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�pERMIT APPLICATION <br /> BUILDING/MECHANICAIJPLUMBING/SI�N/3PRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320 edar St., Everett, WA 98201 -425-257-8810- FAX 425-257-8857-www.everetiwa.org <br /> ( APPLICATION9 ARE ACCEPTED FROM C AM TO 4 PM <br /> SITEADDRE58: PROP RiYTA%• PERMIi/ <br /> N� �, , et{ G�A qE,2cF� �� i�m I�,���c�r � - <br /> LEOAL tor oew conslmctlon Shorl PleVeubdivlsMn_�Al r /yl._1f.1'_u—�1C2L--LoI No�� Iflllach copy ol bn0leqel descd01bn1 <br /> owroea L CNN� l?C��TFC��'�ST '�IJL Phone/Emall 25?� 0�2v� �ri'KE v�1N•���HC� <br /> Addresa ��C��� ��N��ti� �{� .1J�� � CIIY/Slnle/Tip �V .'��� L�/�� �I J, 9�-37 3 � . �cvn <br /> CONTMCTOR L��IUN� � L 8 I Lic N LEAJIU q I� L L'�'�{3 C�� <br /> p 153 f�yF 14NC` */C�`+ <br /> AdAress �<C�I i � nN����N � L� SU1� � ����n 4fsTi Phone/Emeil "r -.y�NS71 - ! A/A�'� � <br /> TENANTBUSINESSNAME � CONTACTFORPERMITmH�i �V v��„ STfc.HLZ <br /> IYVVL{)KC V9N S l (F�C L �LCA.'A.'+1/. . (L'nl <br /> PhonelE�mail �t S 3�b`I 1�/• C <br /> BUILDING PERMIT RPPLICATION CONTRACT PRICE OF WORK c <br /> Exisling Use ol Ruildmg �I � I HEAT SOUP�"_ <br /> Proposed Use ol Building ��F��� S� n L'S I (v[��l�Q Gas� Elecldc_ umer <br /> Building lypc ,�Single Famdy _Duplex_Townhouse _Mulli-Farn,Y __CommerGel <br /> Type ol pro�ect. �New _Addltion _Remodel _Repair_T I __Sign_Sprinkler_Demofilion_f.henge ol Use <br /> DeBcnption of\Vo�k�adArta,ne�anece pro�itled on fhe backl <br /> CGY> >t:� UCht�� � u /1F1�� S� 'ICS�( �Cn�( <br /> H�va you�hrted worklnp wllhoul�permll7 _YE9 x NO <br /> MECHANICAL PERMIT APPLICATION PLiIMBING PERMIT APPLICATION <br /> Typ�of Pro�eet: �Nsw_Addn _Allendon_Rap�ir Typ�ol ProJaa4�Nnv_Addn _Ak�ntlon_R�pdr <br /> 3how Numbo(N)cJ flxturo� 8�ow NumD�r(NJ ol flrNns <br /> NC-au handhn und�.: 3 ToAel <br /> Porced air s stems Balhtub I <br /> Gas pi in Lavetor waeh besin) �. <br /> Water heater Shower �, <br /> � G2.s hre lace Kilchen cmk 8 dis osal i <br /> � Gas ran e Dishwesher <br /> Golhes dr er Clolhes washer <br /> Ran e hood <br /> Ezhausllan Smk(sernce�barlmo /etc� . <br /> tleai ump Dackflow reventer <br /> Und heater Urinal <br /> Botler Dnnkm Foun�ain <br /> Relri eration Floor drain <br /> � Woodstove Q Greasetra <br /> � Ducbn � Roof drams <br /> � Other � Medical Gas <br /> SPRINKLER 1 SUPPRESSION SVSTEM O�hei <br /> � Nwnber ol Heads Olher <br /> I hereby certdy Ihal I hnve read end e.aimnen Ihis eppllceUon nnd know Ihe same lo be tme and correcl Atl provlabns ol Inws end mdlnenceb Oovemfnp <br /> �his rype ol work vnll�e comp6eA wilh whelher specified herein or nol Thn granGnp ol e permil dces nol 0�e�ume�o OWe eut�orily lo violate w cancel <br /> �he pmvislon ol any olhei slnle or bcal Inw regulatlnp consiruc�Wn or Ihe pedormnnce ol conslmcl:on 7hel I em eul�onmd by Ihe ownar ol lhls prope/ty <br /> to padmm x w br iich ppplkaUon is made end I comply wli9 Ihe Sla�e Conireclo�s Lww 18 27 RCW end P99 200 WAC <br /> , , . , - .� � i25 �I.2 <br /> Own A A� nlllqn�lun � �_ Date fReased2Q011) <br /> iGC'-��h " <br /> �la <br />