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2630 <br /> � � S��k. . 6fi ��� <br /> PERMIT APPLICATION <br /> BUILD(NGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICFS <br /> 3200 Cedar St., Everett, WA 98201 425-257-8910 FAX 425-257-8857 www.everettwa org <br /> (p Z APPLICATIONS ARE ACCEPTED FROM 8 AM TC�4 PM <br /> SI7EADDRESS: PRODERTY7AKp R TI <br /> T,r/�-�f� � OOo�?Uo40 _ <br /> LEGAL lor new constmc6on: Shon PlaUsubGrvision� 4Dw f Q ol No.� �allach copy al long lepal tlescriplion) <br /> OWNER S�(Z.(trJ �LYj Pnone/E�mail �' M; <br /> naare5s U 1 4v, I.FiJIl+tue�! RO CityiSiale2p ��,h W,� <br /> APPLICANT: Owner OwnersApent �ConVac�or ConiractoisAgenl Tl�BIII�IAi�Ip10N01Yh11pO1CpI1��11TTUNOwMlIOOOnGAN;IN4D�(�) <br /> CONTRACTUR (� i .� L 8 I Lic M �� Q L COE 8us Lic N <br /> , yZs � <br /> nOdress � �� Z 3�qyL5E� $o7}fGLL WA• $C�IZ PnoneiEmai� N (f,,Ss1L F'ia.ihert. ,Cpw. <br /> TENANTBUSINESSNAME CONTACTFORPERMIT �N L�SSLFJ{ zo�•'�v9-GZz9. <br /> P�on2lE�mail (�lIJ(fiX C �Re.i�c.� ,CO� <br /> BUILDING PERMIT APPIICATION CONTRACT PRICE OF WCRK <br /> Evisling USe of Bwlding _ HEAT SOURCE ,_ <br /> Proposed Use ol Bwlding Gas Eieclric Jlner <br /> Bwlding type ,�Sir.gie Family _Ouplex_Townhouse _Mulh-Famtly _Commercial <br /> Type ol pro ecf �New Addition Remotlel Repair T I. Si n S nnkler Demolltion Change ol Use <br /> DEiCRIPTIONOFWORK/eedd�one�spacepioviaedonihenetk) ��,,J (-�� � ��; �, � <br /> C�;� �a3 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa ol ProJocl: ,�New_ACdn _Alteratlon__Repalr Typa ol ProJoct: New_Adtln _Atlontlon�Ropalr <br /> Show Num6er(NJ ol llxlures Show Numoer(p ol O+turm <br /> A/C—ai handl�n unds Totlet <br /> � Forced a�r s slems Balhtub <br />' Gas pipm Lavalor (wash basm) <br /> Waier heater Z ' Shower <br /> � Gas lireplace I Kdchen sink 8 drsposa! <br /> Gds ran e U�shwasher <br /> Clolhes d.ryer Clothes washer <br /> Ran e hood <br /> Exhausl lan Smk(service/badmo lelr.) <br /> Heal pump Dackllow preventer <br /> Und healer � Unnal <br /> Boiler � Dnnkm Fuunlam <br /> p Relr� eration Q Fl�or dra�n <br /> p Woodslove O Grease Irap <br /> Duc6ng Q Rool drains <br /> Olher Med�cal Gas <br /> SPRINKI.ER / SUPPRESSION SYSTEM v Olher <br /> Numher uf Heads � Olher <br /> 1�ere0y cendy Insl I�8�e reeC anE e.emineOlAis epp�[alior�CnC know I�e same lo ba INo YnE correU A9 O�ovisqna ol lawt an0 orE�nances govemmq t�R IYVe olwo�l w�ll Da t.`mq�etl <br /> wllp w1�H�U f0enfe��ereln ai nol The Oranlnp al a Oermtl Eoef nol prefume lo plve�ul�wilY lo viobp a nncel lAs pravi�bn ol mY al�ei�I�Ir a bcll IIw re9W�lbp comlruciron <br /> Th�i I�m eeinwitetl Uy�he uwne�ol tnn pmpeny m periam�ne�.ror1 br wl�kli a00�Ka�ron b mMe�nE I compiy wn��n<S�el�Camr�clon L�w 1!7/NGW�nE 196 700A WAL <br /> � e�Z� �z c�y. <br /> OwnerlAulhor xed Agent Slgnal Oata (Rev�sed N1017) <br />