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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGN/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 />SITE ADDRESS: 1 0 -Z3 gil SC <br />PROP[Rty TAX a <br />171110 <br />LEGAL lot new construction Short plausubdivision _ _ _ _ Lot No _ (aril-.h copy of long legal de- u,ptanl <br />OWNER (ZA(V Piz. r✓141" V' <br />Phone+ mail _ <br />19 !�'�� <br />Address I c�Z3 r$5— <br />Cd /State7Zi <br />r p Gv4 <br />APPLICANT: Oviref —Owner'sAgent _ Conuaciw Conuaclors Agent Tenant limn mowdaaienermmewm uwn re vwrarameasndw tp=. <br />I 1 � <br />CONTRACTOR `eLPA lA—) nU r _ <br />Slate Lic >y -� 071C.(oCn Bus Lac d <br />Address LNG i 'LL7 d �G b," 4� J i q IIcxn PhonerEme :, 7 7 <br />TENANT BUSINESS `LAME <br />CONTACT FOR PERMIT <br />20(o - 3LO -%5 5 z <br />Pncne'F-mad <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />HEAT SOURCE <br />L. st ng Use of <br />Proposed Use of Building Gas Elecire Other <br />Building type y- Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project —New Addition Remodel Repair T I _- Sign Si iinkler Demolition Chan a of Use <br />DESCRIPTION OF WORK (additional space provided Onfhe back) <br />RP rc,,A�Al) Jgl,.,6 to P'�P� t4e - <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _Now _Addn _Altdratlon _Repair <br />Typo of Project: _Now —Aida __Allaratlon __ Repair <br />Show Number (a) of fixtures <br />Show Number (0) of fissures <br />NC — air handlinq units <br />1 <br />Toilet <br />Forced airs stems <br />Bathtub <br />Gas piping <br />Lavatory wash basin) <br />Water heater <br />Shower <br />Gas fire lace <br />1 <br />Kitchen sink r1 disposal <br />Gas range <br />Dishwasher <br />Clothes of er <br />tI <br />Clothes washer <br />Range hood <br />Water heater <br />Sink servicelbadmo /elcI <br />Exhaust tan <br />Iloat um <br />BackRoW reventer <br />I <br />Unit heater <br />Urinal <br />Boiler <br />OnnAm Fountain <br />Reingeration <br />Floor drain <br />Woodslove <br />Grasse trap <br />Duclm --- <br />Roofdrains <br />Ocher <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Number of f leads <br />Other. <br />I hereby malty that I har0 read and via mined this appMition and arrow the same to be We and Correll AN pmvnons of Ivis and oihnancel govemmg Ims type of won mil be Complied <br />valet irli iher speCirTd Mein Or 001 The granting of a permit does not presvrn0 t0 find dumefdy 10 w0101e a cancel the pfoYdOn Of del Olhef !tall or boost IN, Ieg.wmg CMItNtiron <br />That I am authdned by IN Owner Of In pcpMy t0 perform the work fell w*rtll apph"j,,, is mesa and 1 CClnply sins, Ine Store ConlfMnq Law 10 f 7 RC W and 796 200A AAC <br />(Rowsad 3?0 f 3) <br />