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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 425-2E7-8810 FAX 425-257-8857 www even twa prg <br />rp -15 <br />SITE ADDRESS: <br />✓� �I/ <br />paopEAtr TAX a <br />"RM • I <br />J <br />LEGAL for newconstruction Short Plat1subdmsron Lnt No i (attach copy of"legal descriplion) <br />OWNER 4/d' Clp <br />Phone)E-mad 4'Z. ! 7y - 0T <br />Acdmss / r/G Z q n 4,w A,G- <br />Chf/Slaleft �' ��✓r. %t/ 9p-oo _ <br />APPLICANT:_ 0wef —. Cafn s Agent __Co^'raclor - Contractors Agent Tenant-..,•r,..n..e,:..,+.-..r.,-,• <br />CONTRACTOR <br />Slate Lic N Vsf 000I7) f City Bus Lic p <br />Address 7G ~ �✓ f�el,..y . ,•/1 <br />1MoneJEmad G/6 <br />TENANT BUSINESS NAMMMJJE <br />` �!/ V I C'.•C Ci <br />CONTACT FOR PERMIT <br />pnnncr n,a� '(iL `' J%i <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />Existing Use of Building HEAT SOURCE <br />Proposed Use of Building_ Gas Electnc Omer <br />Building type _ Single Family _ Duplex _Townhouse _ Multi -Family :i�-Ctanmercial <br />Typeolprolecl New Addition Remodel Repair T I S' n Sprinkler- Demolition Chan a of Use <br />DESCRIPTION OF WORK (addronalVanpmydedonthe back) . / <br />InSl �/� lJp� ello 4'.k7� v A,P/a It-i'• i i�✓�fII c., i`r <br />rv <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project _New _Addn _Alteration __Repair <br />Show Number of /Inures <br />Type of Project. _New _Addn _Alteration _ Repair <br />Show Number a of fixtures <br />AJC - flit handling units <br />Toilet <br />Forced airs stems <br />Bathtub <br />_ <br />Gas piping <br />Lavat wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink d disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />_ <br />Water heater <br />Exhaust fan <br />Sink semcelbar/mo felt <br />Heat pump <br />Backnow reventer <br />Unit heater <br />Unnal <br />Boiler <br />_ <br />Drinking Fountain <br />Refrigeration <br />_ <br />Floor dram <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other _ <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other <br />I hereby dvbr/ Mal I have mad and esamned this app" on and know efe same to be bun and mrmd Ay provdea6 of kwI% and mdemPoeM gdvemmg mr% We of work as be comp <br />we, whelher specified hemp W not the gran4ng of a permit doe%not I msume to am@ authority to •able or olnul the pronton of any olher slate W 1r flaw regullong mnslmdon <br />That I/am'aum�o/coed M"ix, n�ma, of the pmperh t pedrmn In work fa whdh 7"catIan n made and 1 mmpM wiei lie State ConeadmS Law la 27 RC W and 796 700A WAC <br />OvmarlANh red Agent Signature a (Revised 912014) <br />