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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St. Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everettwa org <br />S-ILA-IS <br />SITE ADDRESS: ,J-t.}' <br />PROM RTYTAX A <br />P <br />MITa <br />LEGAL for new construcim ShortPlall ubdivision_ _ _ _ _ Lot No _ ___ ((attach cony ef long legal dfepWnl <br />OWNER G Jam(/ <br />�ci <br />Pnortar[•ma�l %d�� qD <br />�� <br />Z <br />Andress <br />2bl <br />11 <br />Ni) 04DO <br />1C'Ty1StM&7'p 0���L� <br />APPLICANT: _ ()wrXrf _ _. Owners Mans XCdncaaor ._/Contracices Agen. _ Teti'Im l'�N Tn•4 t't •1 m,me F1I'LY, eve• T h1 �111 n'!l Ywf(n�i <br />CONTRACTOR _ <br />_ �� � (.d • <br />.i� U c Lit: XD? 474Y <br />y�statQ��dUcy�N <br />4ndn.•ss 3 �3 J -it/. � VI'i <br />- /D rl <br />,(Bus <br />I"vt'*IEmail / Z' +441'p <br />TENANT BUSINESS NAMES JL <br />17 I�rp (k'L )/J <br />aTmCONTACT FOR PERMIT ,Y7a ` A 7 <br />Pha,ala--lP22/D(�(p <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE of WORK g a,06 <br />Existing Use of Building HEAT SOURCE <br />Proposed Use of Building Gas Electric Other <br />Building type __ Single Family _ Duplex _Townhouse _ Mulb•Family _Commercial <br />Typo of project New Atldillon Remodel Reoair T.1. Sion S Anklet Demolition Chancie of Use <br />DESCRIPTION OF WORK faddrhp of space pm%,4W on the back) <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typo of Proloct _New _Addn XAltotation Ropa,r <br />S wNumitherrilgoffixtUnut <br />Type of Prgect _New Add, _Alteration _Rppair <br />Show Number of axtum <br />A/C — air handling units <br />Toilet <br />_ <br />Forced air systems <br />Bathtub <br />Gas i m <br />Lavat wash basin <br />Water healer <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gas fanno <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Waterheater <br />Exhaust (an <br />Sink servicelbarlmci/etc <br />Heat pump <br />Backnow preventer Inside bld _ <br />Unit heater <br />Unnal <br />Baler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease Ira <br />Ducling <br />Roof drains <br />Other <br />Medrcal Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other <br />I eprptry mreTy eiel I Aave n•.xt and eum,ned mw ePPkatun and Now �e wine to Ue Qua and rorrerl N prpwaw+a of law end ardnanaa yo•emHa mu hpe w Wort w0 be romp <br />wen whether Wrothne herern ut not The panne of a perms doer eel presume M aM aulli M vbMM or canml ere pro•nlon d any other gale or beef law r•yvMbrg ofndfurrlon <br />Thee I am eumorve t o•rner of Mn property to perform are warts Mit v, X40coban b made and I comply with the Stride CorMl fen t aw to 2 h RC W arid 7eeA WAC <br />S Id � <br />nn rthorlred Agent 9 gnatum 0YTha?0f5)- <br />