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' � • <br /> PERMIT APPLI�ATiON <br /> BUILDING/MECHANICAL/PLUMBtNG/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, V�'A 98201 425-257-F3810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: PROPERTY TAI(q PERMIT N <br /> etZ _S`'�+ D2 . 5G �zJ42.��i ' i - 0 3 <br /> LEGAL for nev�consirutlion: Shorl PlaVsuhtlivisionCRS�-- JrL p�� Lot No� (altach copy ol long le9al descriptlon) <br /> OWNERSFzAit"(�ir 6� �1� �� "h� �e-S PhonelE�mail �ZS G53"' ZT�C�� <br /> a�a�ess , S�'r ti e�ryisiatc�z��tZ�42ie,� LtA- . �'1�ZG Q <br /> zc izv�2o-a� naa-c.i_ �w�1 0 <br /> APPLICANT: � Cwr,er Jwner'sAgeni ConlflClof CornraclorsAgent TCf1BN�n.evproviEoa;e"erclmnsen:0om��uonnerloCowork�ni�v_parol <br /> CONTRACTOR Sr-n4TT �Ca�i ' S�ale Lic.� � � - -3(v O City Bus. Lic.#$�pi�N �r <br /> Adtlress S�yv\�L Phonc/Email �aA��� <br /> TENANT BUSINE55 NAME COPiTACT FOR PERMIT '-��.}N (f�y��S�O <br /> PhonME�mal �4ZS) 3SG" 4�G L' <br /> BUILDING PERMIT APPLICATIOIJ CONTRACT PRICE OF WORK <br /> Existing Use of Building H[�T SOURCE. <br /> Proposed Use o(Buildmg Gas_� Electiic_ Clrer_ <br /> Ouiltling lype: ✓Singie Famdy __Duplex_Townhouse _Multi-Family _Commercial � <br /> Type o(prr,jecl�. �Plevo Adtlition Remodel __Reparc_T.I. __Sign �Sprinkler_Demolition_Chanye of Use <br /> pESCRIPTION OF WORK(adv,nonal spocc proviAed on Ihc 6ack): <br /> Z� � � 7L�� CZ C.� C'� (�2,�C_��1L , ��� 1 L �� d�n �•-�U �, <br /> MECHANICAL PERMIT APPLIGATION PLUMBING PERMIT APPLICATION <br /> Typc of Projecl: _Now_Addn _Alleralfon_Repalr Typo of ProJecC _Nuw_AJdn _Allcrallon_Repair <br /> Show Numbrr(11)ol lix(ures Show NamGnr(d)ollixhucs <br /> A/C-air handling uniL "�j I Toilet _ <br /> I ForceA air syslems Z �a�htub <br /> � Gas piping Lavaiory(wa5h ba5in) <br /> � Waler healer � I Shower <br /> Gas 5replace � Kilchen sink,disposal <br /> � Gasrange Dishwasher <br /> � I Clothes dryr.r I � Clolhes v�asher <br /> � j Ran�e hood W�len c�ater <br /> � Fxhaust(an � Smk(scrvieefbadmop/cte) <br /> Heal pmnp '— OackOow preventer <br /> — � Und heatcr Urinal <br /> — � Bodcr -- I Drinkinq Founlam <br /> . � Rr.fnycralion -^ Floor drain __ <br /> � Waodslove � Greasc trav _ __ � <br /> Duc�in9 � Roof drains <br /> I p����� — � Medicol Gos <br /> SPRINKLER I SUPPRESSION SYSTEM — � O�her <br /> It•!m6er of Fleads i Other. <br /> �hr.re�y mrbfy Inrtl 1 nove reatl ann cram�ned Ih�rs apy�irilion and knuw�he some to Oe Ime nntl correcl Pil pmvivans ol law-,ond ortlinances gove�mng Ih.�s�yp=ol morY vnll be comp!�etl <br /> �vCli m��etlier spec:fetl�muim m�ul.Tho praniing of a pennit dve,nol O�e,ume lo gve awhnnty io violale cr cancel Ihe P����slon of any oRrer:tatu or�owi law�egulatmg con:lrocl'�on <br /> T�allom� i��ori Abyt�ov:n^r ItYi;pmp^rtytopertoim�hev.mklorvit�¢6aap��ca6on�omaheanJlecmpl7�vebbm5latvConUado�:law1B17RCWan017F200qWf.0 <br /> � � `�� <br /> (Z- �'I-IQ <br /> Own rAulhorizoUAgontSlgnaluro ❑aIe (RevrscU3?O1J) <br />