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PERMIT APPLICATION <br />BUILDING!MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SI., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITLADDRESS: <br />222i Lr•`I xT iC cVc�C 1� Ydll �1'LIA7� <br />paoprRTYTAxa <br />Ju�,tiv'l �•I•.[IU`'r)-1 <br />P <br />ITn <br />—lJ� <br />LEGAL for new Shod PlatJsubdivl&lon?-'dI`XKF t)II rk RU( 001L, I)" tot No_ (attach copy of long legal description) <br />OWNER NrLf% <br />7I') �)� 7 <br />tn I/J,(1r'v}A11r <br />•construc,tion: <br />Address <br />C✓CQEr IA 92t) <br />APPLICANT: _�L Owner _Owner's Agent -�K- Cwlraclor Contractors Agent _Tenanitrnopo.ur.t.tlaamneadtrmm ew ewvrb ae+aN lnmr apao) <br />CONTRACTOR N�•rh•Cl`1.54' �i'.JLp id. �qq'^ m <br />Lbllie.rf J <br />god-00 COEBus�LicNf7P1;7DA <br />AddressPb {ii .? ^ r I"A Q0-,)O 1u1+- Ivl-�b <br />,,nv�,v) PtgrtelEmail r, )Au •rfli Lvctr .ty.Cu:. <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />FreronAly (/_RL <br />PhonefE-mail ?1 )/..-. ^IL. <-�rl'J.• � Inc rr^Ar 1.: 1�^. <br />\OF <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE WORK <br />Existing Use of BuildingHEAT SOURCE: <br />Proposed Use of BuildingQ,,-t- 4 I Gas__ Electdc Other__ <br />Building type:X,singleFamily _ uplex_Toworouse _Multi -Family _Commercial <br />T o1 ra act New Addition Remodel Repair T.I. Sin Sprinkler Lerrolrbon Chan a of Use <br />DESCRIPTION OF WORK (adddional spare provided on the back). <br />[rC•Nn C V�- �/�{ `h"� h f' C� 0. tir-ca-41L I �, <br />V 1 <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _Now _Addn_Anerafion_Repair <br />Show Number (a) of dxfures <br />Type of Pholact:_New __Addn Alteration _Repair <br />Show Number (a) of fixtures <br />AIC - ad handling units <br />I Toilet <br />Forced arts stems <br />I Bathtub <br />Gas piping <br />Lavatory wash basin <br />I Water heater <br />Shcwer <br />I Gas fireplace <br />Kitchen sink ii disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink servicefbar/mc /etc ) <br />Heat pump <br />Backflow prevenlet <br />Unit heater <br />I Urinal <br />Boiler <br />I Drinhing Fountain <br />I Refrigeration <br />I Floor dram <br />l Woodstnve <br />Grease trap <br />I Ouding <br />Roof drains <br />Other_ <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other <br />I hereby Ce" Nat 1 have read and exAmhwd ma orpr� and know the mmn to be true and coned. Pa pmitbn i of lawn and ordmanar, guvamng this "a of v eN w7 be compbrd <br />nth whetna spaohd herein anal The Granting of n Imm.l does not pmume to rtw euth" to rvldtt m raux•I the provrabri of my Mnrr rJaM m bfnl tev repulabnp consau Wen <br />That <br />for,, auNortred by Ne amv of aes prapnrh ro Perfvm the waN Im wTkh opphradm a made and I mmpN w1h me Stalecantmowa tav to 27 RC W and 206 XM WAG <br />Owner/Authodxed Agent Signature Date (Rti 11/2012) <br />