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� . ERMIT APPLICATIO� <br /> BUILDINGIMECFIANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITIO�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everettwa org <br /> 1l � 3-1 <br /> SITE ADDRESS: PROPERiY TA%u T A <br /> t 3 �h S� Sa:te l0�-�04 I I - � <br /> LEGAL lor n=w construa�on Short�'iausubd�vls:on Lol Nv laita�h co�y ol long iegai aescnptinn� <br /> OWNER J � PnoneiE�mad <br /> Aeeress C�tylStalclLp <br /> APPLICANT: _Owner _OvmeisAgeni �Can;raaor _Conuactor'sFgen� _Tenant���r.�o�.:ne��.,-n��c•m-.+•���i��:�-�re�..*«uco+=n :,m++caw� <br /> CONTRACTOR 1..� �,�'C Stale Lic # �01�mF. J2 ���Y Bus Lic t�-lp L�'1 <br /> F40ress l l( ,`!� 'G �1T '` '�'� \� Phone:Emai�2oG� � _ V �� I <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT i7 /�� _2?2 _ �S6 q <br /> 11�v 7 <br /> � i � C1 \��..��1..�� PnoneiE�mad �G�(.� � T � -h�'.�' <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exisl�ng Use of�wld�ng_ HEAT SOURCF <br /> Proposetl Us^_ of Bwldi^g_ Gas Eiectnc_ Oiner_ <br /> Bwlcfing;ype _Smgle Fam�ly _Duplex_TowMouse _IAultrFamlly �( Commeraal <br /> T e of ro ect. N?w AddNon Remodel Repart T I & n S rir,kler Demol�l�on Chan e of Use <br /> DESCRIPTION OF WORK iac:nonai spacepro��decn�meuace)/7 p <br /> a,(d reW P�h�.�,� SPr,Y�I<�U�'S �`S C.C4.U•'r-e0� 'FG'C� r1eW WG.II$ G�c�l Cc:�•r�c�S. <br /> L-f-�$� .V� UC'r : h-l- Co 2 't,GY1 �O C�v��.. `n . <br /> MEGH ICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: _New_Adtln _Alteration_Repav Type ol Project: _Now_AtlOn _Alleration_Repair <br /> ShOw Number(M)of G�fures Shoiv Number(MJ ol lirfares <br /> � NC-.�r hantllm units ' Toilet <br /> � Fnrced du 5 slems '. �dlhiub <br /> j Gas pipma I Lavato wash basinl <br /> � Wa1er neater I Shov.er <br /> I �;�c fur lace � Kdchen s�nk R dis osal <br /> � G85 rdn C U�Shv:dSher <br /> I Clolhes dr er I Clothes washer <br /> R��n e hood Wate�heater <br /> �I F.I�aust lan I S�nk�serv�xlbadmo /etc � <br /> I Ncat ump (3ack�ow ieventcr <br /> � Unn heater I Unnal <br /> � Boder I DnnMmq fountam <br /> � Reiri eralion Flcordram <br /> Wootlslove Grease ira <br /> I DucUn i Roo'drains <br /> � Olher � Mediwl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Otner <br /> �'� � I Nurnber oi Heads '� Other <br /> I here0�ce:tAy I�at I nave�earf an,]r..a'+'�mvi1�nis apFbp�Lon aotl 4now IRe same Io be Vue ana ccrmtl n��pmvis0�s cl L3.vs,n�ortlmanres goveming I��s lype ol wor\w.11�e comp <br /> mlh wn�•iher spec�hm he�e��n nr not TPe g�anung o!a permn aces not pmsume�o gne amnonry to v�oWm oi uincel me p:ov�,ion tl any at�er sta'e or bca�law reguiannq constmnron <br /> T�a;i am,ut:io • a by me o�wner ol �s proo a�to pe�o�m Ine wort Icr wnich appbwUon is m.De anU i compry a�t�Ihe State Cotranors W x IB 2i ftC�V an0 256 20CA LVAC <br /> � � �o —3r— �y <br /> Owncr on tlAgenlSi ialurc Dale (Re��ise09R07a) <br />