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�ERMIT APPLICATION <br />BUILDING/NIECHANICAUPLUMBIN�GISIGNJSPRINKLER/DEAflOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, bVA 98201 - 425-257-8810 — FAX 425-257-8857 �- www.evereMrra.org <br />APPLICATIJNS ARE ACCEPTED FROM 8 AM TO 4 PM �I a� <br />ADDRESS: PROPERT'/ TA%p PERMIT a <br />24/l /l3� <�- -riG3�n/ nnli-�R.R2��=, I717�JZ. ( i � n�- - OI ? <br />LEGAL lcr new mnstn�on SPon PlaVsobdivision Lct No ___ IattaU woy o� long Icgal descr�OLor) <br />DWNER GH2/S�PNE/t' d OI�I PncnelE•matl ZO(��f0 0370� u+a�s�Jgoov.v <br />naa25s 24/I !6?}�ST. c�ry�siarerz�� F1/EiZETi WA 9Y�2U1 <br />coNrrucroR NO E- N"x'_ � a i ��c a �ODl�.1 D R23 lL!-1 <br />���=5 24i� re�-' �����rr wa 9gZol PhonrJEmai 206 gyv os�o <br />TENANT BUSINESS NAME CONTACT FOR FERMIT ����STJPHC'lz Ll...SOfJ <br />PncneJE�mai�, �(;7 � � %� GN�iisi�" ODI�.1l3< <br />BUILDI►!G PERkiIT APPLI�ATION CONTaaCT PRICE OF w0 �,_[�C'Y� <br />Gz�sling Use o( Building S/IJE-LE FAMiLV �����Cr � HEAT SOURCE <br />� <br />Proposed Use of BwWing _ __ Gas � eieanc__ Othcr __ <br />Bwlding rype�. �Single Famity _ Duplex _Townhouse _ �dul��-Family _ Commerc:al <br />iype o( pro�ect: _ New _ Ad4iGon �Remodel _ Repair _ T I_ Sgn __SDrmkler _Demoiition_Change ol Use <br />Descnption ot Work !etlOrtrona� space,^rorde0 on tne eack) �. <br />(/ODA��"y" � N+Ain� Fwo2 �/.Ir�✓ FiniiSuE� g EAS ��QFY[�Qcr <br />AD� 7z✓U 5�ti+�lu. Do�Mc�:.0 il7 �C�Sn�[N�'G (/vPl-K F(�D,�. <br />Have you atarted working without a pormit7 _YES _Lv+O <br />MECHANICAL PERMIT APPLICATION PlUMBINS PERMIT APPLICATION <br />of Pro�ecl: _New _Atltln �Almmtlon _Ropeir <br />Show Numbor (a) ol lix(ums <br />A+C — av hantlnng unrts <br />Forced av s�stems <br />heaier <br />ra <br />SPRItdKLER I SUPPRE <br />olPrqoct: _Now_AdOn _AlWratlon_Rnpalr <br />Show NumDcv (a) ol �nums <br />cffi71 <br />Medical Gas <br />Other <br />Other. <br />inl <br />I hemUy certify thal I lave reatl erM ecimined this app�ic3Uen and kr�v the same ro bo We erW mTea 41 p�wivrns oi l;rws ena orCinancos grneming <br />lhis rype of wprk"�"II be complred � aheiher spec�i{;ed remn or not The granlirtp of a portnrt tices rwt presume Io B��e auNarty to violate or c�nce�. <br />the pmvivron of,Any oMe� o lonl lew regWaung construcCon or Ihe performxnca ot mnstrucCon That I am ei.ihwinod by the o.x�er ol this proyerty <br />to pe ortn tM ik �ch aApliquon is mad3 and I mmply wiN Ne SIaVE ConVactrus law 18 27 RCW anA 29c 200 W�C <br />i . <br />/ �.. 22-// <br />i : �— <br />OwrrerlAulho od t Slanature Date (Reviscd 2/20111 <br />coM <br />V�. <br />b. <br />71+1 <br />