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PER11111T APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Ced:u St Fverrtl WA 98201 - 42�i-2�i7 8810 - FAX 425-257-8857 - www everethv� org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ? � Z Z "I Z <br /> SITE ADDRESS: ��� .y �_ PNOPERTV iA%p i . (EA1M1�Ucj JU� <br /> I��� r I r � f ' r [�r.� U ( ., � jf- r , i� ) � I,� : r�_i , n <br /> LEGAL Im•+rw�nn:bu�Ivin `ihnrl I'Inllsubdrvisinn .�l L/1. �! ��� �L� ,�ti. I nt Nn �� �.�Itadi ropy ol Innq Int7�tl drscnp�mnl <br /> � �111 :�.t .�� e. �i ..���. /�� I �� /' e . i �� li � . <br /> �f /AIV i . �'. Y ( ��1�.1� 1� Phonclp-mail . � .�� � <br /> OWNER — <br /> � . :/� � �C. -� / � <br /> nn�i��•., �.'� I - ( � �.'i� ' �. � /.�� 1 , `� / cdyistriurlqi �-u_ �� 1 I b l� c ' <br /> CONTRACTOR I� :i��� � ��i ' 1f/��� . �� I. Alli�. q lf /�'/� t�• ' "��� �' � ��� <br /> ,i . . � L ���•., ,_�i ��ll�' � ..; n4r rl <br /> � �� (� � ��L ,/. 1'Lnnrq m.nl '� . . ". <br /> Aililu�vs li.i i . (! ., � � 6 t 1 � . � ( I �- "�' . .��' �- '•�- <br /> TENANT BUSINESS NAM CONTACT FOR PERMIT ,�i .��', , � ����._, . . � i � 1(c- <br /> 1 ,1 � '�� � , � 'q , . � e-i( � �rt/ AI. �I/ � . >l <br /> �1 rhoni�'1 '.nail � ( � <br /> BUILDING PERMIT APPLICATION CONTaACT PRlce oF woRK _-- - - <br /> 1 xwhnq Us�� ��f H�i•1�1����1 I� ( t flFl�f SOURC[ <br /> IhOposCd Usn ul liu�lrlinq `�� 1��(� ��� l' )l � ��� :j(,.J,L�.I IL� �l.�s �{ I b,i u�r _ OII���__ _ <br /> �utlding lype �._ Single famtly _Duplex_Townhouse _Mulli-f amny _Commercial <br /> �ype ol pro�ecl �New _.Addihon _Remodel __Repau _.T I _Sgn_Spnnkler_Demolllion__Change ol l is,r• <br /> DcsriiphonofWOrkleiM�hon�lapqrepromtledonlhebeckl ��,,j ( � t_' ' � <br /> ' ( �I� .� riirl �. . . . ( � i ��I � � �1 'il �'i �i /�(' : _ �El <br /> 1 <br /> Have you startec!workin9 withnut a pennil? YES NO <br /> f � f i r I / � f �, � � � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Pro�ecl : New .Addn Alirralinn Repalr 1YPa ol Pro�oel: �,Naw__Adtln _Allnrallon __Ropalr <br /> Shaw NurnArr(M)ol hrUn�s Show NumOer(N)of/irfures <br /> _—"�.4'C au handliny rnds fnde� <br /> I nnrd air s stems (3alhtub <br /> �. ' �r5 n in - Lavator Iwash basin) <br /> i Watei heater � Shower <br /> I <br /> Gas hreplace KAchen sink 8 ::is osal <br /> Gas ran e � Dishwasher <br /> Cluthes Ar er Clothes washer <br /> ftanc e huod � � <br /> i E�haust�an Sink Iservice�bar�mo /elc� <br /> Ileat pump BacMflow reven;^i <br /> Und he.lt�r Unnal <br /> r � Drmkin Poun�am <br /> yr Rodur floo�drain <br /> � Rehi eralion <br /> Wonds�ovc Grease Ira <br /> :� . . I_,ni����l--. -- ------ RoolArains <br /> � �ii, , Medic�l Gas <br /> SPRINKLER / SUPPRESSICIN SYSTEM a�hef <br /> IJiiud��.� , I I I,,.eb Other <br /> __—s — <br /> .. ___ ___._____.. <br /> . .—"__'"_._' <br /> ',rn.Irli��Plllly Ihll�I ll lvr•n'd�111111)P�A111111P�1 Illlti Ill���lu Jh011:11111 hlliTV IIII•SJr11010�]I'�p10 dlld L01lCCI nll�IIf1Y151008 OI IAWS dflf�OId111TOtE6{�OVPIlIIOff <br /> .�� ty�u�n�wni4 w�u br�.nn�pncd wilh w��nthei spxcAieA I�ci�in ni nni I nc gianlinp ol a peimil does nol Presmne lo gwe autlwnlY lo vmla�e m cnnc�i <br /> n� �v�rvi•,u�n nl,inv��mri �.c�lr ni In�;d law ie9��lnling conxlnirbon m Ihe prtdonnni¢e ol cmisUurhon Ihnt I nm wulhonted by Ihe ownei o�Rus Pmperly <br /> o p,•�b�nu u�vnnF bn yn��,i�,q�V°���bnn i maAe anA I cmnpry wllh Ihe fi1a1e CnnUar.brs I nw 18 27 RCW end 29G Z00 WAr. <br /> � �/ <br /> �s � ����� y1.2�, 11� � <br /> �--�— i„i� ir�e��sen aao,�� <br /> uwiu•dAhllinrito nnl bignalura <br />