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� � <br /> PERMIT APPUCATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION ' <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SI ADORESS:, P O E TV TAX p PERMIT a � <br /> � Th E b� G�'( � � � ocx,�a3�cx� c i oy-o i z <br /> LEGAL Icr new rnnstroction� S�ort PlaVsubCrv�sion � 1.3— �/ (attacn copy o(long legal aescript�on) <br /> OWNER /r V� P�one�E�man `�/z� � J ` � Z L— <br /> Aadress �'(J � ` CO }L'�� C�ryiState/ZiP /l�lt.�(.�� ��E Lt (,��(�i � Yj 2.,'�-5 <br /> APPUCANT:_Owner Owner;Agent x Convacmr Contraao�sAgem T2nditt(mvvpro.�aoamrtwo!mnsenunmtn�o+aerioao.wn�nmespawl <br /> CONTRACTOR �a i��� ttQ,I�CNRI-lL5�i3LF COE 8us Lic # <br /> Atltlress�M� - -y� S2� ��� II� � �J ,J Phane/Ema� , Q�� � �`� N ��n �f,[LM <br /> TENANT BUSINESS NAME CO�ITA R�E��Ti� ��� �(`„/^a �y O�/1\ <br /> . �1�.. ���� \ - r i �_� n���� <br /> Pnone/E-mad C'i.�("�y�V}h2s C /''�,5� / �(�/�/t <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �y � $(p Z _ <br /> Existmy Use af Budding C HEAT SOURCE: <br /> Proposetl Use of Bwlding .)�� Gas� Eiecu�c Otner_ <br /> Bmlding rype�. �C Single Famdy _Duplez_Townhouse _Mulli-Fam�ly _Commercial <br /> T pe of pro ecf �New Atltlition Remodel Repalr T.I. S�gn_Spnnkler_Demolition Change of Use <br /> DESCRIPTION OF WORK(ada�hona�space oro��aea on rne oack) <br /> �C�!J`���U �E � i�ec.✓ LS � �`� SFZ <br /> MECNANICAL PERMIT APPLICATION PLUMBlNG PERMIT APPLICATION <br /> TypeoiProjecC _New_Addn _Alleration_Repair TypeofProject: �New_Addn _AlreraUon_Repair <br /> Show Number(a1 0/finures Shnw NumDer(A')o!firtures <br /> A/C-av handhn umts Toilet <br /> Foicetl air s stems � Balhlub <br /> Gas piping ' Lavato (wash basln) <br /> Water healer ( ShOwer <br /> Gas 5replace Kdchen sink 8 tlisDosal <br /> Gas ran e ( Dishwasher <br /> Clolhes d er � Clothes washer <br /> Ran e hood <br /> Exhaustfan l Sink servicelbar/mo /eM. <br /> Heat ump Backflow preventer <br /> Umt heater Urinal <br /> Boiter Dnnkin Four,tain <br /> Refri eralion Floor tlrain <br /> Woodslove Grease trap <br /> Ductin Roof dreins <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTL•M Other. <br /> Numher of Heads Other. <br /> I nem�y cenity I�ai 1 nave reaa anE e�aminetl INs apphetuon anE tnow me same lo Ce Iruc an0 conen AII pmvisian;ol laws an0 orG�nances govemmg Nis type ol woh wnl Ae wmp'rea <br /> wAn wncl�er spenfied nem:n or nat The 9�nting ol a pertnit Gaes nol presume lo give aW�onry la vioiale or Uncel Ine p�onzion al any atner stale ar IaUI Nw regulaLng wnsVucLon <br /> Thai i am avinanzed Oy me owner ol��rs pmpe qto pertorm Ibe wark for w�iU appb�nion u maUe an01 comply w;l�Ihe S�ale Comradors Law 1827 RCW and 296100l+WAC � <br /> Z <br /> � �l �o � y . <br /> Owne IAut�o zed Ag Si Wre ate (Remsetl fi2072) <br />