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i <br /> � <br /> PERMIT APP�ICATION � <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION i <br /> CITY OF EVERETT PERMIT SERVICES i <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 w�vw.everettwa.org <br /> / a— a—I <br /> SITEADDR SS: a �� S� PROVE TVTA7(p PE I K l �DOI(/ I <br /> l <br /> LEGAL lor new wnstruqiorc Shod PlaUsubdivislun Lat No._ (atlach copY ol long legal deunptian) i <br /> OWNER � Phane�E-meil ZQ'-"�j� .3- ��S i <br /> rwc,e55 (��2 '� CitylStale2ip Zpg i <br /> APPLICANT: Owner Ov.neY,Agent ontmtfor CentractoY,Agent Tananl4m�npm•a•uie�a�oice�.amcomuww.�.�uao..c+.mme�c.:n� � <br /> i <br /> CONTRACTOR L7 vtA` State Lia tt Ci1 Bus.Uc.# � 16 � <br /> ACdress � PhonalEmail (/�1S Z 'Z U i <br /> TE NT B NESS CONTACT FOR PERMIT '; <br /> 9�y,Ca 9s��; . corv� •�aA..�gva.�►. � <br /> PnonGE-mail 1.11.��L��N`��� i <br /> BUILDING PERMIT APPUCATION CONTRACT PRICE OF WORK_ <br /> I <br /> Exisling Use ol Building HEA7 SOURC[: i <br /> Proposed Use of Building Gas Electric omer � <br /> Builtling type: _Single Family _puplex_Townhouse ^Mulli-Family _Commerclal I <br /> T a ol ro cl: New AddiGon Remodel Re air T.I. Si n S rinkler Demolition Chan e of Use I <br /> DESCRIPTION OF WORK(odditione�spnca prov�ded an fhc backJ: I <br /> � <br /> MECHANICAL PERMIT APPLICATION PWMBING PERMIT APPLICATION <br /> TypoolPro{ecU _New_Addn Aibmllon_RopaL• TypeolPro�ect: _Now_AtlEn _Alloratlon_Repalr I <br /> ShowNamber # olflxNros S�owNumber p olOxtures , <br /> NC-airhandlin units Toilet i <br /> Forced alr s sloms Balhtub <br /> Gas i in Lavato wash basin ; <br /> - Water heatcr - Shower � - - � <br /> Gas fire laco Klichon sink 8 tlis osal . <br /> Gas ran e Dishwusher � <br /> Clothes d er Clolhes washer ' <br /> Ran e hood Watcr henter i <br /> Ezhaust fan Sink service/baNmo /etc I <br /> Heet um BackOow roventer i <br /> Unit healer Urinal I <br /> 6oiler � Drinkln Fountain <br /> Relri eralion Floordrnin I <br /> Woodelove Grease tra � <br /> Duclin Roof drains � <br /> Olher Medlcal Gas <br /> SpRINKLER /SUPPRESSION 8YSTEM otner: I, <br /> N�mber of Heads Other: � <br /> � <br /> Ihuru�ycONNNUIIhavorviOdnQOWmAe4Ni�aDD���p^anGAnOwNesameloOOWodnJCortocl.MpmNSlonsollawsnn4aNinancesBo�'��ni�pllilslrynofwo0.vrilGa�'nmW � <br /> wA�wtiol�cr epoafcU Oa�eN or noL Tha prenlNO ol a parmY Oaee nm prewmu ID yNn sul�oNy�a vlolala or dnul Na pmvlvon ol nny ol�or sla�n m lani Ww iopu4ihny mnswdbn <br /> iral I am euNoitteE OY Ne owner nl t�n pmporty lo pertorm No woM Icr wTIcO apD4ca io^h moEo entl 1 comyH vAN Ne S�am Contractors Lew�8.77 RGYJ nnJ 19B]f�nA W�C <br /> ///'/J / n 'A I <br /> / /l\ / I��Z.bl�_I <br /> wi IAuthor:etl ApenlSignetwe T— Oato (Hevisetl 9/�014) ' <br /> I <br /> i <br />