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� I <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everell, WA 98201 425-257-8810 FAX 425•257-8857 w�,v�,v.everetl�va.org <br /> APPLICATIONS ARE ACCEPTED FROh1 8 AM TO 4 PM �� �-Q'.S"I <br /> SITE ADDRESS: 7FOPERTY TA%d PERMIT d <br /> '�t, h 280 oZoa3ol 200 �Z- � � <br /> LEGAL lor new mnsimcUorc. Short Plat/.ub0i�ision Loi No. . Wuacn cooy ol lang legal nesaipbon) <br /> OWNERJP.FLW �O'� '�,� LLC- pnone�E�mailaoe -`���o t�2S:abrand,n.C�aa ve� <br /> nea�e,sPo �oX 1�5� c�iv�siaie2�v �]F4ofl�l-ini W4� `i8��od <br /> APPLICANT:__O�+ner Owner'sAgen� �( Conira[�or ConfiaClorSAgen� Tenant�musio•o.,oea:c�ero!crosm�ncmmee.�er,oeo.w�nmesoa<el <br /> CONTRACTOR UN ` ' 8 I Lic. # U , COE Bus.lic. # bp <br /> AdCw;s � n � �a��]-� PhonNEmaJ bb - � (jY� . <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> F PhonelE-maiip�.0(�`/�l?��j� 0(ioN.��//K1C�i� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORN( �Z �3d7• <br /> Existing Use of Building �JJAQ�4�OUS�'�r �}t� St"D�A'{>� HEAT SOURCE: <br /> Proposetl Use of Building �JA ME _ _ Gas Electric Other_ <br /> Building rypc: _Single Family __Duplex__Townhouse _MuIU•Family .�Commercial <br /> Type of projecl: New Addition _Remodel Repair T.I. SiGn _ Spnnkler Oemolition Changc of Use <br /> DESCRIPTION OF WORK(add�f�onalspacep.ov�dedonlheback): <br /> ApD oHE C+�6NER�`c�- �xH�sj FfFN q �urn,�o�u� t GEr+�2.�.L <br /> }1 a"D D. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> lype oi Pro�ecC _Now_Addn _Allem�ion_Repair Type ol ProjecP. ___New_AdGn _Altoration_Repair <br /> Show Number(p)ol fiifums Show Number(e)of/ixfwes <br /> � FVC-air handling uni�5 � ToilCt <br /> � Forcetl air systems 6alhtub <br /> � Gas pipmg � Lavamry(wash basin) <br /> � Walen c�aler Shower <br /> � Gas freplace � Kllchen sink&disposol <br /> � Gas range � Dishwasher <br /> � Clothes dryer � Clothes washer <br /> � Ranqc hood � Wilen c�atcr <br /> � Eshausl lan I SinA(servlce/badmopletc. <br /> Hcat pump I BacAllmv prevenier <br /> Unit hca�cr Urinal <br /> � Boiler • �rink�nq FounW�n <br /> � Refrigerali0n � Floor drain <br /> � WoOdslove Grease Irlp <br /> � Ducting ' Rooldrmns <br /> � Olhcr_. ___,__ __._ MediwlGas <br /> SPRINKIER / SUPPRESSION SYSTEM Other: <br /> - NumberolHeads ' Other: <br /> I ncreby cenny Itia11 pave rcaa dnC e.aminca ins aoO�K�Lon ana Anon Uc sdme ta pc Mic ana canect All praro�ans o�Uws antl orainances gweming Inu�Dc o�waM1 vnu t�e coniC��ca <br /> wUhHfieln . ecifie0neiemorool.t�e9�antin9alapenniltloesnolpresumeloqrveavinon,ytovroNleorcancellbep�nviswnolanyoNerslateorlocalLiwregcL�In9comVuccon <br /> Ttiai I a .iho m�Oy Inc ovm .,�tn pro0erty Io per/oem Ine work lor whsn aOPLwUon u maue a�01 romply wN Inc Slate Comiac:ars law 1B 71 RCN an0 79G 2D0��v�C <br /> IZ 1 <br /> O AuthorizedAgen15i9naturo Oale �Rev�srdti70�21 <br />