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PERiVIIT APPLICATION <br /> BUILDiNGIMECHANICALIPLUMBINGfSIGN/SPRINKLER,'DEMOLITION <br /> CITY nF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa org <br /> y - �7 - � � <br /> SITE ADDRESS: " PROPERN TA%q P MIT N <br /> IOSZS 13t� ve lJ crcf:� W Blo� UoS5Z5"oD000 00 ' � <br /> LEGAL lor new cnnsiruclion S�on PlaUsuWrviswn lol No_ (�tliUi copy at long ICKjaI aescnplion) <br /> OWNER �� PhonM6mad <br /> tlaress ��j Z, t� VL � CirylState2ip Gy�/'G w� y 2-�� <br /> APPLICANT:_Owner _OvmefsAgent �Conlractor _ConlracnorsAgeN _Tenant�mmrom•esaieeeroim�,.n���ommeow�e,uao..,n��uo�onUi <br /> CONTRAGTOR �-�r-{ � n C � State Lic.z JI � S City Bus. Lic# �SZ y�.� <br /> dOress �Q �p �Oln� � W S'�C�� j�l fjhen�mail (pp 2 J � 2�9 <br /> TENANT BUSINFSS AME CONTACT FOR PERMITd4Vi d�S�}p���-b �`y�L <br /> Phone�E�mad <br /> BUILDING PERMIT APPLICATION CONTt�aCT PRiCE oF WORK � �Uv _ <br /> Ezisling Use ot Awlding . HEAT SOURCE: <br /> Pwposed Use ol Bmlding Gas Eiectric Oiher <br /> Building lypr ,�,Single Family _Duplex_Townhouse _Multl-Famity _Commeraal <br /> T c of ro ect: New Addition Remodel Re air T.I. Si n S nnkler Demolilion Chan e of Use <br /> DESCRIPTION OF WORK(adartiona�space pmvided on rne oacti) <br /> �,o��� Pv sysF�.. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICAT�ON I <br /> Type ol ProJecl: _New_AAdn _Alterallon_Repair Type of Projeck _New_Addn _Alteratlon_Repalr <br /> SnowNum6er !7 ollirt�ves ShowNamDe� A o/(xtuics <br /> N�'-au handlin units Todet <br /> � i ,A air systems Bath�ub � <br /> ,as piping Lavalo wash basin <br /> Waten c�atcr Showcr <br /> Gx lire lace KRchen sink 8 dis osal <br /> G:�s ran e Dishwasher <br /> Clothes Aryer Clothes washer <br /> Rangr,hood Watr.r healer <br /> Exhaust lan Smk service/bar/mo /etc <br /> ry�a� ��m Backllaw revenlcr <br /> Un�t healcr Unnal <br /> �oilcr Dnnkin Fountain <br /> Rehi crahon Floordram <br /> Woodslovc Grease Ira <br /> Ductin Roof drain, <br /> Olher Mediral Gas <br /> SPRIPiKLER I SUPPRESSION SYSTEM other <br /> Number of Heads Other. <br /> I PrreLy rr�,�y Ipa�I have ica�f:inq e+nmmnllM1n nppir.Lnn anrl Mnow U�c.ime lu�c Wc ontl mrted A➢p�o��umnf nl Nwe an�orainancev pwernnp Itd:lype oi vrt�d w.]pe mmpl <br /> Wf.M1 vA1B1�Cf Sp�'OIM`d IIPIMi�OI 001 IhC QfdpII�Q OI B pCpp�14CP91101 pfC.VIPC 10 aNC�111NO0n'10 vlOLllf Of G01fCl I(IC plOviSWl1 W Jfly OIIICf SIBIC OI IOW I L)w!l'8�����N(�WO:INd1Ul1 <br /> i m aulh md�y I�c r� r mperly In perinrm Ne wark(or wn i app� I�n 6 md�e anp I�pInON�N Nc Slale Conllacton l:lw f 0 27 RCW an0 295 2WA WAG. <br /> Owncr uthonzedAgen 3igndWrc � �I�� (RCvrsed9R074) <br /> � I� <br />