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Pf MIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett. VA 98201 425-257-6810 FAX 425-257.8857 www everettwa erg <br />(,-17�IS <br />SITE 6DDRESQ '! _ <br />--n,w <br />PROPFAW TAXe <br />U <br />.EGA[[ (rd CansrntJ:en Short Ph roubd,,,m Leltio_ (alneh COPY of long legal descnpl,W) <br />OWNER I' <br />/-__ <br />PIa NE nml <br />Address 5 �' w <br />CltytSleldZO 54J 0 AA 7M 1 <br />APPLICANT•_Owner Owners Agent 7111clar CdnVaClaa Agent _7enam tnvv rad..twnd:arwc�bnh„w..�e ee.r.� - <br />CONTRACTOR _ t' 9late Lie a eyaus Lc <br />A7dl", r 4 Q_I 1/V 4.�.d Ph6nev:mNI L4 `-{15� <br />12 <br />TFN USIRLS5 AMF <br />_1F4,onq:/E-r"jDa"(2ySW�„�,� <br />CONTACT rON PERMIT <br />BUILDINI, HERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />E rtahrg Use of ut do nS _ NEAT SOURCE. <br />Proposed Use of )wilding fiat Electm Other <br />80dingtype Z,single remay ^Duplex_Townhouse _MuI Family _Commemlel <br />!Typeof ro Ct: New Addition Remodel Repair T.1 Sin Sprinkler Demalitton Chance of Use <br />DESCRIPTION OF WORK Isci mmal spece pm mead en the beck <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />TypAol Prn,w.l __New _Add, _ Alt,otwn_ _Pepe,, <br />ber let offiywvs <br />Type of Pro^1 -__New_ Add. _Altaralior, _Raper <br />Show Number la/of exrures <br />/C —air hal'AI ng urlds <br />TodefForced <br />R INN <br />Lavatory wash beam) <br />_—Shcw.tas <br />e:r sydtcrns <br />-- <br />Gas OlMht <br />ater heat:, <br />Flepk�nt <br />Intch n Ink 6 ill sm_es <br />ra e �--� - - <br />DISMyashMloth <br />Clotheswashelange <br />a doer <br />hood <br />imq( <br />Water hooter <br />xheust fan <br />Sihk seMcelbar/mo elf. <br />sAt mkm <br />heater <br />Urmel <br />olley <br />Dnnkm Fountain <br />efn crelmIt <br />Floordralm <br />oadetovouclm <br />Roof drams <br />ar <br />Medical Gas --- <br />SPRINKLER / SUPPRESSION SYSTEM <br />_ <br />Other <br />Number of Heads <br />Othef <br />I Mnbr uory I I have nod and CUM" <br />zo APptauon and Indw ee ume la ba pore and.onaru. Allpmraroas or Via,ape anbann, g.,,wwnp"We orvrore ra ti mmp <br />wlh whahet haenarnol The 0n102 of a peml dael col pres,me to a,@a, harry la vetee or canal he pmvtaon of any alha state a, Im haw n7,18mg mn,auumn <br />That l am sa on by lha ownv of inn Penperly to mfmn hd war)lw"ch aapluum a maxi and l oomph Ado we$',I, Conln[nn I" to aT RCW and 296 IWA WAC <br />cal i I — <br />O"ertAumor zed Agent SIon alure pate (Revised "014) <br />