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PERMIT AF'PLiCATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Fverett, WA 98201 425-257-8II'10 FAX 425-257-F3857 wwvv.ev retlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM D A69 TO 4 PM -'J O�( <br /> SITEADDRESS: PRO�ERiYi�X;I P MITI� <br /> lU� �4 - 13TN v� t�.�,5�- D� -� <br /> L[GAL for ne:vcons!ruclionr Short PlaJsuhdivision Lol No. _ (attoch cop��of tonp legal descriplion) <br /> OYJNER J _NN W G 1���Q l_,�V Phone/f:-mr�ii <br /> nda«::, � — 3T A �L cuYiswierz�P (a�ER (!-�h . 4`G20 <br /> APPLICAtvT: O�.,ner �Ov:nersAgenl Conlmelor _ Confmcfor';A9r.nl _lenani(m�:s�c�u.�eco�::cr�ia�n:oum,,,ncc:.nermeow:ia�nmes��:c) <br /> CONTRACTOR GUCfZ���'+ STtkTE���T M��- ��i ���.i: EvE�2GSs ozzoT cer r����.���.:r oo'Iq55 <br /> naare,z 2(?t� t�ACl�I� 4��.EVERt-t-f wq 9820� i�n��e�rm,,i �(Zj� Z52 -31/�1 <br /> TENANT F3USINESS NAh9E C�NTACT FOR PERMIT <br /> �EIJ J��O <br /> PhonME-maJ ZS' — (/�{ <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICEOFwoRf<_ 4�_ '�kX�,�__ <br /> Exisfiny Usc of Ruilding HFAT SOURCE: <br /> Proposed Use of Buildinc� _ Gas Giedricx_ oihcr___ <br /> 6uildingfype: K.SingleFamily _Duplex_Townhouse __MuIU-Family _Commercial <br /> Type of projecl: _Ncvi Addition K Remodel Repair__T.I._Sign... Sprinkler_�emolition Chan e of Us� <br /> DESCRIPTION OF WORK(add;�lona�space F�oviCed on fh�back): <br /> (-u�zN�Sti E � s�wu. i)c.c�fl��sS {-16nr- Pu�-p SyS�Z�, <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typcaff'rojecl: _Wm•i_Addn _Aliemlion__Repair TY�lCO(PfJJCLI: _PICYJ_A(Illll _AIICfd�l011_RC�)81f <br /> Show Ihunher(1:J al lixfives Sha�v NumGer(Y)ol lixfures <br /> NC-air handlin9 unif� Toilel <br /> forced air systems F3alhlub <br /> Ga;pi ing � Lavatory Q:�ash busin) <br /> � Waler he,der Shov:cr <br /> I G35 IIfC�I�.cc � I:itchen sink K di;posal _ <br /> � � Gas ranpc — --�—Uishwasher — <br /> � Cloths dryer Clothr„tvasher <br /> � Ran,c hood Wal�r hzaler <br /> � C-xhadst fan Sink(s.^.rvicc/badmop/c�c.) __ <br /> � Hcal pump Bar,kllow prevenler <br /> Unit hcatef Urinal <br /> �oiler Drinking Founlain <br /> ReGiqerahon Floor drain __ <br /> WooA�stnvc: (— Grease Irap <br /> ___ � � UuGinq______. __.._ � Roof drains <br /> � Olhcr Medical Gos <br /> SPRfNKLER / SUPPRESSION SYSTEM � Olt�er: <br /> INumhr.rafl-Icads I Olher. <br /> I lrer���/ceiGN Oial I liave mad and eramine�Ni�.ipy:�cc�ion anA tno�ri lhr,yanie lo Ln hua tnU eorter.l.NI provi�,inn;��i lawc,:nd oiAmanev:gnveminp Ihir type ol wmh will be mmpMd <br /> vnlli r.Lelnrr r�pecifetl heiei�or noL Tlir.prasllnp nf a pennil dons nol precumo�n�ive aulhndty lo violale or emu-1 Ihe pmvi:inn nl nny olhri�.lalo or local LaW re{pA;dinp cons W ctinn <br /> R'.nllamautAaNedhylhcovmerof '• reperylopodoim1lwwo�Y.forvJiichappFr.a!ionism:iJr;mAlunnp�/�•rihlh�..^,I.dnf.anli.icbrsLnv�1077RCN/nnd79fr200ANlAC. <br /> ���<��U_- -- lv—�-/� <br /> Ov+nndAufhnrizud Aq��n�SipnalUrc Uafc (Revr,r,d C✓,?Ol')) <br />