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� � <br /> PERIVII7 APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNlSPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICE5 <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> -IOO APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �" � �� <br /> SITEADDRESS: �A• . PROPEflTYTA%N PE IT <br /> � �TCI�I ��J� 5"r. ' <br /> LECiAL for new mnsVuclion Shon Plat/suntlrv6�on Lot No (aVacn copy 01 long Icgdl tleunpLon) <br /> owNeR •�, - �orsa� r.�l�o GT2 �no�=�e m��� ZoG� - z8�-o 0 <br /> Adaress C g p�,.� CirylSta�MZip �y���'�{' A � 7� � <br /> APPLICANT: Ovmer �Ovme�sAgem Contractor ConlraclofSAgenl ienamim�vo�o.<e.,�eu�ro���Mmnommso.,,enoao�a�.�me:o��� , <br /> CONTRACTOR � S •STCw�� � L S I Lic.# FIR.E�,�wl hoE1 COE�us Lic. # <br /> nna�ess ?At� FR-ar�Trnr„C t� 1�1. Pnc�i ic_ A '.fRo9'7 ano�Nem�n ZS —8's'�— <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT —��r�N �AV�$ <br /> �{..p1/�D��J�, MCD C'T� pnonrlE-ma�l <br /> t.n„-.�1 e$;�cs ytn �'.�, <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK�(����s-v <br /> F.�stmg Use of F3wld�ng___�'�oj_Qi�_L- H[AT SOURCE <br /> ProGosed Use of Builtling SA w.,E Gas____ [lennc_ Oiher <br /> �wltling typc� _Smgle Family _Uuplex_Townhouse _MUI1rFamily �C Commertial <br /> Type of pro�ect New Adtli6on Remodel Repair_T 1. _Sign_�Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(auvdronal space n�o��rletl o��m�bac�)�. <br /> F�C-YEND r.xiSTiN� Pe�.oc,-norJ �Tc.h^ IrJTo AD�pL�N; 5P��, <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ot ProjecC __New_AdJn __Mleration___Repair Type ol ProJecl: _New_AAtln _Alteralion_Repair <br /> Show Numha(4J a(/ixfwes Show NumberlAJ n!lirfures <br /> NC -au handlinq unit; Talet <br /> Forced au syslems Elathiub <br /> Gas pipinq Lavalory(wash basin) <br /> Water healer Shower <br /> Gas Gicplacc Kilchen smk&tlisposal <br /> Gas ranyr, Dishwashcr <br /> Cloihes drycr Clothes washer <br /> Ranqe hood Waler hea�er <br /> Eshau�-d(an Sink(serncelbadmoplelc) <br /> Hcat pump [3ackllow prevenler <br /> Und hcatcr Unned <br /> Hoilr.r Dnnking Fnuntain <br /> Refn9erelinn FloOr drain <br /> Woodsiove Grease Irap <br /> Duc�mq R00f Af�ins <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> �p Numbcr of Hcad; Olhcr <br /> i Irerepy ceAAy Iltal I nnvc�eaa.n�/e/[ammen il:rt.ann���;�Lon:mU Fnnw Ine;ame lo oe Ime dna r.ortecl nll p�ovl,on:ol law;ana or��.nance:9ovemin9�hi;rype ol work an'I be wmp��ea <br /> w�R�rArl�Cr;peOPn�Irt:rem oi ny/Ilir rydnlmq nl a V^rmJ�Inr;nnl p�v4un�r 10 qnn pi�iM1only In mopin oi cdn[cl Iht prov2�nn ol dnV ollitr 51d1e ot bGl ITv�rep�A:�tinq W nslru[tion <br /> // <br /> Tbnl I am av0ion�al by um r,au Y f�In�,f�rapr�tY in I�rdorm Ihr viniw lor viRr.li app6cauon�:madu anJ I mmt�N�vAL Il�c$lalc CoNrnclor.Law 10 27 RCN!an�7'16 70011 WAC <br /> �� �J I 18�3 <br /> OwocrMulhontetl� enlSiqnalure � Oale (RevantlG/10171 <br />