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PERMIT APPLICATION <br /> BUI�DINGIMECHANICALIPLUMBING/SIGN/SPI�INKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everetl, �'JA 98201 425-257-8810 FAX 425-257-8857 vn�nv everelh��a org <br /> ia .. s-�y <br /> SITE ADDRESS: z ZI � � �(.� !� oRONERTY TAX p PER I7 x 7 ' 7 <br /> 7 (i 1 <br /> LEGAL lor nc:�censlruct�,on Shnrt PlaVs�i[n,�sion Lol No_ (al�ach coFY��'�on9:egal descnplion) <br /> OWNER S A� �� L��'�/'� FOone�E�maJ �rc5 — '^ '— 883 3 <br /> „dd�ess CdylSlalelZ�O <br /> APPLICANT: Owr'.sr Ov.n.,s.:aeci �Contruc;��: __Gon�ratror's�gcn� Ienant,�-...�::�o.�--;._�.,o�«-.sP�iec,�.�coo.�„no:o„-.�,in.�,��.... <br /> CONTRACTOR � 5(< ��� ���tMb�h State Lic pr ���� v✓� L oM � cay o�s Uc. # <br /> St i ,/�� A /6JS Jl�enc:Emad `l���v✓4 p��trhb�.d �C C� (G%J� <br /> i.Cd:ess dd GO � f� I '�✓i: S G— �Kl�l'{"(T'1 , v`�'J / f <br /> TENANT BUSINESS NAME � CONTACT FOR PERMIT <br /> h� /, 1� S I ./�/.'+ 1 � <br /> .,/ � <br /> I"�n0 1 �)�i�QjL � N"�lY � a� L °n�❑eL-a�z �/ r IitNMO��^ '� •C�77'�� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK � 5�� � <br /> E�isrng Use o(�w!d�nq _ HFAT SOURCE <br /> ProGosed Use of B�ilding Gas_ Eiectric_ _ Otner_ <br /> BuJding lype: _S�n3ie Fam�iy _Duplex_To�+�nhouse _fdu'trFamdy _Corcmercial <br /> Tyc�of prolect Ne:r Addibon Remodel _Repair_T 1. _S�gn _ __SGnnkler_�emolition___Change of Use <br /> DESCRIPTION OF WORK ja^a�naaai space p'c::ceo cn rre�ace)- <br /> �n5-fA(( A �Gt�,tn2� a>'�'�*'I <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ot ProjecL __New_Addn __Al�eraiion_Ropair Typo ol Projecl: �New_Addn __Altera�ion_Rupair <br /> Show Num�cr(H)ol fixfures ShowNumber�a)o//ixfures <br /> iVC—air handhny unds ' Tcilet <br /> f�orced ah sysfem5 � Batht�b <br /> � Ges piptng ; La�zb�� iwash basm) <br /> Waterheater I Sto:rer <br /> I Gas lireplacr. I Kdchen sink 8 disposal <br /> Gas range I Disnwashcr <br /> � Clolhes dryer i Cl�;hes washer <br /> Range hood Waler heater <br /> [xhaust fan � Smk(sernc�ibadmopletc) <br /> Heat pump I Backflow preventer <br /> Und heater Urmal <br /> Do�ler � Drinking Fountain <br /> Refrigeration � Flo�r drain <br /> ' 4Voodstove Grease trap <br /> Ductin9 � Roof drains <br /> � Other i Mzd�cal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Otl�er: C « ( �t,t <br /> � Number o(Heads � Other. <br /> inciec�.rm�y�hatl4acere�7an�c.zn'�^.edinr>aLV'�:a:�onana•.nen?esame�otetmeandca:ect �1�Ie�wrsenScllaw5ar4crdlrances9overr�ngt�StyFeelworkw�:IbeccmePea <br /> witq xf�el�et sFe[J.e�ryeren or net i� S anLng U a p^mut does not p'esume lo grve aul��nly loviclo�e m wncel Re p�waion ol any c•ber�lale n Icca!lowre9ubtln�mnstma�an <br /> Inat I am actncnzea Cy i^:owner ol rti� 'opert/lo peNemi Ihe work lor nni�aGDliw;ron rs maee anu i comy,�„i�;ne S:a;e Cor'�a:r;La� t9.. ._�!o"d::5,':i,:.'.L <br /> - -i`� `� �Z,o�� <br /> OWnCrIAUlhori[Cd A9anl Signalurc U.nr ... _�:1?4'013) <br />