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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBIN G/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 /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> v SIiF ADDRESS III( go,.,1 +5w vino ISO PRROPERIY TAR(30q�DOI QD TAI 1PERMIia�C• Q <br /> LEGAL t-'^ - ,(:I'ojln SnOn PlaVsubdnls,0o 1_ Lot No__ latta[n Cupy Ol io.g leydl 0nscnllG��norvJ <br /> OWNER QI'h(, Pune E rt•ed <br /> armnss <br /> 101g 9044 S+ Sul Onylsfafe2ro VQf <br /> APPLICANT _Owner _Owner's Agent _eColaraclor Centratfors Agnnl ienanllm,npro.au vies.pr anwaeen me a.n.'ata.....,IN via<.� <br /> CONTRACTOR•� / 1 oAr•� lAe <br /> d_[AIA <br /> L 6 I Llc If1, Sri COE Bus L,c #0 37,4 7 <br /> 41 <br /> A00rCss 3Zo 4 (,., T /�/C I [{I Q OIiZ phone/E man -1 Z,y - 2 r I — q8 0 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> gra� sMofaniC phd � - -( -d <br /> BUILDING PERMIT APPLICATION ICONTRACT PRICE OF WORK Cf. 400 _ <br /> sc n.)Us.. B..',,Iia__ _ _ -- _-- . -_- I NEAT SOURCE <br /> Proposed Use of Building I Gas Electnc Olhe,__ <br /> Buildingtype _Single Family _Duple._Townhouse _M1hdli-Famlly _/Commercial <br /> Type of project. .New Adddmn Remodel Repair T I Sign Sprinkler Demoldron Change of Use <br /> DESCRIPTION OF WORK(eeda,onal space pmv,ded on Ind eats) . I- <br /> I rt jGnS.rl ,/i+{ (j Qlr <br /> Znl+all (2) 3 • -I�dn DkL.�-lets sPli•1- L OI y� <br /> tAn -k Ori J of L <br /> hanJl nq "n�4"t L.M J h pl,rpc. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of proles 1•New_Adds _Alteuhon_Rep.-, type of project New_Addn _Alteration_Rep.,,, <br /> Show Number(e)of fixtures Show Number fa)of natures <br /> NC-au handling units _ Toilet _ <br /> Forced airs stems Bathtub <br /> Gas Piping Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink 8 disposal <br /> Gas ren a Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water floater <br /> Exhaust Ian Smk ser ncelbar)mo fele <br /> Neal purrip Backllow pievontat <br /> Unit healer Urinal <br /> Bo,lor Drinking Fountain <br /> Rein erallon Floor drain <br /> Woodstove Grease Ira <br /> I <br /> DucTno Roof drams <br /> fill,.•• 6-11 S )i Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other. <br /> Number of Heads Other <br /> I nerebr 11,16 Ina) nave read and!.amines'MIS app.opon end/non Rr>mne to be ups ane<aneci Al'prorntoes of Is"and Crd.0ii 90re1nng Pe 4 P 01.06 wa be aoniprad <br /> 'nrhw mal Spectral wMeno.mot TraggningofapNmiidixi presume 1091.!aLLAWtly to rOdie or CnnGol the pRvrlCn df Any eider a,aie dr b(ll pn re9u41mg conuroU9n <br /> 111..1 I am aumnrded or in.ii of It property to pedmm me"A lot shah app4akn is made and I cannot,wP Inc SloseConlrai i is t/ACw and 396 200A\YAC <br /> O ufholrted Agent Signature Dale (Revised 6/1017) I <br /> � L <br />