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UUII—DING/MECHAINICAI .IPI_! IMBIN(-ilSl(;N/c%ir'RINKI .I"t?/F),_, ()1_.!1'10 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evercl 30 I / <br /> PROPERTY TAR—9 PERMIT 0 S <br /> SITE ADDRESS: F 9$203 (7' <br /> 1 ' I� <br /> LEGAL for new construction: ShortPlal/subdivtslon <br /> Lot No— (allach copy or long legal descrVi0n) <br /> OWNER vSOn <br /> hone/E-mail y7S• 75N•S f7 <br /> Address IS l�-r5�• S�• city/stalcop Er.c, I,)4 BZo3 <br /> Doi h°m ln'"'"'cr to rip aaM1 6l me apical <br /> APPLICANT:—owner _,Owners Agent 11Contlactor _Contractor's Agent —'ree/nanttm.ru prassialeaerot <br /> CONTRACTOR n &-5on n a(4ire <br /> State Lic,Is ✓�f.P��$1 T City Bus.Lic.# O.S¢33 <br /> t L oris( B�✓ fr�l SZ 71 PhoneJEmell Y10651-7rraD /(C e A•J,'J. � ii• czl <br /> Address �, py /C yfa z.ca^'r <br /> CO TACTFI <br /> OR <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> HEAT SOURCE: <br /> Existing Use of Building__ --._ -- <br /> --- bas Electric Otfrar <br /> Proposed Use of Building_. -- <br /> Building type. _Single Family —Duplex_Townhouse _Mufti-Family —Commercial <br /> T 01 ra'ect: New Addition Remodel Repair T.I. Si n S rinkier Demolition Chane or Use <br /> DESCRIPTION OF WORK faddricnal space piovlded on the back): <br /> 113K APOIwn 10v(Ale�5 l+es� <br /> Np✓�rP <br /> MECHANICAL PERMIT APPLICATION <br /> PLUMBING PERMIT APPLICATION <br /> Typo of Protect: _New^Addis _Alleration._Repair <br /> Type of Project: _New_Addn _Alteration yp ) Show Numberl'110)offlxrures <br /> Show Number(a)of Bxrurn Tollet <br /> AIC-air handling units Bathtub <br /> Forced airs stems Laves o wash basin) <br /> Gas piping Shower <br /> Water hooter Kdchen sink 8 ries oral <br /> Gas fireplace Dishwasher <br /> Gas range Clothes washer <br /> Clothes dryer Water heater _ <br /> Range hood S Irk service/bot/mo etc. <br /> M <br /> aust fon ackRow, reventer Inside bldg) <br /> t um Urinal <br /> heater _ _ _ -_— Dunking oun�tain <br /> er _ pordre—in <br /> i eration —— __ Greeso tin <br /> odstove _._ -_ `�- <br /> - — - — Roof drains <br /> Medical Gas <br /> er <br /> SUPPRESSION SYSTEM other.ber of Heads _ Other. <br /> y rialing conslrucibn <br /> I hereby ceniry IMI 1 have read and examined this Applkedoa and know me same to be hue and cormd All provisions el terns and ordinances governing or type of work wA be complied <br /> w1N whether apecKed harem nr rwl, the granting oro pennil does not pmsome Io give oNhodly to vierete as cancel the provlsbn of any ether slnlo or bed law my <br /> Thal Ism Authorized by the ewmerof this mpedy to pedormtae work for which application is made and l comply MUI the Store Contractors Lrrw la Z7 RLW and 29B Qe0A WAC. <br /> (Revised rIP015) <br /> UT— <br /> Owner ut or zed Agonl mature <br />