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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM J t. Z Z��3 <br /> SITEADDRESS; [Kfe Nq 09 , vROVENTYTAXu P RMiTp <br /> � /,U u� • B/ /6D - 2 <br /> LEGAL/or new canslrucecn�. Shon PlaVsuhErvision lot No. (attach copyol long Iegal desc�pbon) <br /> OWNER je-�'Z� � Phone/E-man � — - <br /> naaress A✓ N c�ryis���o¢�v�o� il'zfL � <br /> APPLICANT: Ovmer O�enersAgent �QConiraclor ContractofsAgenl Tenanti�.�n���o,�a�a+n<,otmm.rneomUe�e�maa�nNx.00al <br /> CONTRACTOR YI L 8 I Uc.# W� Llpz � COE Bus.Lic.�OI 98 <br /> �CCress� ry {�' / 9 Phonc!FinaA 2 .^ 5 b f � ���� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �e/I mB�W 5'��' <br /> 2, P11k1)m,���z 9l9' S 7 <br /> BUILDI PERMIT APPLICATION CONTRACT PRICE OF WORK 1� �—.ZL30 <br /> Existing Use of Building��i�iP HEA7 SOURCE: <br /> Proposed USe Of Build�ng �L��2�/1i� Gas_ Electr�c_ Omer__ <br /> Buittling lype: _Single Family _Duplex_Townhouse _Atul�i-Family x Commercial <br /> T pe of pro ecl: New Add�tion Remodel Repair T.I. Si n,_Spnnkler Demoldion Chanae of Use <br /> DESCRIPTI NOFWORK(add:hanalsn�caprov�detlantheeacF/: , <br /> �5�� �/���i.� , � a��d�y+I/��'e�ii�-Qe��� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol ProJecl: _New_Addn _AlteraUon_Repair Type of ProJect: _New_Addn _Alteratlon_Rep�ir <br /> Show Numbcr(e')ol�:fums Show Numbcr(a)of fi+fures <br /> NC-air handGng umts Toilet <br /> Forced av systems I BathWb <br /> Gas pipin Lavalo wash basin) <br /> Wa�er heater I Shower <br /> Gas lire lacr. � Kitehen sinA&disposal <br /> Gas ran c D�sh�rashcr <br /> CloOms A er Clolhes Hasher <br /> Ranqc hood � Waler h�atr.r <br /> Ezhaust lan Sink service/6ar/mo lcic <br /> Heal mm� Backllow reventer <br /> Unrt hcaler Urinal <br /> Boiler � Drinking Fountam <br /> Rclri cration FloorCrain <br /> Wootlslove I Greasetrap <br /> Duc�inq � ROof drain5 <br /> Olhcr Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM o�hr.r <br /> Number ol Hcatls Olher <br /> I MreCycerory Viat I nave reaC nn0 e.amme0 t�rs eppteauo�and lnow Vm same ta Ue vuo a�C conect.FII p•ov�s�ans at Mws and orenances govemrg Nn rype al woM�II Oe cemVi�ep <br /> �.n�wne�ncr spen!e��em�n cr nol The pnnhng of a pertnil daes nol presume to pne aut�onryto ralaie cr cancel Ne Omvrsmn ol ary oi�er sia�e or bral Uv.rrguialuig ronsivc:�on <br /> Lhai�am au�ha jc��Cp� c armcr ol Uus pmpeny 10 pertom�Ihc woM Ier x�lch o0i�'���'�ne rs maac.^nE I cr,mnly xiN Itm SUIC Conlrotlnrs Law 1817 RCW anE 296300N 1YaC. <br /> / <br /> `- ' �� /l-/�l3 <br /> OwnedAutharlxodQganl5lgnaturo ✓ Date (Revisetl6�.'07:) � <br /> ♦ � <br />