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PERMIT AP ICATION <br /> BUILDING/MECHANICA PLUMBING! IGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Char St_, Everett, WA 98204 425-257-8810 FAX 425-257-6857 www.eyerettwa.org <br /> 0[ov <br /> SITF-AWRESS: PROPERTY TAM# PEEi�p{T# <br /> DU ��� ��� <br /> rc <br /> LEGAL fat new comtr=on, Snort Planubdivisian--- Lot No_ (attach copy of)"legal description) <br /> OWNER t yr F Phone/12-mail <br /> Addcess ( S Cdylstafemp <br /> APPUCA!!*T:—Owner _Owners Agent. ConD*e= —Corrtractoes Agent Tensrtt(m at p wick a la mr of omvwu rrom the o weer b m wat in tlro cyow) <br /> CONTRACTOR QSt7111 t�' srat��i�. AM ci pus. Ll� # D�✓.3 <br /> Addrags M60ALA s Jk,41 Ise 1,&/W Ala oo Phone/Ernall (b if 45W tvaal <br /> TENANT J�USINF-SS NAS A FOR PERMIT / <br /> �� <br /> Pho—fr-nl&li y <br /> 13UILDMG PERMIT APPLICATION <br /> CONTRACT PRICE OF WORK O <br /> E?dsbng We of Building HEAT SOURCE: <br /> Proposed Else DfNiUnq Gas ectrtc Other <br /> Building type: Sirrgie Femily _Duplex_Townhouse —Multi-Family _Commercial <br /> Type of pnNew Addition Remodel Repair T_L Sin S riNder Demoliilon Channe of Use <br /> DESctwPTION OF WORK(additions!space Provtded on i»e back): <br /> a C-1 1/0 g,4�p- �15J <br /> Alb veLNP <br /> N1 NANICAL PERMIT APPLICATION PLUMBING PERMIT APPI,,ICATION <br /> Type of Pry ect _NOW—_4ddn Afteration_Ropalr Type of Project —_Jfew_Addn _Altgr&tton_ _Repair <br /> Show Number of fixtures 3ho»Nunab®rof 1Lrtu►gs <br /> AIC–atr handling units t Toilet <br /> Forced airs sterns t3aihtub <br /> Gas plpinqLavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen oink&cligpogal <br /> Gas ranaeDishwasher <br /> Clothes dryer Clothes washer <br /> i Rangs hood Water heater <br /> Exhaustfan Sink servicePoar/mo etc, <br /> Hea!Rurnp Baddtow preventer <br /> 1 Unit heater Urinal <br /> Boilar Drinkina Fountain <br /> Re ' eraCon Floor drain <br /> l WoodstoveI Grease trap <br /> Dudi Roof drains <br /> Ocher Medical Gas <br /> SP INKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Other. <br /> I hereDy :that I have mad end examined lt1Es Appb02bQn 8hd leruw the game tD De truo end coned Allprovisions of tewe and ON&Fances 2aveminy thio type of worg Va be Como <br /> WtbWMMTr sfreww harem or not.Tne grMthig of a Pemrq doss a of pnuu m9 to give 4""to violate or cancel the pmvKlen of any Other state or beat law repwing mnshrlrlW <br /> /That I am 96ori2ad by the ower of this Pro to perform 1hQ rk forwhidr appIlmdon is made and 1 CORtgty with IRA state Cdntradura Law 48-27 RCW and 2N.200A WAC_ <br /> rlAutli"' Agent Signature !Jets (Revised 9/2014) <br />