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r'ERMIT APPLICATI� <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLlTIOM <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl, Everett, VVA 9&201 425-257-8F310 FP.X 425-257-8857 www everetnva org` � <br /> SITE ADDRESS: PROPERTV TAX 1t PERMIT# <br /> I 09— ��� ST �Uf� gg� l ooy38o3ozaiyoi $15v5 - oo2 <br /> LEGAL Inr��e;i cansirudion: S�ur�PlaUsubmvision_ _ I.o�No_ (�flaeh ceay ol lonq leyal des[noiiom <br /> OWNER � /.�.T ��,(n/ � Pnonei[�inan yzs yo5'-Be�3Z. Karwlu✓4�6SC� �ull.e <br /> c.daress � �"� 9 � �6�5�,/l�' Cny.�Staia�:�p 1^�VC./ui[1 W'� �8� � <br /> APPLICANT: Owner O:rnets- ngqnl /VCnn�nr,inr _Contracior'sA9ent _Tenant��_�n:o._e,ie�i„�ccensu�:o-=-,�rec.rr�:occ.o,i�mescacel <br /> CONTRACTOR I�W (�A,2��C3PE5 I.LL Statc �ic. ; NWHA(GH�g S97W City Bus. �ic x OS�{�'� <br /> ;,aar�ss /53� w�-r��s- Av� r��.�r w�2 gsZ� � Fno,��E«�� 3�,oy6o-z�{oS�+����n�D�out�cok,c <br /> CONTACT POR PER T <br /> ✓VV�'i� /lEE1� <br /> . cnanc�E�,rai�. �J�o� �(a� - `���� �'IVNfi1£E.0`cccK�t.GOK.cJ�+� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ZF S`�° . � <br /> Er�shng Use of Bwld�ng_�LF.b(DFI�___�F- � S/N(3L+�_fY�►11.5� HFAT SOURCE� <br /> ProPosed U=_e of Bui!ding ��I���G . s/A/G (-� ��N11Sy Gas _ Eiecu�c-- Oiher_ <br /> E3mlding type �S�ngie famtly _Duplex_To:•mhouse _P;lulli-Famdy _.Cominercial <br /> T9ae of pro7ect New ACtldlon Remodel _�Repau_,_T I _Sign__Spnnkler�Dzmol�t�on_Change of Usc <br /> DESCRIPTIONOF WORKiadmnenaispaeecro�-�ecdonmecas�� (2Epp�ti QF F��y 57��I�-S. ,'Ea+no��fp pa(tTie,.� aP <br /> ;�rvc..'��� STLVS P �,a�D ,.�¢. (�v�.w.p kP FxiSri,.J[�- s�a� C�u�uri�D �^u���, rccvc.ti, 'r P�.2¢a-ccc <br /> �.Fnr01u�, AND �cWFJ�—STEPf ?� DkP�IU-Tf� ofLl4lNR� GeNF�Gu2}-Ti��:, <br /> MECHANICAL PERMIT PQPLICATION PLUMBING PERMIT APPLICATION <br /> Typc of Project�. _New,_,titldn _Alleralion_Repair Typc ol ProjecC _New_Addn _Altcralion_Hepair <br /> Show NwnOcr(9) o!(izh�res Show Numbci(H)ol lia�tures <br /> ( AIC-av hantllmg unCs Tc�l•�I <br /> ; Forced au syslems E3a'.ntuC ___ <br /> � Gas pipiny I Laeatery p.vash I�asm1 <br /> l^Jater heater � Sho�mr <br /> Gas lireplace � Ktlsher, sinh E disposal <br /> Gas renge Uisnwasner <br /> Clothes dryer Clc!hes�.vasher <br /> Hange hood Wa�er heater <br /> f_xhoust fan I Smk (servicelbadmopletc.) <br /> lieat pump � Backflow preventer(inside bldg) <br /> Und heater Unnal <br /> Boder Dnnhing Fountain <br /> Reingerahon �_ Floar drain <br /> Woodstove �— Grease trap <br /> I Dueting Rcef dra:ns _ <br /> I p���„� hle7ical Gas <br /> SPRINKLER / '�PPRESSION SYSTEM otner <br /> Number of Heatls Oth.�r. <br /> I�e�e�y cetl�ly I�al!lavr rend arv,1���.i�nined lp5 app:iatlian an�.f ene.v:ne;arne lo On IruC ana rorrect Fil prwi'..ons ol laHs ona:ijinances gove�iiing Ihs lype of vm�k wil be mm:�l.r:1 <br /> i.�:�wlielhCr specde�ne:on e:��.c: i;�e qr.�5n2 el a pe�m•I Upe;not;'esumC lo grve au��orny lo vic:ate ar eancel Ihe pmvision cl any ct�er stale o��oWl law�egulntin"y conslruvicn <br /> lrat I�m aWhonze�ey Ne owner cl uu pm;eay to p^tlorm IP�e�nmk b�Mn�ch apC��:����n is maUe anG I compl�w.',�I�e Slate Cor:icc:ors Lrn 18 27 RCbV an�29G 20BA'NFC <br /> OwncrlA lhorimd A9ent S''� Ualr R^.evc;ed.7r7016r <br /> �I� <br />