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PERMIT AF'PLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITIQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, �NA 98201 425-257-8810 FAX 425-257-8857 ;�n�nv evereltwa.org <br /> SITE ADDRESS: pRovERN iN(n '---' <br /> Z�Z —tH J�— ,�J���j PER�J�ITnx <br /> J� � �� <br /> LEGALbrnewconslructioe. ShoriPlaVsubUi�siunCASCnC1rz P6t�� �atNoZ <br /> �_ (dltach copy o(lo9g legdl CescPplicn) <br /> OWNERS�(� �(�-L � Z . <br /> l ___�_�{ll' IC_ � t[-�S PAonelE�ma�i �ZS- C�S3 �SCQ <br /> Ad�7rC55 � — SJ�T SG — <br /> 2C it.V4 ' ��u c�iyisia��rz�p �zJ4�i� 1-tA � ciGJ 2.G�' <br /> 1 <br /> APPLICANT:_C:mer _O:vners.�gent __Ceniraeior __.Conlraelorsq6"�� __Tenarl�„�.,:iF�o„a�.,_.ie,u�c,e�-io�n�+ec,rermco.�,w.�:nosaa:ci <br /> CONTRACTOR St-sQ-[T ��� �-� State Lic, � ; - _ 3(p U City Bus. Lic. �'$Ep.�N ' �' <br /> Pdd:e;s Sa,y�,�jL Phone�Emal sl�W\� <br /> TENANT BUSINESS NA�dE CONTACT FOR PERh11T <br /> �Gl+,� ClZtl.s—o2[:� <br /> Pnone�E�mail C42S� 3�G-- 40G� <br /> BUILDING PERMIT APPLICATION CON7RACT PRICE OF WORK <br /> Existmg Use of Bwlding__ _ HEAT SOURCE. <br /> ?roposed Use of Budding_ _ _ Gas_�EJectnc Oiher <br /> Bwltling I�pe ✓Singl_�pamJy __UupleK Tuv;r.house h4ul'i-Pamdy _Cemmeraal <br /> I�oeofpro�ect ✓New __Addilion _ _Remcticl __ Repa�r__-I�.I __ S:gn _ Spnnk�er __Cemolil�on Change ofUse <br /> DESCRIPTION OF WORK Hed�ri�n;�sp,ace mov�c�e.7cn rn�Cica� <br /> Z CSl v t`A til Z C1>2 Cj AQ.!-'`F1FL <br /> �5� �3 -�� �3HS;�� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of PioJecl: _New_Atlan _Alleratian_Repalr iype ol ProjecC _Now_Addn _Alteration Repair <br /> Show Numbcr(#)ol lixfures Show Numbrr(#j o/(rtures <br /> — NC --av hantliing unus � Toiiet <br /> i Forcetl air syclem, Z I E3a�htub <br /> � Gas piping L{ i Lavator (wash bas�n) <br /> � I Water healer _ � I Shower <br /> Gas fireplace � I Krtchen sink&dispo,al <br /> Gas nnge � pistiwasher <br /> � I Clolhes dryer i I Ciothes washer <br /> �_! Rangr Oood � �--�---lNater heater <br /> � Ezhaust fan ( � Sink(serncelbarlmop/eic.) <br /> Heat pump �— I t3ackflo�,v preven(er <br /> _ — � Und heater i Unnal <br /> — � Bniler I �rinkir9 Fountain <br /> — I (iafngera�ion Floor tlrain - <br /> — WcoAsiove <br /> � Dueling —"' i Greasc frap . <br /> � Other_ _ 1 Roof drain; <br /> �viedical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM — I Other <br /> � NumberofHeads � <br /> Olhcr <br /> i herehy ccmly�hal 1 hn�e�ezd an0 e�zm�nM I�is aD�'�������arA 4na::t�n samo l0 7e Ime and correci.i,ll D��vimons cl law5 and oramance5 9overr.�n9 tA:s lyp�olvm,l,�e�l 6c comp!ied <br /> wM1h x�ether spec�ii^_�prrnn er ne: ipe granlmg cl�oermt Coes nol prCs�rce lo gi�e av;nuc;y lo vclu;c or carccl me p�om!mn ol any otper s'ale or Icr�i law iegWaO�g mnshucl cn <br /> in;+l I am �?au 1 by i o�.ner �Ub proF1M ro pertcrzn!te r�oih k���n�ch appiea'ion rs maee zn01 comply udh I�a SIo'e Ccnlra�tore iaw!e C7 ftCN and 75e 2�OA YJAC. <br /> -zt -� s ��z <br /> Own r Aulhorize�Agenl Siynaluro Daie (R�vised�r013) <br />