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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 rAAwv everettwa org <br />u -6-5 <br />SITE ADDRESS ,{ WI <br />s 'D <br />PROPERTY TAxa <br />a <br />PTFgl"; a <br />LEGAL f.,,••w rs,nstnicton Shoo n�ia�Vslubd vise,LntNo (aaTachcopvn'Ionglet., 1. • ., <br />OWNER 51 ►* 1 no1 IGg _ <br />Phonell; ma'. <br />S . S W <br />Gtylslatelzw eukriza p <br />APPLICANT .. .. Onrrrs A,lrrI _Conaaau _ Conlractw 5 Agent __ Tara-;. ,,.,y......,,e,-re,.,.•. ,•�:..,-o ee<a <br />CONTRACTOR C <br />State Li, 4 M'+CItBus tic b $ O <br />SolRrncaScp 9`IIDS r,.nn,.,rn,., y s " 993, <br />TENANT BUSINESS NAMF <br />1 'illhrrl0 tS <br />CONTACT FOR PERMIT <br />i- "I_-,A11,1414D Q <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK 0 O <br />F.istng Useof Building__--.00LA L j.Q_ __ HEAT SOURCE __- <br />Proposed Use of Building 'a off LA._il _. Gas Electric I <br />Budding type _ Single Family _ Duplex _Townhouse _ Multi -Fair P Commercial <br />I y.e of pro;ert New Adl,bon Remodel Repair T I in S nnklet Demolition Change of Use <br />DESCRIPTION OF WORK r oval snaceprovioedw the back) <br />—r&a/A- W*R1MVy-4.* j "" fr' Vi-4- ca spnca. <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Protect. Now Adds _ _Alteration I, nor <br />Snow Number a of fixtures <br />tyl-r o1 Prnioi i _ Now Addn _Allrrabon _Rep,ur <br />Show Number a of hxlures <br />A/C — air handling units <br />Toilet _ <br />Bathtub <br />Forced air systems <br />Gas login <br />Lava'0 wash basin <br />_ _ <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Randle hood <br />Water heater <br />Exhaust fan <br />I Sink service/bar/mo letc <br />Heat um <br />Backaow revenfer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountan <br />_ <br />Refrigeration <br />_ <br />Floor drain <br />Woodslove <br />_ <br />Grease trap_ <br />_ <br />Ducting _ <br />Roof drains <br />O;nar <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Other <br />Numoer of Hains <br />Other <br />I hereby r My that i have read and e.amred 1h IS app,uteh and know the same In be 1me and correct NI pro ,bons of Laws nrl ordinances govemng Ihd Type of wed ion be comp <br />e wd hn,ro or not The p'wing eta reime "a nol presume to give auiholtty to next, M tamml the proviswr of any Omer Nate or kNa law regulating wristmoon <br />Thai .rauvi ny I- ow MOIMmpmpenylopedorm Mew lorwhchsppsulm dinette and l umply vwMine SIMe Contractm Law 1e 21 RCWend 295200AWAC <br />e <br />dWKTlff <br />S.2S• S <br />A`dhonred Agent Signature Date (Revised 91014) <br />u I /z <br />CAM <br />