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PERMIT APPLICATION <br /> BUILD!NG/MECHANICAUPLUMBINGISICN/SPRINKLER/DEMOLITiON <br /> �ITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425•257-8857 www.everett.wa.org <br /> SITFADDRESS:- � — R P,E riTqxq PE n' <br /> o � -Ou I� - D <br /> LEGAL lor nea mnstru[lion� Short PIaVSubErviSion SS��- �y LDt No� (atta:h Copy ot long�lgal desCnpllon) <br /> OWNER Phone/E-mail C1 � C1�1 Z <br /> dreu CRy/Stale2ip / <br /> APPLICANT:_Oxner _OwnersAgent �Contra:tor _ContradWSA9ent _Tenantim�nn�n.�c..!r,a-a�.b.e-an:�o�.-umr.on��n�+cav� <br /> COHTRACTOR Stete L�c.11 '1 T � �G Ciry Bus. Lic. # <br /> tlress — ♦ (U� 11 I�P�S Phoire/Email ��y�U N�C.S l:�µS�J.C�M <br /> TENANT BU INESS NAMc NeTACT F�PERMIT <br /> � <br /> f <br /> k CtO� <br /> PMrwJE-maii y 2r z.gq ' �J GU <br /> BUILOING PERMIT APPL?CATION CONTRACT PRICE OF WORK ZUU,C-Y�C3 <br /> Existing Use o(Buildin9 �- .,. _ HEAT SOURCE: <br /> Proposed Use ol�Building_S�� Gas Eiernc ONe� <br /> Building ype: /L S/iny le Family _Duplex_Townhouse _Multi-Family _Commercial <br /> T of ro�ect: ✓ New AdQilion Remodel Re air T.I. Si n 5 rinkler Demolition Chan e of Use <br /> DESCRIP710N OF WORK ladertiona�spece piov�oed on tne nack)�. <br /> C�rJs{rac� � 25�3�'sFiZ �' 1�<� �'lt� f� z�� a <br /> MECHAN AL PERMIT APPIICATION PLUMB G PERMIT AP�LICATION <br /> TypnolProject: _New_Addn _Altorellon_Repair TypealProject: _New_Addn _Alteration_Repair <br /> IShowNumWr o/fiaYuros ShowNumDar olfirfurea <br /> AIC-air handlin unAs Toilet <br /> Forced au s stems BalhfuD <br /> Gas i in � Lavato wash basin <br /> 1 Water heater I Shower <br /> I ' Ga;lire lace I Kitchen sink 8 dis osal <br /> I Gas ran e I Dishwasher <br /> 1 Clethesd er I Clolheswasher <br /> I Ran e hood <br /> S Exhaust fan l Sink serncelbar/mo lotc <br /> Heat um Backllow reventer <br /> Umt heater Unnal <br /> Boder Onnkm Fountain <br /> Relri eralion Floprdrain <br /> Woodstove Grease tra <br /> Duchn Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> Number of Heads Other <br /> I liere]y oenEy tral I narn ieaa ana emmmea C�I�ap0���on ana knmv ma name Io�e Vuo enE rorrna A7 pmNeions ol lawf an0 o�tlnanc2s goveming Nre type olwoik HI Da mmp <br /> wrthwlieNerspeaMeC�e�otnwml TAepra�WB� De^�a0oesnolprewmnbgNeauNarflylovbqtoorcancnit�eproriwnolenyoE�eretafeorlorallewropulaEnpmnSWtlian <br /> iTallem omedCyUeownerofNlS��M aparlortnMo�MbrwfuY�aGW����medeanClwmpN����e5teleCan,iartonlaw1827RCWenC298200AWAC <br /> ��-✓I ��ZGs"� ���%J �17� <br /> OwnerlAuth audAg 81gn Date (Rense09/lOfa) <br />