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OERMIT APPLICATION <br />BUILDING/MECHANICALPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St . Everett, WA 98201 425-257-8810 FAX 425-257.8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM A AM TO PM <br />SITE ADt)RESS <br />- tAkce 51Y <br />PROPERTY TAX a 0IO <br />o 0 0Am <br />P RMITI <br />LEGAL tornew eonvn Ilion Ral'subar Sion Lol No___ lauach Copy of long le(Ja16eLefIWOn) <br />ISnon <br />,n <br />OWNER o L-ae <br />PhonVE+rrd ZO& 220 f510 <br />rya- <br />Odres9 io93, 5e- iP6Y� �/ <br />GtyrSlater2rp �r^ �" / [.e/J♦t <br />APPLICANT'. Owner ZOwoers Age' --.Contractor Contractorsill _ Tenantfmal vm•ae a boor owi i nwnw, owe, tow son nlf yea i <br />CONTRACTOR Of!)tM LZ1=- <br />L A I I.Ic a COE Bus Lac a <br />Address 'jAltiE PnoneFina.l SAAAr— <br />TENANT BUSINESS NAME <br />�4T4 <br />CONTACT FOR PERMIT <br />zCiktTtC <br />� Pnon�r�uaFpe-7,C z�vA51 � A, '" <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK- 150l OtX5 <br />Euslmg Use of Bullamg L HEAT SOURCE <br />Proposed Use of Building R�E�J I DLt:`I C (� ��� Gas _ Eol,% I,�Caher__ <br />Budding type K Single Family _ Duplex _Townhouse _ MullrFemily _ Commercial <br />Type of project X New Addition Remodel Repair _ T I _ Sign __Sprinkler __Demoldlon Chen a of Use <br />DESCRIPTION OF WORK (additional spare pmw ded on the tack) <br />NaLJ rzeS1PMIN e 1"OK e,/11.F, OF, Rom►` r <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of project XNow_Addn _Alterauon_Repair <br />Show Number (a) of arruns <br />Typeot Pro)eer _New_Addn _Altenuon_Repair <br />Show Numberill) of l nuns <br />AIC - ad handling units <br />111 Talel , <br />_ <br />Forced ell systems <br />III Bathtub _ <br />Gas piping <br />M Levelo (wash basin) <br />Water heeler <br />Shower <br />Gas fireplace <br />I <br />Kitchen sink A disposal <br />I x t <br />I Gas hinge <br />I <br />--- <br />Dishwasher <br />Clothes dryar <br />I <br />Clothes washer <br />I <br />Range hood <br />Eahausl fan <br />w"bat fern <br />I <br />Sink (sorvlcerbadmopletc ) <br />Neel pump <br />Backflow preventer <br />Unit healer <br />Urinal <br />Boller <br />Drinking Fountain <br />Refrigeration <br />O <br />Floor drain <br />Woodslove <br />0 <br />Grease tea <br />Duclmg ,T a * <br />Root drains <br />Other_ _ <br />Q <br />Medical Gas <br />SPRINKLER <br />/SUPPRESSION SYSTEM <br />Other <br />Number of Heeds <br />Other <br />I nasty cenh- A a l n a e read and eaammod Misapplication and knave de sane to be aae too correct Aa pro, eionc of Uwe and ar0 nancef goraomq Ihn qpe of wow Cod be compled <br />,,in whelAel eD eoaed her 40 or nol TAe grantng of a perms dodo not proLine to ON a aamordy to via a to at MAC al Ns brand" el any olha Stale or bal low pgtilatng wndlrvctoA <br />Thal Ism awho nsed b) Ina mine of Ina plopany to pafaml Iha rwd la Comm applcalon a mach and I comply a0lr Of Sur Come Scion Let, 16 2? RCW and 296 26dA Vi <br />7 11Z <br />1T� P _13, <br />Ownw/Authomied Agentiltinstrawro Uair (Rewsed6?a1i! <br />