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PERMIT ,-^►PPLICATION <br /> BUILDINGIMECHANICALIPLUMB'NGlSIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St . Everett. WA 98201 425-257-bu10 FAX a25-257-8857 www everettwa org <br /> _J —� <br /> SITE AGDRESS: � PRC�PENTY 7A%G PE9�TIp' I I ^ oO <br /> DZ y 5 Bza� ivi -� ��- <br /> LEGAL br new coostn,aion Snon PiaUsabe��is�on Lo!No_ (aitac��cnpy o�'o�a ieaai;escrpuonl <br /> OWNER DAv1C/ � � Pnone�E-oa'. Z — � (J I./ <br /> ca��ess rjDz y"/ �y /7 /!�i e,cy,staieiz�o li✓P e G03 <br /> APPLICANT: � Oaeer _ OnnersFgent _Conlraaor _C�rlrz:to�sAye�: . _ �e�a��t,r.,ico.v�a.m�•:�-.�-:^�-.c•�.�.,=:=w'•^�'^,-"°� <br /> CONTRACTOR 1�1'� ✓VO( S State L,� a PG[IMB��Bd^�L� City Bus Lic # <br /> �,�ss �`I'o q �96�" 5f 5�t/6 �e✓'�a�l ��/� 98036 ��o�����,� 8do- 3yB-yoME <br /> TENANT BUSINESS NAME CONTACi FOR PERMIT <br /> �no^elc-ma�,� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK _ <br /> Ex�sbng Use ot BuaO�ng_ _ HEAT SOURCE. <br /> Proposed Use of Bu��ldmg Ges _ E��coi•c �:��e� __ <br /> Bu�l�ing rype � S�ng'�.e Fami'�y _Dup'�ez_Townhouse _MW6-Family _COTmercai <br /> T oe of o�o ect New P.ddi6on Remodel Re a�r T I S� n S r�nk:er Demol�tion Chan e ol Use <br /> DESCRIPTION OF WORK ieomriona�saace e�v�aea on me oac.i <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typeo�ProjecC _New_Addn �Altera�ion_Repair TypoolPro�etl. _New_Ad"n _Alteration_Repair <br /> S�ow NumOci �1 0(firtures S�ow NumEcr A ol fi�tures <br /> I A!C—air hantliin unds I ioAet <br /> Forced a�r s steins I Bathlub <br /> I Gas min I Lavam iwash bas�n <br /> Water neater I Shower <br /> Gas lire lace I Kdchen smk 8�is osal <br /> I Ga5 rar. e I Disn.vasher <br /> Ciothes d er I Ciothes wasner <br /> Ranne hood I Wate�nea!er <br /> � Eahausl fan I Sink(serv�ce/badmoofelc <br /> Hedt ufnD � BaCkf,p�y revBnte� <br /> � Umt heale� � Unna! <br /> � Boiler � Dr�nk•�n FouNain <br /> � Relr�. eration I Floor Ora�.n <br /> � Woods�ove Grease irap <br /> I Ouclin I Rool orains <br /> Other � Med�wl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � othe� <br /> Number of Heaas � Other <br /> i nere0y cert.fy Irial I nave�eud an.f r.xamineOlhis app'�c'l[o�an0 tnew Ne same le�e ir�e anC cerrctl Aii Pmrisbns ot:rvrs a�d o,tnances gavem ng tms lyPe ol wo�k w'I Ce compi ' <br /> wAn wneUer spede��erem c�noi Tnegrdri ng ol a per.n]Ooes nol prcs�me t�grve auNcrly Ia vciare o�W�����e D'cvision clany olner s1aLL ci��oCa'�xw re9u�a�og c�nstroouon <br /> IDal�a. a�o 0�Y��e ow er ot s pm0e�ry lo Dertortn tlie wo4lor wn�c�a�p,:ml on's maoe anG�com,'y wM1n I�r SW�e Lort�cton LT+�B 7]RCV/an�786 200A 1NAC <br /> 1��, �/3o/zo/y ,���s�o�,�o;,, <br /> Owner/A thorized Agent Signature Dale <br />