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Aor. 28. 2015 i0: 22Ah1 Nr. 9054 P. i <br /> PERMIT APPLICATION <br /> BUILDIPIG/MECHANICALINLUN1BIhfGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> y-3�-'�J� <br /> SITEA DRESS: ppOPEFNTAI(e P iTe <br /> �il �,.� y-05(o <br /> IEGAL for new mnsuixtlm: Shan PlaUsubdivison Lot No.,,�,�, (atta�h copy ol bng legei dewiDdoN <br /> OWNER Phpn�lE�nail Q <br /> rrss (,J CMIS1s1eJLp <br /> PLICANT; OxnCf ONtICfSAgen� �,CoM(aClof Conh2CtOr9AgPnt _Ttnant(m��po.�oaa��u�:minarm�w.�.�ioae+an.+ua�c� <br /> CONTf2ACTOR Slale Lic.8 ity Bus. Lit.# p <br /> nduross �9n. PhonelEmail �1�—. p <br /> T ANT BUS ESS NAME CONTACT FOR PERMR <br /> PhoneJE•mail <br /> BVILDING PEtdM1T APpLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Buiiding HEAT SOURCE: <br /> Pruposed Use of Buildinp Gas E1edr� Other <br /> �uiidinptype: _SingleFamily �Duplex_Townhouse _Mulli•Femily _Comrtlertial <br /> T e of ro ecC New Atldition Romodel Re air T.I. Si n 5 nnkler Demolition Chnn c af Use <br /> DESCl21PTION OF W ORK(addr6onm spoce provided on rnc bacl�: <br /> Re P �uce �rnace <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMI7 APPLICATION <br /> TypeolProjt:tl: �New�ddn ��Iterslion�Rcpair TypcolV�oject _New_Atltln _AknroUon_Repair <br /> ShowNumber a oinxruros ShowNumbcr I)o/�xtuma <br /> NC—air handlin uniLs Toiiet <br /> Fore¢d alr e stems F3athtub <br /> Gas i in L�VetO wash ba,+n <br /> Water heator Shwier <br /> Ges fire Iece Kitchen cink 8 dis sal <br /> Gns ranc e Dishwesher <br /> CloMes d er Clott�es washer <br /> Ran e hood Watei heafer <br /> EKhau6tfan Sink se:ivieelbadmo lcic. <br /> Heat umu 6ackllaw rovantor <br /> Ilnii hextr.r Ufinnl <br /> Bolle� Dnnkin Fountain <br /> Rclri erelion Floor draln <br /> WooUslovo Grease tra <br /> DuCti Raof droins <br /> Otlier Mcdical Gas <br /> SPRINKLER 1 SUPPiRESS10N SYSTEM Othcr <br /> Numhr.r of Flr.ads Olhcr <br /> I�ie20y CdUly Intl I lar<rean yna esamnee InN applrnlbn sn0 Ynw Na�nme Io er wn Ma conirl al poNelons af k�w Bna oNlnan[os poVamnp Nr.rypo alxw[w0l Ue oompl <br /> �nin WieNer�.prKO Mren ar noL TM qnnlnp of e pertnil aoea nat peu�mr m ghe euNortry tu Nolela ar wnool Iho pm W lon ol arty oNm Win or lueal dw mputa4np cans�niRhn <br /> rnafinma�UoryLe eownerailnbpmpercyioprrtamHo�wrwfoiwntnnDD��e:m��matlenndlmmpMwWlne6ia�nConVaporsLaw1B.27RLYlmd796.200AWAC <br /> i�� y 2 <br /> QvnicdAulhor¢ed Agent Signa W�c �ale (ReviSed 9ROIaJ <br />