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• • <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRIN ILER/DEMOLITION <br />CITY OF EVEREIT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-25"-8810 I-AX 425-257-885 www everettwa org <br />/h —ly—lu <br />SITE ADDRESS: <br />IS q sr - <br />PROPr RTY Tax <br />P RMIT O`O r <br />LEGAL Im nn:v urlmn Snnd Mausund,v !o lanach co <br />v of(mon9 rogai dr pfon) <br />OWNER a G <br />PilermrFdnnll aJ 4 <br />,, <br />Address a109 2u.5.(Q1 <br />CIIyISNte1Lp t <br />A- Q <br />APPLICANTXUNner Owners Agent Contractor Contractors Agent _ Tenant lnmtpm,de <br />an. amnlen aan vw oenna m.on ntn. w+..,� <br />CONTRACTOR Q UJ rl, eT <br />Stale I tc 0 <br />City Bus Lie a <br />Address <br />phonelEmall <br />TENANT BUSINESS NAME <br />CONTACT -FOR PERMIT S/iM <br />MtonnlE-mad 7LIii <br />n r 1 k 1F <br />rlSo rn P'F Ljirt <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />Existing Use of Budding _ _ _ <br />Proposed Use of Budding Ga <br />Bulldl 19 type 1z Single Family _ Duplex _Townhouse ,_ Mulb-Famdy _ Commercial <br />Type of protect New Addition Remodel Repair T I sign Sprinkler <br />HEAT SOURCE <br />Llecttic Jmer <br />Demolition Charlie of Use <br />DESCRIPTION OF WORK (sddJNinal space pmndecion the beta) <br />tcw(t -FbAA efec to 5qS <br />r\ew -1rnare } ww h <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PEJIIMIT <br />APPLICATION <br />Typo of Protect _New __Addn XAltarallon _Repair <br />Show Number a n orfinua <br />Type of Project: —Nm _Ad <br />Show Number <br />_Alfantlon _Repair <br />of (idums <br />A/C - au handling units <br />I <br />Todel <br />ror .d Olt 5v4tems <br />113allitilb <br />Gas p,ping <br />Laval <br />waeh basin <br />Water healer <br />Showitt <br />Gas fireplace <br />Kdch <br />n sink B disposal <br />Gas ran a <br />Dish <br />Sher <br />Clothes dryer <br />Cloth <br />s whiner <br />Rancie hood <br />Walej <br />healer <br />Lxhaust tan <br />Sink <br />en,tcelbarlmo lelc. <br />Heal pump <br />Back <br />w reventer <br />Unit heater <br />Unna <br />Boller <br />D ink1 <br />Fountain <br />Refrigeration <br />Floor <br />ram <br />Woodstove <br />Greal <br />ba <br />Duclina <br />urns <br />Other <br />qoed-, <br />SPRINKLER SSUPPRESSION SYSTEM <br />Number of Heads <br />Other <br />I Wehy reney That I have mad aM erampld III.% appeetwn We know We same to hh true ano Cmmn AO prov'srons of laws And idmnrns govemmg lhn type of "A we M Comp <br />,wth NhPlhlr 4Mrdwd herein Or n01 The gamine of a cre m+ eves na pmsumn 10 g,vP authom r to va4s1P er Well the mowtwn 0 any othw Starre, local lw wer mnnrutlnn <br />that I am Gain 0y mo ewnet of Iha prnpe 10 pPaOrm the wdia ter rmen arip"'en n maOe end I rnmpty win the Slash CO odm L aN 1e Ty RC W ems aae pbOA WAC.. <br />Ownarl 11,0111fildt <br />aunt signature/O /� IP (Pewsed 9,7014) <br />9a/f At <br />