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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUM,3ING/SIGN/SPRIN KLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 F/.X 425-257-8857 www.everettwa.org <br />ACCEPTED FROM R AM TO 4 PM 3 —) a' _ 13 <br />APPLICATIONS IONS ARE <br />P <br />tT <br />SITE ADDRESS: 570`r S7'- �� <br />✓✓ <br />PROPERTY TAXN <br />t]J2 <br />LEGAL for new construction Shore Pleirsubdivision Lot No _ (attach copy of long legal descno ion) <br />OWNER C,c%'irp T i-If" S PhonetE-mail <br />Cdyis atelzip <br />Address <br />APPLICANT: _Owners Agent LY Contractor __ Contractors Agent _Tenant lmu.Ipma••wrororcaawm aome••ow•wmea wnnr^•roxal <br />—Owner <br />( I i t✓ (_ Cf t) S If V C f %',)13 L 8 1 Lic. D 0 c Jar y ^ OZ COE Bus. Lltl. a cJnlp�. <br />CONTRACTORV -) <br />Address p �t� �l-7�i /C��. C e%b/5) PhanelEmad OC76- V 3- 5_6 � <br />CONTACT FOR PERMIT <br />TENANT BUSINESS NAME <br />Phone/E-mail Gr'liz n)quw_ U/—i <br />BUILDING PERMIT APPLICATION <br />ICONTRACT PRICE OF WORK _aC• e — — <br />HEAT SOURCE: <br />Existing Uue of Building — <br />Gin Electrlc Over. <br />Proposed Use of ullding <br />Building type: ✓_ Single Family _ Duplex Townhouse _ Multi -Family _ Commercial <br />Type ofproject: New AddXion Remodel Re air T.I. Si n S rinkler Demolition Change of Use <br />DESCRIPTION OF WORK (rdmhonek apace provided on the back): <br />ad�ti sail? Ins <br />oar (asp' cG"19GS <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: <br />_Addn _Alteration _Repair <br />Typo of Project: _New <br />_Addn _Alteration _Repair <br />_New <br />Show <br />NumDar of fixtures <br />Show <br />Number a olllxfures <br />A/c—alrhandun units <br />Toilet <br />Forced IT a sterna <br />Bathtub <br />Lavatory wash basin <br />Gas I In <br />Shower <br />Water heater <br />Kitchen sink 8 tlis osel <br />Ges Rre lace <br />Dlehwashar <br />Gas ran b <br />Clothes washer <br />Clothes d far <br />aler <br />Range hood <br />icelbadmo late. <br />Exhaust fan <br />reventer <br />Heat um <br />Unit healer <br />1MI <br />FountainRol <br />Boller <br />inWoodatcar <br />eretlon <br />eDuctln <br />ins <br />Medical Gas <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other. <br />I horehy canary flied I hove wed and ummined Isis npptcelun end knmr Ina same to be in ie end conect As provisions of lows and ordinances governing 0a type of work wA be Campred <br />weh wttelher spr :Iced hewln or not The guanine It a pemd does nor pwmme to awe autboMy to vo4ale or cancel ma provision of any other trade or local lox regulating consi uctim <br />Thai 1 am aulhon+ y die owner of NI IG pedonn me work fa whkh appk•loin is made and I romply win the Stale Contracton$ Law 10 i' nC W and 2M 200A WAC. <br />CE� (Revised 420121 <br />owner orized Agent Signature Date <br />t%`% i�%Z <br />