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C14b <br /> ji�_�� ;f 428 <br /> i � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St . Everett. WA 98201 425-257-8810 FAX 425-257-8857 vrriw everetiwa org <br /> . 1'�� � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 pM <br /> PROPFRTY7AXI1 PERMITM , . <br /> SIiEADDRESS . < < .i-„ ' ��' ) ' -�'� � ( - <br /> c : . . <br /> _ .�.... -., ,.. t: .:� �. � ; .- ., -. , ' . <br /> .t., i. t 1�• Lol No�_ lattacn copy ol long kgal descnplro�) <br /> LFGAI�^r nrw conslmcUon Sh.ort PlaVsu�Ervis�o�� �'�' �� 1'• 1 <br /> OWNER <br /> �l �.+ a. 1. L P�ondE�mail 2 ' �Y 3 -��14 <br /> i ��N�s�A�d�,o L� �� <br /> ndA�ess �� L'A'' ' � <br /> pppLICANT: ✓�'ner _ �er s�gem _Conlre<lo� _Conlrattor'�Aqe�l _ <br /> Tenem i�u.i mvrae.ra.,o�co�nn.o�e.w.,o ro ao.an...T•�o.�.i <br /> L&I lic M / I� COE Bus Lic M <br /> CONTRACTOR / LL1ii1 Lr-+7, L y2S- 743-� • <br /> PhonelEman ( (. � (J [0. � <br /> ned�ese � "2,L 4..��' :�tu��E Ln. CONTACTFORPERMR `e�./ 2� ,�e.��.[„ZZS <br /> ENA SINES A E W�N UL .�� '1 <br /> P�one,f-mail L1.'(Nl�(c.ii ER •COV� <br /> BUILDING PERMIT APPLICATION <br /> CONTRAGT PRICE OF WORK - <br /> HEATSOURCE�. <br /> F.isl',ng Use n�[3uAAing__ ___ _._—_ <br /> Gas Eleclnc � Olher <br /> Pioposed Use ol0utldiro_ _ ._. — <br /> Omld�ng type _�Smgle Femdy _Daple._Townhouse _Multi-Pam�y _Commercial <br /> I ype o� ro�ect � New Addition Remodel Ra atr T I Si n S iinkler Demolition Chan e o1 Use <br /> DESCRIPTION OF WORK faaoibona�epace povi0er on Mr Eack�� <br /> �a,)E �,�, � ' '� f ' ;•, ,�� � � �- 11f�, <br /> MECHANICAL PERMIT APPLICATION ' / <br /> PLUMBING PERMIT APPLICATION <br /> Type ol Pra�ecC _New_Addn _Alleratlon_Nepalr 7ype of Pro�acY. �C.,New_Aadn _Aflerellon_Repalr <br /> S�Ow NumDer(Kl of ll+turof <br /> Sbow NumDer(n/nf ll.tures TCilel <br /> -, NC-au hantliin unAs y�thtub <br /> � Forced au s stems Lavator (wash basin <br /> Gas pi �n � Shower <br /> Water heater � Kilchen vnk 6 dis osel <br /> - GasOre.lace � Disi.washer <br /> Ges ion e � Gothes washer <br /> Clothes dr er yyirter heater <br /> Ran e hood Sink semce�badmopletc) <br /> EMhBUsI�an p Backflow preventer <br /> Heel pump � Unnal <br /> Unitheater U Drinkin Founta�n <br /> Boiler ploor diain <br /> 0 Rehi erelion � Grease lre <br /> � Woodstove V Rool drems <br /> =. I — <br /> UucUng � Mafital Gas <br /> � i)1hC�___ <br /> Other <br /> SpRINKLER I SUPPRE8810N SYSTEM � Other <br /> � Nu��Uei cl Heads <br /> -- m won�.�o��-�;�,��.a <br /> .. .. ����,����rer.ta"�Ir.e�..,�,r�:vnnGV•ut.���.an�i��,.m:nesa�neio0e0unendmnMAtlGmvnm�olNxlenEorEolnee/YavtmYWIMf�YM uYlh cons!n.ruor <br /> .. .,.�i,� i �..fne�e�nnno� IneprenU�yulepem�naoesnalVr�eumeloqrve�uNOMyloNo4leacMc�^�e H��VMonlrxtll7NCW�����A�'.n�' <br /> .. .. .,.�i.r��e wme�ol lnif pWeM m OMorm Na woA lor wt�sV0lcetlon N mWa�nC I canVN <br /> , �( �� ��—'i[4 i� I �_ �Fevieea b.cr7) <br /> ,i,vn..r nw n„veU Aganl5lgna� e <br /> I Ila�e <br /> � <br />