Lp 00 5 (� 0 0 Zlo 0000 D � <br /> � ' �+ � <br /> LE6AL fa rew corrstncicn: SMrt RstlsuEdNlsio^ Lal fb._ (atlach coPY o/bnG�description) <br /> OWNER Ru EI{ Mnrw <br /> �nG��nrlw Rone�Ea�ui 4zg-259 - 9 zs6 <br /> ddress S S M 'L CilMStale2q " <br /> CONTRACTOR �n�e �i Cc�t+�..c�1c�sZYV� Ldllic.11 la��%�G592'�E' �-F <br /> nea�s C2o StA� A ��uE � 1408 0l n ic, wP 98Sol �.�m.+ 34o- bZ8- t311L <br /> N�NT U51 ESS NAME �T F� R l7 t-' S�� �n L i hK.S <br /> R�yeU 1.` QNN�'ac1.�.�r� y ,�,�.m,�� 4z5-3S3-os31 <br /> SUILDING �ERMITA��LICATION ��T��� �� <br /> Existing Use of Building S�M� S R^•-di <br /> HEAT SOURCE: <br /> Proposed Use ol Building s {-r r c.-a.. <br /> C1,r�S Gas Ebctnc Otlar <br /> BuiMing type: _Single Family _Dupkx_ToaMiouse _,Mulli-Family � Commerc�l <br /> Type of project: _New _AOdAion _RemoOel �Repair_T.I._Sfgn_Sprinkkr_Demolition_Change of Use <br /> DescriptionofWork�watiab�u�no�onmenedd ReQla� s}onwse 5�•-d5 daw�wst� <br /> by �'� re. - -E'ra�..tn� onl�. <br /> H.ve you slattea wo�xing wnnwn.permaz _res �No <br /> MI�CNANICAL PERMIT APPLICATION PLUMSING �lRMIT APPLICATION <br /> TypeolP�1. _N�'—bd^ —Alleralion_Req�r <br /> TypeolP�oject: _N�v_Addn _Alhralion_R�paw Shor+Numbr WRrNre� <br /> ShowNumbar(11 o/flmnea Toilel <br /> A/C-air handlin units Bathtub <br /> Forced air s stems <br /> Gas i in Lavato wash baWn <br /> Water heater SMwer <br /> — Gas fire lace Kitchen sink 8 Oi sal <br /> Dishwasher <br /> Gasran e '— Clotheswesher <br /> Clothes d er Weter heater <br /> Range hood Sink service/bar/mo /etc. <br /> Exhaust fan <br /> Heat um Backfbw eventer <br /> Unit heater <br /> Urinal <br /> Dnnki FouMain <br /> Boiler <br /> Floor draln <br /> Relri eration Grease ira <br /> Woadstove <br /> Roof d2ins <br /> Ductin <br /> Medical Gas <br /> Other <br /> SPRINKLER I SUPPRESSION 57STEM Other: <br /> Number o1 Heads OUer: <br /> 1 hereby certiy�hat I have read and ezamned this appication and lo�ow the seme b ba 6ue and carecl.M provisions d lews ard or6nrces povemhq <br /> �tin wMme+saecfad rorein«na.n,e aanEro a•vema does^°�p°s""°b pM°'Wro'Iy�o via.�e a un�el <br /> ihis rype d work v.ili be cor�d �1�a�y�py��yr d tl�2 propaM <br /> No povision d arry otlrer staee or bcal law repulaMq�p���PMf���h�d tO^�^�0�� <br /> to peAorm the work fa wAich a ql16 T3AB MIA I OORMY��`T/ �/ ors law 1827 R(.1N ard 2%200 WAC <br /> R �,�, ( � ,��,,, <br /> IAuMaixed Agmt SignaNie <br /> 1, �� <br /> v <br />