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2��18 <br /> � � S�/� S <br /> PERMIT APP�ICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EbERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-B810 FAX 425•257-8857 www.everetlwa.org � <br /> 61 Z APPLICATION£ ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: PROPER�YTA%p RMI � <br /> �/i-U E E(�f O OOOr�c>e� �p QSC'UZ4 <br /> LEGAL lar new conslrucllon: Shorl PlaVauDCivision A W �kRMS FiG�1o1 No.� (aBpch coOY ol long IaBel descripllon) <br /> OWNER -lj(c(l,F„�l �11E/�ppWS PhonelE�mnl � <br /> nuuress l/ 1 w, GI,F„�N+h�c� RD C�iyrSi�ieR�p �J�� w� <br /> APPLICANT: Owner OwnertAgent �Conlreclor Conlraclor'sApem Tenantimyuyo,na.um.rercommrna,�uwa,�.r�oae.eninm�s�a.� <br /> CONTRACTOR i < L 8 I Lic p 14p b L COE Bus. Lic !1 <br /> yZ5- � <br /> Aedress � �.� Z. 7��f�irjE. go�THGL1� WA. $(�IZ PI.nnNEmeil NL�G.SStL• �*o..rFie2 �Cpw. <br /> TENANTBUSINESSNAME CONTACTFORPERMIT IN L�-SSLFJ{ zva-�99-GZz9. <br /> PhoneiE�maii W!i)(l�yS �J �ao.ifii,ti ,�pw. <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> EKis6ng Use ol Bwldmg HEAT SOURCE <br /> Proposetl U5e oIBwlJing ___ Gas Eiecinc Otner <br /> Bwlding type. �Smgle Family _Duple�_Townhouse _Mulli�Famity _Commercial <br /> T e o(pro�ect �New Addilian Remodel Re aii T I. Si n 5 rinkler �emolition- Chan e ol Use <br /> DESCRIPTIONOFWORK(aadn�oneispeceprowdedonmeneck): ��� �� Q�Ab�L y'Z�"� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoolPro�ect: �New_Addn _Allaratlan_Rapalr TypeolProJecl: New`Addn _Alterallon_Repair <br /> Show NumDer(NJ nl llifures S�ow Numba(N)ol lirfuree <br /> A/C-av handl:n untls Tode� <br /> � Forcetl air syslems Dalhtub <br /> Gas ipin Lavaloi wash basm) <br /> Wate�heater Shower <br /> I Gas hreplace � Kitchen smk 8 disposal <br /> Gas ian e Dishviasher <br /> Clolhes dr er Clolhes washer <br /> Range hood Water heater <br /> Exhaust fan 3mk(servicelbadmopletc) <br /> Heal p�mp Backflow prevenler <br /> Unit healer O Unnal <br /> Boiler O Drinkin Founlain <br /> p Reln erot�on Q Floor tl�ain <br /> p Wootlslove O Grease Irap <br /> Duchn Q Rool dr�ins <br /> Uther Medical Gas <br /> SPRINKIER / SUPPRESSION SYSTEM v �tner. <br /> Numbei ol Heads � Other <br /> I nereoy cenAy�na�1 hovs reee ena e.ammea inie app�ica�ion ana Anow�ne snme�o ee true ana corwct All v�ovisAns ot qws ane orainsncm qoveminq�nn�yve o�worM wil oe comp�ea <br /> w�l�whNhar fOcafroa�rrem or nol.T�e pnnlMp o.'�pennil Eoes nol p�esuma lo pNa�u1�onlY Io vroble a c�i•el I�e aovifbn ol�ny d�er f111e or laal law requlalmg cOnflNClron <br /> I T��I I�m evmontatl OY�ne m.rer al I�b Omporly lo O�Nwm��a worM lor�Mcq�ppkillon b m�U�mC�awnDlY wn�I�a S���e CONnclon Lew I!37 RC W mE 796 700�W�C. <br /> (/�/• � �(b�L �f 2 <br /> OW�vflAul�otlieEAgeniS naWre Oale �Revited6?Ot2) <br />