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� t <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLIT70N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Fverett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetlwa.org <br /> APPLICATION3 ARE ACCEPTED FROM 8 AM TO 4 PM /C! `�a �� �'' <br /> PROPERTY TA%p MIT N <br /> SITE ADDRESS: Z��. -Qr <br /> '� C — <br /> LEGAL lor new co�slmciron S�od Plat�subdrvision lol No._ (eltach CopY ol lona Ipgal tica[ripl�on) <br /> OWNER � n���- �n� �•�� �-c� Pnone�E�mail - -1 '�I lo <br /> AJdiesslll L��. `�i S �- a��isiai��z�n E �e e' w A �iB .o <br /> APPLICANT:�Owner Owner'sAgent Coniracior _Contraclor'sABem _7enantim�.�e•o.a..ka�o��o�+m�no�r.o..�«maa.�+�-�^•�c•�a <br /> CONTRACTOR 1�N y c(�'. L&I L�c N COE Bus.Llc.N <br /> PhoneiEmau <br /> 4dtlress <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT��N\ ��� '��,��,� A <br /> i � <br /> ��(�� �` �. ��(''1�'1t � (� ��� �honc�E�mnd 4L'i - �jl ''1164• <br /> BUILDING�ERMIT APPLICATION CONTRACT PRICE OF WORK 1 I 5 �x` <br /> HEATSOURCE�, <br /> Existing Use of�uilding <br /> Gaf E�eclnc Olner <br /> Pwposed Use ol8uilding <br /> 6uilding lype� _Single F.mity _Duple�_Townhousr. _Multi-famJy _Commercial <br /> T pe ol ro ecC New Addition Remotlel Re air T I Si n 5 rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK�nde�nonvl space provitlea on Ihe 6acM) � `�1 <br /> �..�ii �� � �o�, :�.- . . Zt+, v_. �,!� �a�� o.. •v.� ..e. . <br /> 1 .� � .{ .�l c�. � , . <br /> � � /�' �^ i �0✓�1 <br /> ,(•�[r,,,�, �:�� ,�c� T <br /> �Lf�^,�,. . / i �. i,'c,� n /NY�, r1�,,. %(cOCcr- ) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc ol ProJecl: _�7ew_AdAn _Allcrallon_ftepalr Typr ol ProJecC�:New_,Addn _Allcrallon_Repelr <br /> , Show Numhw fal ol Il.tures SAbw Nunrbe�(M)nl 17rfurcf <br /> NC-av handlin um�s Toilel <br /> Polced�Ir 5 5tem5 ' BdlhtuU <br /> i Gas pipin �. Lavato (�vash basin <br /> Waler healef 'Shower <br />` Gas Irteplace I �ichen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clolhes dryer Clolhes washer <br /> Han e hoad Waten c�ater <br /> E.haust lan S�nk iservi e�barlmo letc) <br /> Heat pump l�ackflow preventer <br /> Unit healer Uimal <br /> BoJer �rmkinq fountai� <br /> Floordrain <br /> Reln crat�on Giease tra <br /> Woodstove Roof drains <br /> � Dur,tin <br /> � Other__ <br /> Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I other. <br /> Number ol Hends Olher. <br /> i i,i,�,qry,,-.��y�ry.�'�n,nn ren.l nnu�.a,����i�`�f Il�.n nppin u��•",n'�1�,,;w�Pu s:m�e io�v Inie entl coneut�A provmm�f ol lowa and ortlnencef povemhp I�b type ol woA���e mmpi�eU <br /> .. .�,:nqnrr.p�,��M1e�lm,e,nnrnu� U�ry�nnWryolnf�•^^'Iro,�aiwlpiese�nolu9rvenul�orXyloNokleo�eancelll�elrrmifonolenyol�entebmlocellewmpula�inpconelmdion <br /> t r,��,i;iin nuftiotlieU Cy I�e mvn••i ol�iin pu+pe��y lo pe�orm IOo vioAlrn w�ch npfMolinn b meJe enU I comp'/wl�1�e Slele Co�Vetlon Lew 1017 RCW enE 3B9 2 WA 1^f�C <br /> 1 I) 'I � <br /> ` � �!\ I �I L. <br /> Ormrr�Aulhmlicd Fgenl Slgn.ilurc <br /> U.i.i. IRarse.l 6::01:) <br />