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NERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNlSPRINKLER/DEMOL.ITION <br /> CITY PF EVERETT PERMIT SERVICES <br /> 3200 Cedar St . GverelL 'NA 98201 - 425 257-AR10 - Fl1X 425-257-885' -��ww e,verettwa org <br /> �, ;< � � I � � 4PPLICATIOFS ARE ACCEP 16D FRUM B AM TO 4 PM <br /> SI`E.ADDRESS: � PROPERTYTN(M PERMIT� <br /> � ���C. �(C ' ��� � 1 :�(� tlY,it1 ��."iY� .� i ' � ',I` IP`( � Ir, 1�ICY � ( ) � I ( i . , <br /> � � ) <br /> LEGAL loi nrvv r.r�m buclinn :.ho�l PI�tlIsb6Awiann L'��L/L f I LG�J I' 1:.4. I ol No �/ I.�Itddi wPY o lon9�oqal Arsn plruil <br /> �' ' •. , � �..���i. /. ' I . <br /> OWNER � lA.�'i,. �l� ����.- i �' � � J � C inn���•rin�.id �l'";, _ � .1� _ i ��yi��� ��.5�. <br /> 'IC � - • r�t �';Ln���l�i 1 � <br /> AdA��Sx I<� � > ( �.�1.�/( M1� /�l ( . I � Y f l -1 '�L( l i 'V �/i S��i <br /> CONTRACTOR � �1. �. /i�'1�� _ L ¢ I I i�: rt [ � �,��v�/11�I j L, C�_, ��(.- _ <br /> -- __—_ - • l���it' � i�• � <br /> AAAirss {'.�' I� h9,yt n_. i�l ' � . �'i � ��6'. ��� i I `��' � � � PhonNlmatl �II�V.�uy [ A��'.,1��nL� '�� �< <' <br /> TENANT BUSINESS NAME CONTACT FCR PERMIT ���,�i,� ' r, � ; ��j � <br /> �k! �'V� <br /> .��:,�� � � �'� �'i�r�� . ��. , <br /> I'I�nm•tl mad ��1 . �'�Ib � i /i C ii�L��l�l. IA (C�/!1 <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK. •��� l��� � �_ <br /> f+ishng Usc ol Iluddinq ��I � _ . __ . HfAT SOUFlCE <br /> Proposed Use ol E3mldin9_. `�L l�. _J� -_.l< d'Irl�<�L�—_. _ _ . r,ds 1C I I„rinc __ Olhm <br /> F3utlding ry{�-e _�Single Famtly _OuPle�_Townhouse _Mulh Famity _Convneival <br /> fypc ol pio�ecl A New ___AddiOon _Remodel _Repeir___ �I _Sign,__Spnnkle� f lcinoinion CI�nn9e ol Us,r <br /> Desenption ol Wo�k (aJAdrnnal spam p�ovrArd on Ihe bacM I <br /> i i�ll >f .� �li'/ i;A � � '� t I i �i[ � :�i� l'- .I�l �i� '( l <br /> i <br /> Havn you startcA working wilhout a permlt? _ _YES . \_NO <br /> MECHANICAL PERMIT APPLICATION PLUMf31NG PERMIT APPLICATION <br /> Typa ol Pro�ocC ,�Naw_Addn __Alterallun__Repelr Typo ol ProJect: <'Now_Addn _Altoretlon_Ropalr <br /> 5how NumGw(MJ o/lirfurce Show Num6cr(NJ ol flxlwca <br /> 111C- au handluiy unds ' __fodet <br /> .-1 � • 13a1h���:� I <br /> _1__ f oiceJ air 5 slr,ms . <br /> � 1i15{�iVin� 11 I � 1_�alory�.vash basin) <br /> � Waler I�eater � ihnwer i <br /> Gas lucplace K�Ichen smk 8 disposal <br /> Gas ran c � Uishwashrr <br /> Clothes di er � Clothos washer <br /> �� Range hood _ - - Water heatcr _ <br /> �( Fxhausl fan 4' Su�k�service/bflrhnople�c � <br /> Heat pump 13ackflow preven�er <br /> � Unit heater � Unnal <br /> ftoiler E Dnnkm Poun�ain <br /> Relnqe�alion p !'looi draui <br /> ' Wnndstove L" GreaselrBp <br /> — !!, I�u��bn�� , -� RoofArains <br /> --------— - i iv��,�---- ---- � Medical Gas <br /> i ' <br /> SPRINKLER I SUPPRESSION SVSTEM �/ Other <br /> Nw�,i���� „I ii.. , �,. Olher <br /> 1,. — <br /> I hei�bv�mlitY Ih,tl I liave ieul;uW��M.mnn��d li�.�� nPPlicnhun:md Fnuw Ihe sama to Iw Iruo and conecl All piuvisions ol laws.�nd oidumnces�ovrininy <br /> Ihiti ly�R OI WOIk'MII hP f01�1PbCA Wllh WhCIhPI S�N'�.�hCA IICICIII OI Ilpl Ihe q�i��linq 01 a{�nnil AneS not p�CSmne lo give du�hnidV lo vinldir w�.niri'I <br /> IhY,�IUV15100 O�llllY I�Ih�`I ti�diu OI InC.11 I.IW IPIJIIIJIIII{Q CU114�1UCIi011 OI �IIL•�121�011➢lII1CC 0�LOI15�lUCibfl �hBl I N➢�t1�hOfllCd hy IIIP 014nPi al Ihu 1���`V�'��y <br /> in prdorm,lhc ��M � wh p,�pphr,n�nn is maAc anA I mmPly wnh Ihc Stale Conlmclore l.nw 18 27 HCW anA 27G 200 WAC. <br /> II �L <br /> �� i �a. ,_� , �; ,� �41_ <br /> Ow��o Authdit AgeM8lgnaNro , _, � ��'�O ���'•��������:�'�r��� � <br /> � � <br /> \ % I � <br />