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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SI , Everett, WA 98201 425.257.8810 FAX 425.257.8857 anew everettwa orrl <br />SITEi DDRy Z N CL �, 5 ' nPERTY TAX-N <br />FERfA T o _ n o� <br />LEGAL our new ednvaicit a snarl PlaVsubdlvis,oC. %A6 l A2-ly-- tot No•L-1 (atla:h copy of tcng•r;u�Gde:.;r tex . -- <br />OWNER FLIT L-CG 1 'r.1�Lu l-I(— `- 0M �S 7TphonvIE <br />mill q2S <br />�ddcss ('L.p S ,/ Lvyr LIL M ` ti♦ <br />City/Slate/Lp EJE'rcl 7 WA Q1�62G <br />APPLICANT: U,i%"t Owners Agent Conlrecto' _ Contractors Agent Tenantnecr.v`.,w two) <br />CONTRACTOR, &A.k'-TLL L1XL%,t-tL v-S <br />Slate Lie City Bus Uc N(pe3 •L <br />--._ <br />''jl'es+ SL1vWCc- PhonefEmad SAAAi�- <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT c <br />Tc14 N CPto JLC^I. <br />frhone/F mail 47-1i 3`� G - �L� L <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />I xsl.n3 Use or y,,,,y,g _ ._. HEAT SOURCE <br />Proposed Use ofButldmg___ _. Gas _n_ecmcother_ <br />Budding type _✓ Single Family _ Duplex _Townhouse _ Multi Family — Commercial <br />T pa of pro ect ✓New Addilw, Remodel Repair T.I _Gil ;; rF ^ rh •r, Cnange of Use <br />DESCRIPTION OF WORK,a d,?ronarspacenovldedr,,thf, ,K' n � I I) oDO. I <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type or Project! _ _ Nrw .__Adnn Alto Talmo _Rnpau <br />Show Number q of f/afures <br />Typo of nrojoct !•_Now Add, _Alteration _Rpp.ur <br />Show Number is) of fix (ores <br />ArC -air handling unds <br />To lEt <br />I Forced au systems <br />_ <br />_ ! Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />I Water healer <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />1 Gas range <br />Dishwasher <br />Clothes dryer <br />i Clothes washer <br />I r Ran a hood <br />Exhaust Ian <br />I Sink (servlcelbarlmoptele ) <br />_ <br />+ Heal um <br />�-- Back lbw preventer <br />Unit healer <br />Unnal <br />Boiler <br />Drinkm Founfam <br />_ <br />.� Reinelation <br />loprdram <br />_ Woodstove <br />— Grease Ira <br />i Dueling <br />I Root drains <br />Other _ _ <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Number of Heods <br />i Other <br />'iE <br />r hereby cee,fy Ihat I have read and eraened Ihn eooacman an0 he" the same to be true am canna An prowuent of laws and amhaeeet goatrelny Ihy type of wink we be aomplel <br />wdh weever soec✓lled herein of not Trio granting of a perm, does "I prewme IQ 9" Nlharay to vkeate w cmcol lee prwe,on of any nhar stab a aVl few regulating corvyWw <br />t eatla� aIued�the ow". at tors property to pen let work fawhade appbrebon n mane and 1 con"vAh Ne Stare contractor, law la 71 RCW and 2% MA WAc L <br />W!///I <br />Ow NAuthonmtl Agent Ignature Dare (RevrsedYldt31 <br />