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2i�8 <br /> R�<«st yte <br /> L c�-�- <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everelt, WA 98201 425-257-8810 FAX 425•257-8857 www everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: VNOVFRTY TqN p PERMIT N <br /> 'T1F� `'O(.l) �u(c!L O � Q . <br /> LEGAltornewconstrucuon� ShonatausueainmOn �� A�,l, ?T LotNo <br /> � (attath mpy Oflong legal OeStnDtion) <br /> OWNER �. L PnonelE•mAil z, — � 3-I��g <br /> eEmss ' (� CirylSUt'Jzip <br /> APpLICANT: ✓Ormer (rvne�sAgenl Contredor Conlractor�Aqenl Tenart�T�npav.r.yreim�..mncma.a.�wnao.wmr�.no� <br /> CONTRACTOR / '!L C-N'f• L d I Lic k COE Bus. Lit N <br /> uzs• �13-� <br /> aarese / Z2 �[ i` �E Dn, PhowEmad � L � � <br /> ENA BU I ES A CO TACi FOR PERMIT <br /> W�i� lh`,�SLE� 2cXo �94•C�224 <br /> rnonae_„�au w�N�.s t/t •too. <br /> BUILDING PERMIT APPLICATION CONTIiACTPRICEOF WORK <br /> EMisling Use ol Bwlding HEAT SOURCE: <br /> Proposed Use of Building Gae ExKtnc otner <br /> Buildmg typo �/Single Femity _Dupka Townhouse Muql-FamiN _Commercial <br /> T Oe of Dro�ed� y New AddAion Remotlel Repair T I S n S nnkler DemolNon Chen e of Use <br /> DESCRIPTION OF WORK liaa�r�ona�snero povi�ea on rne eacw) <br /> /�J E 1,� S F i2 t3Aslc.. � �l ZP� <br /> MECHANICAL PERMIT APPLICATION PLUMBINQ PERMIT APPLICATION <br /> iYP�a�P�al«t: Naw_AdUn _Altera0on_ReD��r T�pe ol ProJM: New_AOAn _ARantlon_Rep�h <br /> Shaw NumDer p)ol llrturea S�ow Numper Q1)o!/Murea <br /> A/C�-air han0img un�s Todet <br /> � oruW av syslems Bathtub I <br /> 2 Gas � m Laveto wash basin <br /> Water heater � Showe� <br /> Gas fireplar.e � Kdchen sink 6 dis osal <br /> Gas ran e I Disnwasher <br /> Clolhes d� w � Clalhes washer <br /> Ran e hood <br /> er <br /> Exhai�sl len Smk (semceibaUmo /elc <br /> Hea�pump O Backflow revenler <br /> O Un�heater 0 Uiinal <br /> Boiler U Dnnkin Fountam <br /> � Retn erat�on Fioor drein <br /> Woodstove p Grease Ira <br /> O DucUn � Roof drains <br /> n Ot�er p Medical Gas <br /> SPRINKLER / SUPPRE8810N SYSTEM p Otner <br />' NumDer ol HeaCs O Ottrer <br /> 1�tm W oMy Ne�I�ave rca0 enA rmnnM NH eOV�u'bn mE/naw f�e ume In De nue enC wned A!provaq�a ol ta�y enE oNmenmf pmem,p p�y rypp ol wM ws9 De mmpktl <br /> wM v.hct�er aporfky�tte'n a nol The prentlrp ol s pertn�tlpn nal prmfume lo p��uMarky lo Nobl!a uMel Ne prpNabn of nny optt�isro m lorel Yw rtyWlhO�nftnrcyon <br /> TMI I am n�No�IxM Dy Ne o.mer ol lnn vroperry la O��orm Vio wat Iw Mxr appkatbn b meCe m0l eampN wN tl�a SIaU CaNecton lnn 1 B 17 RC W mA 7BB 100A W�C <br /> !���Z� ��y��� � <br /> Owner/AulAOAzedApeat�Elgnalure Dale (RanseONT0�7) / <br /> � <br />