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• � s��e s <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUM3ING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVcRETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 982�1 425-257•8810 FAX 425-257-8857 www.everetlwa.org <br /> Z APPLICATInNS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEA�DRF.SS: PROPfRTYTA%p RMIT/ ! <br /> _ �/;-V� � 2.�E p O�DUUa — <br /> LEGAL br new conslrucuon Short PlaVsubCrvision�j, AOw•1.1 ��MS NQ�1ot No.� �altach copy of Inng lepal Eescriplian� <br /> L <br /> OWNER -lj� .J P�one/E�mBil <br /> EAflow _ �"1FlMJ5 � ��YISN. c.oM _ <br /> nearess�/�OI lN. (aLF.JFf*u�� R0. •-- cn��siaierz�u �t1E2h'[T WA �]P�ZO� <br /> APPUCANT� Owner Owne�sAgeni �Conlracior Contra:loisngent Tenanllmm�penaa�bnernlromannrpnuyc„mnoao«pn��uv.oac.i <br /> CONTRACTOR .Q ( � L 8 I L�c a F�rp b L COE Bus LI: A <br /> aodress � }p Z 3 M1LSE• �o�T+G1.L. WA. ���IZ P�one/Eraail 4Z5. � <br /> N �{$S �'�'D�C2 ��D.V� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �N L(LSSLFJ{ zo�•'�t9-G7.�.9. <br /> P��meiE�me�i W I�.1(Jc�f, �J�Ro.i{.i.,� ,�p,..� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Ezisting Use ol Bwlding HEAT SOURCE <br /> Proposed Use of Buddmg Gas Electnc Omer <br /> 9mldmg type� �Single Famdy _Duplez_Townhouse _Mulb-Famity _Commeranl <br /> 7 pe ol Dro ecl �New _Add�tion _ Remodel _Repair T I Sign Sonnkier Demolilion Change ol U5 <br /> DESCRIPTIONOFWORK�aamoonaispecep�o.�oeaon�neoeck�; N�W ��,� �PSc� 2.�2�j <br /> MECHANICAL PERMIT APPLICATION PLUMBING pERM1T APPLICATION <br /> Typc ol Pro�ecC �New_Addn _Altaratlon_Rep�lr Typ�ol ProJecC New_Addn _Allontlon_Rop�ir <br /> Show Numbo�(MJ ol I�rfures ShOw NumOci(MJ ol lirlurce <br /> q/C _air handlin unil; Totlel <br /> � Forced au s �lems Bathtub <br /> Gas p�pm Lavalor (wash basm) <br /> Waler hPaier Shower <br /> I Gas fireplaCe � Kitchen sink 8 disposal <br /> GaSran e Dishwasher <br /> Clolhes tlr er Clolhes washer <br /> Ran e hood , .,p��p� <br /> Exhaust lan Sink(service/bar/mop/elc) <br /> 11ea1 pumD BackOow prev^nler <br /> Und healer Q Unnal <br /> Boiler O Dnnkm Pounlain <br /> Relri eralion � Floor drain <br /> O Wootlslove O Grease Irap <br />' ����'^ Rool tlrams <br /> Olher Med�wl Gas <br /> SPRINKLER I SUpPRESSION SYSTEM v O�her <br /> Number ol Heads � Olher <br /> I parobr cenA�IAaI I navr m�U�ntl m�m�neU Ihn applCal�on and know I�e seme lo�e INe ME conecl RI proo�sanf ol taws snE orEinencef gavermnq Inn Iyy!ol wOd vnll Ce comptre <br /> wiln whei�er fpeul:eC�erwn ar noi 5ne pnnl np ol�palml Eom nel prmuma to prve�u1�wB�la vblele o�uncel t�e pmvnron ot�ny olpei�ble a bul qw re9uhlnp contuutiron <br /> Tlul I em�vi�oriieE E�ihe owner ol inn propen�io Detlwm Ine wpM br�Mk��ppiK�tron b maa�mA 1 comDiy wn�IOe Saia Comn<�a�L�w 1!17 PC W�na 796 7WA W�C <br /> �(i <br /> S G Z <br /> OwnedAulhorixed Agenl Signalur Oale (Revisetl6?0711 <br />