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t f <br /> i <br /> 5 <br /> PERMIT APPLICATION <br /> WiLDIN *,CHANICA LUINIBING!SIGN/SPRINKLER/DEMOLITION <br /> CITY O EVERETT PERMIT SERVICES <br /> 3200 Cedar St, Everett, WA 982019 425-257 810 FAX 425-257-8857 wwwr.evereftv#*a_org <br /> SITE ADDRESS 3zZPRDPE7T5AX# PERMrr* <br /> o Z <br /> o <br /> LEGAL fwbew consbvdlon: Short P1at/subdh49io Lot No_ (attach mpy of tong legal derrsiptipn) <br /> OWNER <br /> �7c_n Z&oT 3(l 1 7 <br /> ddress f'L( W 0C) I Z 41tY/6trRe P ///A <br /> /tPPLICAjiIT=_tJwner _ tJwntey Agerxt _Ctx7tr ctor _Cor odor's Agent r Thant(mvstprvr5do tetlerormneerufiemthe owrArta 4ororic ttro svxa) <br /> CONTRACTOR, ami v-v ` state Lia t Gclf� y ci Bus.LO.# D rJ,3 <br /> Address t UU (C��LY 1 �d b Phnr> Jna (jQ /�- -68F � <br /> Ttf404 [NESS NAME <br /> CONTA�7 FOR MMIT <br /> a_C v <br /> Pharw!2-maii <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> i <br /> EXMing We' of Building HEAT SOURCE. <br /> Proposed Use of BuiklI Gas 1'*tric Qthw <br /> Building t —Single Family ^PuplsxTownhouse Multi- Burly �rntnerCiat <br /> jypeqfpr�ectNe4v Addltion Remodel R ir' T.I. Stn S rinkler Demolition Change of Ilse <br /> DESCRIPTION OF WORK(addfebnarspacaprovidedon the back) <br /> J �,j <br /> MMHANICAL PERMIT APPLIC TION PLUMBING PiERMIT APPLICATION <br /> Yype of PY*ct �New <br /> __1ddn ____AtterBtipn__}i tr Type of Frqoft —New CIdn Attersffon_Repair <br /> SirowAtunrbtar ofRxiuras ShowlYmnbiw ofS:bexis <br /> A/C- air handlinQ units i Tollef <br /> Forced air systems t Bathtub <br /> Gas Lavato Wash basin <br /> Warr hRaw i Shower <br /> Gas fireplace tGtehan sink$tfi l <br /> Gas mnneDishwasher <br /> Clothes d er ( Clothes washer <br /> i <br /> Range hood <br /> vVatar hater <br /> Extraust fan Sink Sarlriawfbaximo atc. <br /> t Heat pumpBackflow reverter <br /> Unit heater <br /> Urinal <br /> Bonar Drinldnq Fountain <br /> i <br /> RefrIgeration <br /> Floor drain <br /> Woodstove IGrease trup <br /> i Duct! Rtsofdrains <br /> Qther Medical Gas <br /> SP. INKLER/SUPPRESSION FY$TSlIIl1 Qther <br /> Numbar of Heads � Omer <br /> I herany certey afat F hrwe read anti examined mt8 i <br /> �,__�.-I apyraration acrd IvrtYY+the same to be trva an d GoliHct qp lxoviebns of talus Ana orCtrlantxt gaveming this type orwark w8 he cvnO <br /> surer�t�"�tt�or not-M.gom 9 of a MW am, pr.M-to give 9Utrt"to violate ar=wl the ytslm of <br /> 1 i a by T owner US prupertyta perform trio W WhiCtt Bon t�ojm�adde and 1 m � �Oltlt:r Sffitc 9 totes EaW fs�ttta100 t WA.G.c8orl <br /> l` n+p1Y vath the Sage CoiN�lrtora Iaw T9�7 RCW t�1q 2B9.ZOO�A WAC. <br /> Ownlar/Authorb:ed Agent SI9>;►ature {g <br /> (Revised 912044) <br /> i <br /> i <br />