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Jun.18 2013 9'OOAM <br />Ao 0184 I' 3 <br />11 <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PL.UMBINGISIGN/SPRINK LER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201-425.257.8810 - FAX 425-257.8851- www everettwa org <br />APPI ICATIONS ARE ACCFPTFO FROM 8 AM TO a PM <br />SI EADDRESS. f �j <br />PRDPtatrtl bo � I et D� <br />—69 <br />P O�'O�P I <br />LEGAL lot rmiit WMtKCICn Shon PbVauDO vyon Loa Nd� (etuon copy of brig 4ps' AeSenpiion) <br />OWNER C4Y ! <br />Q 0 <br />PhDOCIF-11" <br />CMISlalefz'v u�lWAr 443 <br />Y I <br />Andres, 191O -r VvP/-�4 Ok <br />CONTRACTOR S A��L N� <br />LQILie. N 6-SO G IS ek <br />Addmss r00 � �AJ <br />ON I fMl Z PhenRJEmal,—`O�- <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />DAVr1 glolur+ <br />Phonnfi�myl ZS2'r— <br />BUILDING PERMIT APPLICATION <br />ICONTFtACTPRlCE OF woRx �359, °d <br />Fasting Use of Bw.d -3 AcAke, _ HEAT SOURCE. <br />Wopoaed Use Of Buddl /^e. Gas is Eliatnc_ Other_ <br />7 <br />Building type S,ngle Family _ Duplex _Townhouse _ MuI1FFamily _ Commercial <br />Type of project _ New _ Addition _ Remodel „ Repair _ T I _ Sign _Sprinkler _Demolmon_Change ofUss@ �L1 <br />Descrrpllon of Work (adCdenaf apace Powded an the bad) . � ri'MOVAL' 6Y �, y (S� I Nis OO / A9Z "' `� ` v/ <br />GAS F;J�L4-1 Ac-e,VrAAi1) 1niS4AL-44IoN OF qS <br />Wwo you started working without a hermit? _YLS X—NO /J ""` L' & kS f✓✓v a <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Tym of Prolncl. _Nrw_Addn _Allerallan 111FIRPAIr <br />Show Number of full <br />Type of Ptnlrcl _Nrw_Andn _AIWAlon_Rrpnn <br />Show Number 10) of Arnim <br />NC— air handling units <br />Toilet <br />Forced ads stem; <br />_ <br />Bathtub <br />GAS loping <br />Lavatory wash basin <br />Water heater <br />Shower <br />_ <br />Gas fireplace <br />Rltchen Sink S diS oral <br />Gas range <br />Dishwasher <br />Clothes dDLer <br />Clothes washer <br />Rance hood <br />Water heater <br />Eahaust fan <br />Sink (servl0e4Mrlm r /etc <br />Hoot um <br />Baddlpwpreventet <br />_ <br />Unit heater <br />UnnOl <br />Boiler <br />Onnfung Fountain _ <br />Refrigeration <br />Fknr drain <br />Woodalove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />_ <br />Medical Go. <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />_ <br />Othar <br />Number of Ifmads <br />Other. <br />I nareby fedlfy thal I have read and exom,red this a, pllnabon and knowthe gems to be true arld CAM, All pmrsk)ns of lawl and orainanrns gemming <br />thy type of wpk Will be WrhPCd wllh whelfor Spnbnad hem,n or not ThP granting of o perme dPa not Pelume to gve a,Mgny to "late cr cancel <br />the prmis,on Of any arms, State n krw, law rvputehng WnsOWan or the performance a cor151rucbon. That I am auMonard by the own0r of this "pony <br />h� ,vM th ry for which eppl.ce'Jon Is mMi aflri I eempywthtea Slate Car b. om larw 1a.27 RCW and 208 200 WAC <br />gent Signatura - I Dale (Revised "Of f) <br />::0/% <br />