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� <br />s <br />PERMIT APPLICATIOh <br />L3UILDINGIMECHANICAL/PLUMQINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , EvereU, WA 98201 425-257-8810 FAX 425-257-8857 �,wiw everett:.a org <br />�� APPUCATIONS ARE ACCEPTED FROPd 8 Ah1 TO 4 Ph1 <br />ADDRESS: ! �p. - �l � fr�/✓ �G FaOFeRivinxp �Rm��'l�l� -G�� <br />LEGAL fcr re.v ccnsL•ucLon Short P'aV,ubd:r.s�,o� <br />OWNER \�'�'%/(n ti I.� 1 I'1�_ <br />natlress ,/�IDS�i . ����Y� <br />..1,,1':0 _ (a�!achccpYoliorg!egaiCescr�phen; <br />cnNE�ma� <br />y�si��e�z�p <br />i <br />APPLICANT:_O':m•,r _O::ncisi.gen; _Cornaclor _Coniraticr'si.aenl _Tenan��.t..:���c:r.�u�,�:cr�cia�acr•�.o-,�rec.nor.oco..:,r.,...r.,.� <br />ILr= <br />f hCP^JEmBi <br />Phcre�E-r�a�� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Esic�ing Usa of BuJdirg _ �: i�,;.%{ (�;� �%�{�%/ �/� <br />Proposvd Us� cl 3� !aina � I �' <br />Bcdding type _ S�ng�e Fam�,ly _ Dualex _Townhouse _ fAul��-Family _ Commeraai <br />Typ� of prclecl Ne�:+ Addition _ Rzmotlel __ Repair _ T I_ Sign _ Spnnkle� __ I <br />COE E3us L�c a <br />H[AiSOURCE <br />E'�ecln�_ Gl�e� _ <br />o'�.Po� Change of Usc <br />DESCRIPTIONOFWORKtaCa�nonaispacep�cvrccacnrrceacK�l/� / � �� p-�� <br />-��.�b�l `�L�'�� ,.��ii�✓�i�✓ �(f�'U�'!J � ��i��OVl�.,�� ����+C-LI (iQ% <br />MECHANICAL PERMIT APPLICATION <br />Typo of Project: _New _Addn _Allcralion _Repair <br />Show NumDrr (bJ o/ hr(urc5 <br />A-C - av nardhng un�,is <br />Forced a�r svslems <br />xhaust <br />�oiier <br />Other <br />i SUPPRESSION SYS <br />N�JfitL�' O( HOdCS <br />PLUMBING PERMIT APPLICATION <br />Typo ol Projoel: _New _AtlAn _Alteratmn _Repair <br />Show Nurtrbcr (Nf ol !ir(ures <br />�� �(�oilet <br />8a�htub <br />Lavatory (x�ash basin) <br />Shov:er <br />K�!chen S�nk � d�5posal <br />� D�shv+asher <br />� Clolhes wasner <br />� Water heatei <br />� Sink (servicelbadrnopletc � <br />(3ackllow preventer <br />Unnal <br />� Dnnk�ng Faunla�n <br />� Floor dfa�n <br />� Grrase traU <br />i Roo( drains <br />� Med�cal Gas <br />I Olher <br />t�ther <br />, Pere�y ��•�'��Y �h,i; I 1',ave ria:f a�d uanm�netl ihs app'� [alwn aod knovi Ine mme �o Ce h'..e �nd cortecl All pmvis�u�s ct Id��s onC orOmaneas govem�ng Ihis lype o� ��ork vnll be camp]etl <br />,,, •,i�,.,.�..�ner specnle� �eieln or not The granong ol a OermA tloes nci D«sume io g�ee aull:or�!y Io r.oiate cr cancei I,�e pmvi;:on ol any ai�er sia'e or lowl law regula�mq w�slmcP.o^� <br />IDal i am,a'.nnonzeE �Y ��� onne1cl l�e Orop to Getlortn Ine worA Ior xTic� appheal�on is made ana I comply wA� Inu Sta�e Conlraclors law 1B 27 RC W ana 296 200A \1'AC <br />���� l . � �/� ! <br />V ,� /, <br />Ownyr�� u olizea Ag�nl Signa� rc '� ��le (Rn��i59tlGR07?I <br />V <br />� <br />