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C���57 Gn1 c,``�+-'s� �. <br />PERMIT APPLICATION <br />BUILL`iNG/MECHANICALlPLUMBING/SIGN/SPRINKLER/aEMOLITION <br />CITY OF EVERETT P[RMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.crg <br />�� �--1 � 1 % <br />ADDRESS: <br />� <br />RN TNf fl <br /># <br />EGAL lor new consiruction: Shotl PlaVsubdivision Lot No._ (altach copy ol long le9al tlescripfon) <br />W NER Phonc/[-r- �II <br />ldicss p'�%)� � Sla�f2ip 0.J�c B7��"� <br />PPLICANT:_Ovmer _Ownersngent�Conlraclor _Con�ractofsA6ait _TenaM�m�siv��oraoain;,�rorm�senumm;norn.�erme,won��;r�o5�aca� <br />R <br />BUILDING PERMIT APPLICATION <br />ng Use of �uilding <br />Lic. N <br />City Bus. Lic. N ��iZjJ <br />-�I18 � �3-�`f <br />'�oQ <br />���F-ma�� �iZs-'-{�g-33� <br />NTRACT PRICE OF WORK �I hOiJ <br />Pmpose�; Use of 6uilding _ I G; <br />Building type: Zbingle Family _ Duplez _Townhouse _ Multi-Family _ Commerclal <br />Type o( Droject: New Addi�ion �Remodel Repair T.I. Sign Sprinkler I <br />DESCRIPTION OF WORK /add�tionai space prov�ded on �he bace�: <br />A-�.�,�, � � t-� s �ti, {�, -t� cx�sn �� <br />� �ePUtc��N6 � <br />MEC ANICAL PERMIT APPLICATION <br />o1Pro�ocl: _New_Addn _Altcralion_Ropair <br />Show Num6cr (N) ol lixlures <br />NC — air handling units <br />Forced air syslems <br />Gas pipin� <br />� Water heater <br />Gas fireplace <br />Gasrange <br />I Cbthes dryer <br />Rangc hood <br />_ f=xhausllan <br />Hea� pumy <br />Uni� heater <br />I Uadcr <br />I Relrigeralion <br />Woodslove <br />Ducting <br />� Olhcr <br />SPRINKLER I SUPPRESSION SYSTEM <br />Number of hleads <br />of use <br />SA W� ll/1� ��. <br />PLUMBING PERMIT APPLICATION <br />o(Projoct: _Now._Atldn }SfUtoratian_Ropair <br />SI:owNum6erld] o7/ixfures <br />aothes wa • <br />Wafer healer <br />drain <br />PAedical <br />other <br />I hereLy rr��,ly Ile�l I �ave read and c�amined Ihi::ipplcalion and know Ihe ;arnu lo be Irue an� �nneq ! II pmvi,iono ol la�r., nnA oitln.miccs povernin9 i�u bp^ ol woM1 unli Oc min�i �cr1 <br />w0� wt.eipe� :FecEied lieiem or nni Tl:e 9mnimq of ,� p^rrnn dee5 nol preswne l0 9rve au'I�ority to viela!e or emCel I�o provisron ol any ulh^r state or Icral law rn,9ulaling wnsWchon <br />iha� 1 am a or � �� Nc oxnc� ol vus VropeiiY lo pnnoim ihc woiA for wh�rh appLc;tl:nn i; nwoc an:l � compty with Nc Slale Contraclun lax ID 2/ RG W anU 19, 200h WAC. <br />Ownod uthonzedAgonlSignahrto Uaic (Rr.��r;eJ3?O1J) <br />