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�; . <br /> . � � � <br /> PERMIT APPLICATII�iV <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DENlOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, VVA 98201 425-257-8810 FAX 425-257-8557 www everettwa.org . ^ <br /> _ �_J <br /> SITEADORESS: +`{ � PROPERTYTAXp - �PER IfN <br /> ��3'13 S OQ..\d�. � FL�,�r:1T L_ <br /> LEGAL far new construclion: Short PlaJsubtliuisionC�SG�4�f"L- P�-�'L Lot NU"1� (atlach copy of iong Iz9al descriptlon) <br /> OWNERSFL.�i"fCat�j�.Ll` IL. l'+o�'1itC�i._S PhonelE�mai14ZS G53'• Z.C�pQ <br /> nad�ess Zp � izvti � — 1,�� S�`� c��Y�s����a�P �J4e,�� I.u�- - �'1.'-`ZG� <br /> APPLICANT: Owner OvmeisF9en� Conlrac�or Con;raclor'st.gent _Tenanl��..�.ipm��a",i�r.�rm�oo;�maommeo„���mm+���w:�inosP�:oi <br /> CONTRACTOR �4CS' U. l � Slatc Lic. 3 - .�(O C) City Bus. Lia R$Bpi�H �r <br /> AdOre;; Sj�yV�`L �'hone/Email S'�'"�� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �-��.{.�y (J���j-b _ <br /> Phone�[-mail L4L�� 3SG•- 4flG��— <br /> BUILDING PERMIY APPLICAYIOPJ CONTRACT PRICE OF WORK_ <br /> Exisling Use of[3uiltling HGAT SOURCE: <br /> Proposed Use of Bwlding Gas� Electnc__ Other_ <br /> �wltling type� ✓Single Pamily _Dupl�x _io�•:nhouse ,<<�ulli-Family _Commercial <br /> Type of projecf. �New Atldilion ___Remodel __Repair_TJ. __Si9n _Spnnklei_Demolition___Change o(Use <br /> �ESCRIPTION OF WORK(��dd�(ional space provided on fhe back) <br /> 2�1 I �v �L.fir�; CZ C:,a� cr raeac�:L � 3P�S � � "Z53 � �10 3-- O o 1 <br /> MECHANICAL PERMIT APPUCATION PLUMBING PERMIT APPLICATION <br /> Typo of Projecl: _New_Addn _Allera�ion_Repair Typu of Projecl: _Nuw_Adeln _Alteration_Repav <br /> Show Numbe!(a)cllixtures Shovi NumGer(NJ o/fia(ures <br /> A/C-air handling units �;,i � Toilet <br /> I Forced air systems Z L3atMu6 <br /> � Gas pipiny I Wvatory (w25h b8510) <br /> � � Walcn c�ater I � Shower <br /> Gas fireplace 1 _ � Kilchen sink&disposal <br /> � Gas rangc _ Dishwasher <br /> � ! Clothes dryer � � C�othes waslier <br /> � ! Range hood '_ �-i�er healr:r <br /> � Exhaust fan � Smk!scrvir.e/bar/mop/etc) <br /> �Heal pump '—' Dack�low prevenler <br /> — � Uml hea�er Urinal <br /> .-- f3niler -- � Drinkinq Fountain <br /> . � Rchigera�ion �—^ � Floor dram __ <br /> � VJoodstove � Grease Irap _ � <br /> Duchng I Roof drains __ <br /> Other — Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM — � ����v� <br /> Num6er ot lieads � I Olher.__. ____ <br /> I nerehy nnL!y ma1 I F:�vc w�id an�c.,ir,'�ned IM:aVu'icaLon and know�he sorne lo te INe antl eorlett.All prOvi;inns ol la�.vs unA nia�nances 9ovl'm'rg Ihe Ipp^olwark�mll be eomp'ieJ <br /> �.vu�vr0cltier s�mc-0eG he�cin o�noL T�m qr,intin3 0l u pertn:l tloes nnl presume ta 9rve nm�nnl/to vio�a�c oi wnccl Iha provision of any nl�a;la:v or:ocai la�v teyuhtl�n9 wnslrur.lion <br /> That I mm �hcn J�y I ov,ncr I l�i:ptopmly lo purtoim I�c v�oik lot rihl;h opPllca!lon Is matic antl I camply min tha Slaic CoNraclors I.avi 1tl 27 RCVI an�29f 2�OA VJ�C ' <br /> � � <br /> ' C �Z-�'1 —i Q <br /> Ownyr AulhorizoJ AgonlSignaluro Dalc (Rcv�;eJ JR073J <br />