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f <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL(PLUM[31NG1SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425�57-8857 www.everethva.org <br /> �a�- � 5 <br /> SITEADDRESS: �l d� PR07ERNTAXq P iTu� <br /> 2/ 1y �R �, - <br /> LEGAL for new wnslmction: Short PlaUsuGdrvision Lot No._ (attarli wpy of long legal descnplion) <br /> OWNER G � PhonelE-mail <br /> AaEress 7z/ �17R. G.� J c�cv�sia;erz�P �=d�/Ct�rT /,�i . 2� <br /> APPLICANT:_Owner _O.mersngent �EContraqor _Coniractofs�geM _Tenantlm�siPm.�ao�i�r.��oiw���mrtomma�«++e�:oaow�n.��moavxa� <br /> CONTFtACTOR $�n�oR �Rv e� DF /XJ• Ld'• S�ate Lic.#CC /V ���ity Bus. Lic.q��J(�l <br /> Adtl�ess Phone/Email Z Z -Z ZZZ <br /> TENANT BU5INESS NAME CONTACT FOR PERMIT n�L L�,u� <br /> /� <br /> Phone/[�mail 25 . J /- 77 �7 <br /> BUILDING PERMIT APPLICATION CO�TRACT PRICE OF WORK <br /> Ezisting Use of Building HF1�T SOURCE: <br /> Proposed Use of Building Gas < Eiectric Olher <br /> Building type: _Single Famity �Duplez_Townhouse _Multi-Family _Commercial <br /> T e of ro'eci�. New Addilion Remodel Re air T.I. Si n Sprinklei Demotition Chan e of Use <br /> DESCRIPTIONOFWCRK/addiriona�spacepmv�dedontneback) �/„� wA�`pQ TAy�k R�vP�j}G�MC/IT <br /> /T!l <br /> MECkANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc ol Project: _New_Atldn _Alfcralion_Repair Typc ol ProjcoC _New_AdOn _�Itcrafion_Rrpair <br /> Show Number IX o/(xfures Show Number # ot(rtures <br /> A/C-air hondlin unils Toilet <br /> Forced air s stems UathW6 <br /> Gas i in Lavato wash basm <br /> Water hea�er Sl�Ower <br /> Gas fire lace Kdchen sink 8 dis osal <br /> Gas ran c Dishwasher <br /> Clo�hes d er Clolhes washrr <br /> Ranqe hood Waler heater <br /> f_xhausllan Sink servicelbadmo letc. <br /> Hcal um [3ackflow reventer <br /> Und hcater Unnal <br /> Boiler Urinkin Fountain <br /> Reln cration Floor drain <br /> Woodstove Grease tra <br /> Ducfin Roof drains <br /> � Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Oilier: <br /> Number ol I�leads �������� <br /> I hrwby u!rt:ry I�al i�ave rca�antl euimincU I�u appl�r.�tan and know IOc vmc iu b��Iruc;ma conecl !JI pmr:ions ol lavr,nnd ortl:nances poveming I�is lypc al worY,w�l Gc�amVl <br /> w:mw0cll�c�r.perfic0herelnornnt ITe{�tdningolapermiltloesnolpre'.un�elnprvcaullioitlylovhlalemuincelNepmvuionolanyolhmslaluorlo��llawmpuqUngmnslmcbnn <br /> T�al I dm:mJ�onlctl by Ilv�Cwne�ol N�:�iOrCtly IO peRo�rtl II�C w0ih lof whiUi dppSr.�Gon i:m�de�nU 1 a�mpN vniti I�c Siatn Ganlmtlo.L.rv 1 B 27 HG W anJ T9G2UOA WAC. <br /> l 3 -zG-i� <br /> Ownerl horizetl A�r I SigwWre Duta (I(evi;pd 9R01,) <br />