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�ERMIT APPLICATIOS <br /> BUILDINGIMECHANICALfPLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 4z5-257-8810 FAX 42G-257-8857 vn�✓�v.everctt:va.org ' S <br /> SITEADDRESS: 1 PROPERTYIA%�7 ER�d1Tq _ <br /> \� <br /> LEGA�fu �ra conshac6nn Shod PlaUsubdrnsion Lo�I:o _ (al�a�h ccFY e�long Iegai descnpbon) <br /> OWNER y Vl�f 1Z _ Pnoi m il� � — �S <br /> ;,as�.,;s � ^� -� ctv�= a ��:�7L''Cr �1�. � <br /> APPLICANT: O:�nel _ ;:.anbYSFgEn! _ Conimelor _CCnliae,oiSPyen: _iCnanll���.. . -•�•o.._�o�oi.��r.rctucmnoo,nei�oeo..�,xmn�•;:acel <br /> CON fRACTOR ^ , �'Y�7—� � State L�c r City Bus. Lic � (� <br /> nI �T � `' — �u'252-3//� <br /> l.ddress (� (�/ �ru. �� 't�nnc�Cma�l <br /> TENANT BUSINESS NAME CO TACT F,QR PEftM1T <br /> �� <br /> Phc:��e�= r�a'� � " J LfJR.CQ1/�L <br /> BUILDING PERMtT APPLICATIOk CONTRACT PRICE OF 1RORK 'it2� —_ <br /> Existing Uic o`f3',ni��.n9 ______ HEA1� SOURGE� <br /> Proposed Use o`f,Bu—i;dina G�>._ Bectnc� o+ner_ _ <br /> 6u��ldirg tyFe �aingi=Fam�ly _�upl=a_Tovmhouse _�JultrFamily _Commercial <br /> / <br /> —�.;;e e'prc�ect _ Ne:: _Adddion __ Remodel _Repair _T I _ S��gn_Spriokler_Demohtion__Change ol Use I <br /> DESCRIPTION OF WORK(ac1;c-:i sp:�ce p�oviCed on;tc b�uk) <br /> ,a.�5r.� 3 -z.o�. ��cC#�P�bS l��T �Q <br /> MECHANICAL PERMIT APPi_ICATlON PLUMBING PERMIY APPLICATION <br /> Typeo�Projeet: _New__Addn ^Alieration_ftepa�.r iypootProject: _New_Addn _Alteration__Repair <br /> ShmvNumber(aJolliclures ShowNumbcrl�)otOxfures _ <br /> NC-air handling units I To�l_�t <br /> � Porced air sysfems � Bathtub <br /> I Gas p�pin9 I Lavatory(wash basinj <br /> � Wa�er nenler I Shs�uer <br /> � Gas(ireplace � Kitcnen sink 8 d�sposal <br /> � Gos ran9e Di<p;��sher <br /> � Clothes dryer � Glethes washer <br /> � Ranqe hood � Waiei heater __ <br /> � Exhausllan � SmM.(service/6admoP/e�c.) <br /> hleat pump _ I Ciackflow preventer <br /> — � Unil heater � Ur�nal <br /> � [3oiler I DrinFing Founta�n <br /> � Relri9eration � Flocr drain <br /> Woodslove � Grcase irap _ <br /> — �--- Uuc6n9 � Roofdrains --- — <br /> - -' OU�cr � Mea�cal Gas _ <br /> SPRINKLER I SUPPRESSION SYSTEM Otner: _ <br /> � Num6er ol Ncads � Olher. <br /> I hc�etry�eq.ly tn�l I n:r:c ienC antl exdmir.ed Ih5 appl:dUen ontl know I�e sam^_lo Ee tme Jnd correcl.All pmvu!ons oi laws and cfdinant!s governing I�is lype of v:ork w.il Ea�c:nptrd <br /> v.�,:1 xnet�er;penM1^��'cre�n or ne; TI�^9:.'.nt n�ol a petR t tloes nol p�esu:�'^l0 9�:e autli:nly lo J¢�ate c'ean:ellhe provi5icn of ar�flher slale or bcal la:rie��ldleq eontlroclion <br /> 9t[ ' ';.r <br /> T�allamnutConzcl..�i1'c: ,. , ,. ,:��'�Cui..�r�Inec.ollcrxlitbzFF.: a�i:n�srr�1�.-rflc,..:p��w['m�q�:Conf -i...la�:. 1u17f'1.::"d:: � � <br /> � � � <br /> OwnedAulhorizedA enl5i ue Data jRe:,sed3/>J13J <br /> . —__-__.. u��� <br />