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� � � <br /> PERMfT APPLICATiON <br /> BUILDING/MECHANICAL/PLUh'IBI,NGISIGNlSPRINKLER/DEMOLI710N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425•257-8810— �AX 425-257-8057 —www.everettwa.org <br /> APPLICATION9 ARE ACCEPTED FROM B AM 70 4 PM I fl—I ��2� <br /> vROPEPT'TNf p �-�II.a f1 ,O . <br /> 91T[ADDRE38: 11 Q 2� Z �M �V �j-G �-� �� <br /> [J <br /> LEGAL(or new ConctruCion, Snorl PloUsuUdlvlslan Lol No._ (atloch coDY of IOng 10g01 tl09crlpllon) <br /> OWNER t�,� �/� anone�E•mnli ?,o(� - � G 5 - �t I 2Z <br /> Addraoa � CIly/SfBlo/Zlp <br /> CONTRACTOR L 8 I lic.1! V � � "` <br /> qddrase � �y-r �� PhoncfEmu �" � � <br /> TENAN7 BUSINES AME GQNTACT FOR PERMIT <br /> I�rfou r��i — 1�� <br /> BUfLDiNGPERMITAPPLICATION CONTRACTGRICEOFWORK���OC7 <br /> cxlsting Usc of 6uil4ing HEFT SOUftCE. <br /> Proposad Use o(�uildinp Gas Eieclrlc OIAor <br /> Bwlding lypo. �r3!e Fomlly ,Duplex_Townhousc _Multi-Fomily _Commercial <br /> 7ype ol project. . � New _Adtlilion _Remodel _Rcpotr_7.1.^Slgn,_„_Sprinkler`Demolillon_Chango oi Use <br /> pgscrlplion of Wotk(addifionxl spaca providad on tho bnck): <br /> � �I S��I. /v�,�� j� � ��S�J�Gf C � <br /> ryava you sturted working without a p� o�d+K� YE9 NO <br /> MECHANIC�L PERMIT APPLIGATION PLUMBING PERMIT APPLICATION <br /> TypeoiProJoct: Nuw�Cdn �Altaratlon_Ropotr lYpeo/ProJott: "Nuw_J�dGn �}lttomtlon_Hopplr <br /> how Numeer(q)a!/Iaturo9 Show Num6rr(p)ol Oxtures <br /> A/G-airhan0lin units � Tallet <br /> � Forcetl oir sVa�ems BatAlub <br /> Goa I Ing tuvflloYy wa9h L:�61u <br /> Woten c�eler uhowe� <br /> Gus fn:olaw Kitchcn olnk&di6 ocal I <br /> . Gpg���� � Dishwaohcr <br /> ClothCn d er Clothca waahor - <br /> Ron e I�ood Woler hoaler <br /> ' Exhuus!!an Sink norvlcelbor/mo /olo. <br /> � Hcnt pump 9ackflow rcventcr <br /> Unit henlor Udnol _ <br /> Ballcr DNnkinq Founlflln <br /> � Rclrl eralion Floor drain <br /> Woodstovr. Gmeoe Irao <br /> Dudin Root dralns <br /> � Othor Medical Gas <br /> SPRINKLCR / SUf'PRESSION SYS7EM UUier. <br /> � Numbcr of Flcods Other: <br /> I herehy cnqlN�hm I hnva reod and c lund thl9 opDilcatlon nnd MnOw lh0+'�mC 10 b01f00 000 Wf10U.AII OM�iA�Otl6 OI�OwS ond ordlnnnros Aovominp <br /> �hls typa ol�Ork will 6o compll Ih whoi�o paclGed horein or n01 The pranlinp o1 n pnrmit doas nol pioeUmq lu�Ivo aulho�lly Io vi0blo pr concel <br /> ihc pro�f61� I nny o�hcr 91 0 of ICCnI Inw rog la�ing Con9lfucllon of i pe ormanca ot conSWclloa 1'hol I am aulhOdi4d by lho ownor o11h15 p�opotly . <br /> lo pe � ork for whiUt IlCalion Is mn o 8nd I Comply wil o SI�I CoNmclors Law 16.27 RCw ana 29BT00 WAC <br /> � � � � .�� <br /> ; �. <br /> Ow od hor znd Agant S ntyro Uolo � (Aov�sotl7itp7 f) <br /> i ` <br /> I <br /> S�T 'd L588L5252bL �01 �WDa� 5��00 2I0Z-8-N(lf <br />