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42: 25r-I6bh GJ-4fATI',,-, n3.47.49 pm. 08-06-2015 214 <br /> FORMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OP EVERETT PERMIT SERVICES <br /> 3200 Cedar SI., Everett, WA 98201 425-257-8810 FAX 425-257-6857 wwr.evereltwa.org <br /> � 7- 1� <br /> SITE ADDRESS: 1 31 %411 ST 5 W� � 1 PROPERLY TA%a Mf O J OI <br /> LEGAL for new construction: Short olaUsutchvlslun Lel No.` witch copy of!on2 legal descrIpbcn) <br /> OWNER n 1 Phone/E.moil 25 6-7(o 'J$ <br /> Address S(Lo-wSialorllp <br /> APPLICANT:_Owner Ownar l%ganl JConlraclor _Cenlndore Agunl _Tonenl!..upn.tae eLon�u <br /> CONTRACTOR Q 1 L SlalcLlc Ti7Ce eCity <br /> 1�nnDl1us. Uc.a600 <br /> Address 1"o G) WAII PhcnelEma!I 425' 259 (4.1. <br /> TENANT BUSINESS NAME CONTACT FOr1 PERMIT <br /> W25 259 WPIPIO. <br /> P onolE mnll ,toy" <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK : O <br /> Existing Use of Bullding _ HEFT SOURCE: <br /> Proposed Use of Byl:ding an$%/ Electric other <br /> Building typo. Single Family _Dup;ex_Townhouse _ Mu'ti•Famlly _Ccmmerde! <br /> Type of project New Addition Remodel Repair T I. Sin Srnnkler Demoh!vn Chan o of Use <br /> DESCRIPTION OF WORK(edd tonal space provided on the batt)' <br /> rePlaCe. gas,Turl%- -c. I vo-cp, ha+ V� r <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: _Now_Addn --Alteration_fiapaIr Typool Prolacl: _Now_Addn _A!Iarallon,Ropa!r <br /> Show Number(#)of dzduns Show Number fol cynsh es <br /> C 4alr handling unit I Toilot <br /> -orced ohs slcrns 5 Dalhtub <br /> Gas nlolno I LaYolo wash basin <br /> Water healer Shower <br /> Gashre loco Kitchen slnk8disposal <br /> Gas range Dishwasher <br /> Clothes dryor Clothes washer <br /> Ronne hood Water heole. <br /> Exhaust len Shtk servesbarrma tele. <br /> Heal um Backilow reventer <br /> Unll heater Urinal <br /> Roller <br /> Drinking Fountain <br /> Rcri erallon Floor draln <br /> WooAstovo Grease Ire <br /> Ducting Roof drains <br /> Other. _ _ Modlcal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other, <br /> Number of"o Other <br /> I ho,eby mM1iy that l have real end ecerNned this epPd"goh and snow Ihs Items to be We end correct Ae pm+ldons of Wwe and an1'eareu gavem!ng the type clwerk w2 ba mmp <br /> will whether specified herein to not The grenbng of•perm!1 does Act Pfolume log vo oulhorby to vloWe ar"real the preNemn el any ether also or local I"mgulatng eon Wun'on <br /> That IBM oulhadled by the owner el th!e pmpeny la penorm UBMA f0rwhich apP9"eon IN Trade and I mmpy w9h Ire State Cenlrecdc's 4w 11.27 RCIN a.0 293 200A 19AC. <br /> �e. �aw�-c 4�•� I� <br /> Ownoryluthcrizat Agonl gn tura Dale (Radstoda?014) <br />