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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, V'iA 98201 425-257-8810 FAX 425-257-8857 www.everetiwa.org <br /> SITE ADORESS: PROPERN 7AX n PERNI N <br /> � S�� �Q . S . Iz.14 �1 � i IL- oll <br /> LEGAL lor new wnstrucfoi�. Shorl PlaUsubdivisionC�SC-'��fL Pa2�� �ot No"l� (auadi copy ol long legal descriplion) <br /> OWNERSF��i7L-�-e- �(= I(_. ��.5 Phone�E�maii �ZS_ GS .�i" Z�CiGC� <br /> _ SJ�TE Cd i5tateizi <br /> nad�es5 Zo ' iz,vG t,��a r p rLJ4�ic.� (,ua • `'i;�ZG Q <br /> APPLICANT: Owner _Ovmer'sAgent _Con�raclor _CONracloYSAgen� TenaM�m�siF�o.�aeaienerci�c�sem�rommeo����ncaa..crx�,nire5aaco� <br /> CONTRACTOR �4Cf C�l(—1 Slale Lic. 3 - -�4�O City[lus. Lic.#S�pi�1� ' F <br /> Pdtlress S�yV�`�L �hon�/[mnA �'�'VH�� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �-OC1-ni CJ�+!(,v-URC� <br /> Phan=lE mail C�2-�1 3S G'- 4�C'Z <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exi;ting Use of Budding HEHT SOURCE <br /> Proposed Use of Building Gas_�Eieanc Other_ <br /> Buildin3�Yfe. ��ingie Pamily _Duplex _Tov:nhouse _DAulli-Pamily _Cemmerciat <br /> TyGe of prcjecL �Mew ___Addilion _Remodel ___Repair__,_T.I _ Sign .,__Spnnkler___Demolition__Change ol Usc <br /> DESCRIPTION OF WORK WtlU�tional spncc providcrf on the back). <br /> i� s � �z �. ���.�,f> > 3�s�� R �3 ► �r�- ov � <br /> MECHANICAL PERMIT APPLIGATION PLUMBING PERMI7 APPLICATION <br /> iype ol ProJect: _New_Addn _Alleralion_Repair Type of Projact: _IJew_Addn _Alleration_Repair <br /> Shov�flunr6er(H)ollixtures Show NumLcr(H)o(!ir(ures <br /> � NC-air handling units I Totle� <br /> � Furced air systerns Z � �athtuh <br /> � � Gas piping � I.�,vatory(wash basln) <br /> � 1 � NJaten c�a�er I j Shower <br /> Gas fireplace _ \ Kilchen sink R disposal _ _ <br /> � Gas range { i Dishwasher <br /> � � Clothes dryer I Clnihes washer <br /> ; R�c hood Waler healer <br /> �_� [xhausUan � I Sink servicelbarlmoplelc.) <br /> � Heal pump '— I Backflow pre�denler <br /> — � Und hcatcr I l)rinal <br /> — �� Boilzr _ — �rinking f-oun�ain __ <br /> — � Refriqeralian �-^ _ � Flaor dra�n <br /> � � Woodstovr_ � __ — I Grease irap � <br /> Duain9 � Roof drains <br /> � p;���� — �dedir,al Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM — � � Othcr <br /> � Mumber o!Heads �� � Other <br /> I hereAy ce�nly Ihrn I have matl�nA e�nm�ned Ih'�.:npphc�uon and knovi Ihe.ama lo Go ime and cnned.All pruvs�ons ol law:antl old:nuncrq gOveming IOi,rypn p�nmk pNl�n tomp'mtl <br /> v,ip Nbe!I�^.r x�leClir.d helem al nol. I hu q4tnhn9 oI J perm'J flo^511n1 p�esvme lo gryO.lulnotAy In v�a101e of W ncL`I IpC(1!av�slon oI.lny[InCr;IJIe nr ICGI Idv/Ie91�1]Img cOnslNClon <br /> I�allOm V�mv Oby1 owner In•ep:np=�yloperformlhewmlJmrihlcliaprLcafonlortiadvan4lcomplyw0iVm51a'eCmdiaclolsLawI817RCNJand"1962WAWAC, <br /> , � `/ � <br /> // <br /> � lZ � -I `Z <br /> Own r AulYmrimd Agenl Signature �alr. (Kewsed.7R079J <br />