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Niar 13 14 06:57a Washington Wate:aters 4257461563 p 1 <br /> • <br /> __ ___LERMIT APPLICATION <br /> BUIL.DING/MECHANICAUPLl1MBING/SIGNISPRINKLER/DEMO�ITi�N <br /> C(TY OF EVERETT PERMIT SERVICES <br /> 320D Cedar St, Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvrrv.everetivra.org <br /> MPLICATIONS ARE ACCE?TED RROM 8 AM TO 4 PM19 3 �.J � <br /> SITEApDRESS: . r i F� PROP N7 ERnili# <br /> �v(Oy U, i �_) �,.t i•� ��,�'�DUCGG.3l�dc: • (7 <br /> LEGAL tor newoor.sw=ticn: Shen PiaUwhdiviaon Lct No.__ (aUatli co{ry ot bn91e9a1 tle5ci00onJ <br /> OWNER //"IG7'�'lCCS � <br /> JK hC PhonUEanall `i�25-i'Z3 7�%L�z <br /> ,�aa��3�2U � �eYJ I'f'1`� �� c� isin� �=� �.. '� / �' � <br /> ry rz�v _ t--� —P E! i .. �:l /S�2L�� <br /> APPLICANT: Ovmer OvmsfsAgani �COntraCar � COntraC,afSAgon1 Tell�nl(m�sipn�iEoatmerotw�vnlrmmm�wnuupow�k�nmesa�T) <br /> GONTRAGTOR ���%�' � 1!v';�Y�%(�I �Lj;�.j-'-�/� �='f'rT:�S L 8 I Lic.# /,(,'/'* �rj I_ 4c�%�C:/��' COE 6us. Lic.# �� <br /> Addrcss r✓(.�1.� ni�;�l�[!:J fIL,J:��'t IJt��6,F�:.C� ��.�i+ "/l(��:� PhonNEmail „C��!-�-f�!i_ rl✓��f �IL11g�(LICi�7[lG4t�...: . <br /> T£NANT BUSINESS NAME /� GONTACT FOR PERMIi c .: r <br /> /�-��I i � - i c'C':[ (Si <br /> JGL(LT �CC:'ICC S <br /> Phm��mail . /C.'2'IV /.�� «'�C7'ZCC!L;� . <br /> BSIEL�Il�1G PERMIT APPLOCATION ' cONTRACT PRICE OF WORK <br /> Emsting lJse of Building � 5� �" <br /> HEATSOURCE: <br /> Proposed Use ol Building Ca: �/- FJectric o�nor <br /> Buildin�type: _S�ngle Family _Duplvx_7cwnhouse _Mulfi-Family _C�mmercial <br /> T o of pm ect New _Addilion RemoOel _.ReAair_T.I. Si n S nn�ler Demoli6on Chan o of Uso <br /> DESCRIPTION OF WORK(aCdrti�na�spaeoprovitledonlho baeN): <br /> I � � <br /> �� � � (�•1 .V� ' Ll��.l ��'l l/ r��(��'�'T C'� <br /> �� 1C.t•�� l��,� Li 2����- � ,�� �...� � <br /> � <br /> _ MFCFiANICAL PERNFIT APPL.ICATION PLUMBBNG PERMIT kPPL1CAT10A1 <br /> TypuofProjnct H�yv_qtlAn �AI[crdl�o ��`'Ft�p'air���`� TypcoiProfect: _Ncw Atldn _Altaratian Ropalr <br /> Show Numbn�(A1 of firturns Show NumEcr(d)oF firtures <br /> A/C-tirhantllin unita Toilet <br /> Forced air systems �athfub � <br /> Gas piF��9 Lavatory(wash basin) <br /> Water heater Shnvm� - <br /> Gas fimplace Ktthen sink 8 tlisposnl <br /> G�.r.nnqe []ishwasher <br /> Clolhesdrye�r � Clothrs•rvaShCr <br /> R2nge hoea lNater heatrr <br /> 6Rtau�i(an Sink(servierJbarJmo /ate.) <br /> Heal p�anp B�cMiow prevonl�r <br /> Unit h�aler Urinal � <br /> BoAer D�inking Fountain <br /> � Refngeration Foordrain <br /> Woodstwe <br /> Greasci tra <br /> Ducting Roo;drains <br /> ' Other__ _ ' Medical Gas <br /> SPRtN�1CLER / SUPPRESSiON SYSTEM other <br /> Number of Heatls Gther. <br /> I h9lppy u��idy Ihat 1 pavv�CDJ ontl OGlMnCO 0k ap�l`iGlph'1.1��.Enovi Nc wmn lo Oo In:n anU rArtUc1 q0 pfoNJol1;cl p�p5 an�]qCNnnCI!s govpllpn�NL^I�jf u af v.plF w:l bc Mmp[_'J <br /> �'Alll Nllethef cpeGiM�pie�n pr nol.Thn grJnLnp 01 a pertna Eoa:iwl pmv�me ta gr�p iuR�oq��b ebl.Jn or uincN Ilic pravlslan of any mhcr cUQ�or bol lan m9ulatinq mn;wc�on <br /> /�—qlil I OT avlli0�il/W by 1�0 a nmpf Ol�hic propuM1/fa�Horm Nc wwk'ar w1ilJi npplm7on is�n�tln anC I mmply v�m Nn Stalu Cantr�qoa Ls+r 10.?]RC W u�.0 tFG3C0A WAG. <br /> , �l � � /� , . , , f�� <br /> —; , �� �(I�i �«�J � l._ / � l �,;'� _"y'; , . ; , t�i-� <br /> ' _ ��:�4(l�'� 1 I�./ , '�: v�. 7 �- c / 'l�� ;�i,r��'(_.� le�-�i G,lt„ <br /> o���rtfAufh�rhntl AgmlSignaturc o�tE� G('.'2V`1"L� LTC!' r<<' ��R�„����c,z� <br />