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05/17/20��i 05:59 22 ADP 60THELL COS PAGE 01/�2 <br /> • • <br /> PERMIT APPLlCATION <br /> BUILDINGIMECHANICALIPLU MBINGISIGN/SPRINKL�RIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett.WA 98201 425-2,7-E810 FAX 425-257-8857 www.everettwa.ora <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM �I �23� 1 <br /> SIT[ADDRE5S: vaoverm Tax a P L� ��p� <br /> � \ � V <br /> LEGAL(or new wnstraclion�. Short aiavcundrvrslon lm No., (atlach wpy of iong legat dnsctlpllon) <br /> OWNER 1 � PnoneiE-ma�� y �•Q31- <br /> Adtlross 'j � CirylSlote2�p � � g <br /> APPIICANT:xOwnor Ownel�Apent _CunVunor _Contraeror':Agent TC�nnl�munv�NanelnYnrMeero�nlmmmao.vunoeowcn`NTlet�w� <br /> CONTRACTOR L 8 I Lic. # GOE Bus. Lia# <br /> Atldrect 7ho�MEm�il <br /> TENANT EUSINE:S NAME CONTACT FOR PERMI7 <br /> PhonolE-mall �{)5•�ljl •S4Sln I <br /> BUlL�ING PERMIT APPLICATION CONTRACT PRICE OF WORK ! <br /> Exisling Usa of Buiiding Ca�rnon11L1 _ HF1+T SOURCE: _ <br /> Proposed Usc ot Buildiny CeS�jI�P��\ Go�_ Elocttic�Olher � <br /> Bui�ding rype: �Single Famlly _Dupiex_TvNnhouse �Multi-Family �Cornmcrcial , <br /> T pe of proied: _ New _nddition Ramafel Repair T.I. _Slqn Sprinkler Demolilion_Chanqe ot Usu I <br /> DESCRIPTION OF WGi2K(addltionni spoce proviCeO on inc nack): '� <br /> �ir.�lo�cC. v�0.�cr .ra�� �mn, sh.c� c� �o howe , <br /> MECHANICAL PERMIT APALICATION PLUMBING PERMIT APPLICATION <br /> Type of Pro)ect� _,Nnw_Adtln _AMqrallon_Repnlr Typq of ProJect: _New.,�ddn �Iterallon�Ropair <br /> Show1lumbc� U �I��tumx $howNumbcr(q)el�xtuma <br /> NC—air hantllin unils Toilet �. <br /> Forced air s stems Oathiub <br /> Gas piping Lav:.:p wash Ga?in <br /> Water heatr!r Shower <br /> Gas fiiepl2CC K�lchnn sink&d�5 D;ol <br /> Gas range Dishvios�cr _ <br /> � � Glolhes drycr CIOU�es wash0f <br /> 1 Ransc hood {I Waten c�atcr <br /> Exhaust tan I Sink(snrvicr.lb�f/tt10pIMc.1 <br /> �__Hcat pump ElACk110w rrvonler <br /> � �Jfll(hC�iC� �IntlJl <br /> Ooilr.r l Drinking Fountain <br /> Rpfri eretion i Floor tlrain <br /> Wood,lOVC � Gfedce V.lp _ <br /> DUCIin Ronf drain5 , <br /> Other Mediwi G,+s <br /> SPRINKI.ER / SUPPRESSION SYSTEM otn�c' <br /> Number of Hnads � ��h��' <br /> i nawbr cmUfy Init I pave rcna er0 osmnlnnO lhn�appicMion sn�ImoNlhe c�me lo Dn van�wJ eorcect,Ni pmvb!onn W k++s ane mnlnaneu5 qwOmM9 tm9 ty�W w9Ai�.91�n eemplbd <br /> w�IB�Nlelner speeMY•E hnmh a�OCI.The qnntlniJ o:n port119 tlOtS��l 0��+9u¢o 10 plVt Pu��ruEy lo v b4�M1�of Clncel�pn p�pvl,-�Wn p(dr1Y������nln nr lacal U+r mqul�Y,lnp wnr.4uctbn <br /> Tnal l um aulhaUnd�ry Mc�wnrr of�tlb om[+��dY�v p���m me wvrk for v,hlc�=PPIra9on Im m�dn Ond l rvnpip wCh Iho Slpm Gonlr.¢�nr�l:rw 10.77 RCW end 79f+)ODA�'dnC <br /> � S- „Jr,u� ���L � '�w� ��� <br /> ' /� ^ R=� �c�.1, <br /> rnv Authorlx � As7�n�slpnaturn �- t �S'�t31'S�lti(c Otnvlscd5?OtZ) <br />