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os�isizoi2 io:a� eas , �ooi <br /> � <br /> � PERIIAIT APPLICATION <br /> .DING/M�CHANICALIPLv MB�P�RM�iGsERPRIs KLERIDEMOLITION <br /> - cmr o <br /> �- � �� 3i i <br /> 3200 Cedar St., E�ereriAP L cAT ON8 ARE ACCEPT D FR�a AM 70�PM57—�everettwi.o <br /> S/ p naovExrrr�x« a - <br /> SITE ADDRE88: 5 <br /> , Lol No,__ (atted�roDY of lonp kWel daeulp�) <br /> �Gp�iur nsw cOnstructlon: Shoh PlaUsuDdlvlsion <br /> phonelE•mall <br /> OWNER <br /> Clty(SUte21P ' <br /> ���. , � ossPA <br /> ��,,�;�.� W[ M / a�� <br /> CONiRACTOR Pnona�Emall ���e�� <br /> AOdres! � <br /> TEN T UB�N �E Cls 75y� �r� a/S� � h 0• Ld <br /> � e`. R���r �(��1,� Pho^CIE-mall r. <br /> /7 <br /> COlITRAC4 PRICE OF WOI� <br /> BUILDINGPERMITAPPLICA710N �r �� HEATSOURCE: <br /> • {/AGAs- <br /> E�eNng Use of Building Ges F.bctBc Othar <br /> �Q d�r �"'>� -- <br /> Proposed Uae of Buiiding�__� M���_ramily Camrnerclal <br /> Buiiding type: _Single Femily �puplex Tawnhouse � / <br /> Type at pro�ecl: _Naw ,_Additlan itemoJel r.Repeir x 1.I._Sign Sprinklar_.Demolltion_Chenge of Usa <br /> Deecription af Work(sadifionel specep�o��dad o^tne Deck): pkl�C�� �/��/� G�Q�l�S /9N0 <br /> �JI tiUS�Rs F'viC �/Ew �C/L�N6 L/�''1�vT <br /> H�ve you eu�Mrurlcing wlthout a psrmlt7 �.YES .�t+o pLUMBiNLi PERMIT 4PPLICATION <br /> MECHANICAL PERMIT APPLICATION <br /> Typ�olProJKt• ^�Mw�Addn ^AlUntlon_RaNlr <br /> Typ�ofPro�i�L• _N�w_Addn ��a�ed°^—R�palr g�pwNumbM(rlafflxW�s <br /> gryoWNumbarlW o/fixNrM Tdlet <br /> AIC–air handlin units Bathtub <br /> Foreed air s alems Levelo wash besin <br /> Gas ' In Shower <br /> Water heater Ktchen sink 6 dls sal <br /> Ges fire lace Dishweehx <br /> Gee r� e Clothea waeher <br /> Clalhes d er Waler heatar <br /> Ren e hood Sink aervicelber/ la�c. <br /> �xhauetfan gack�tra reventer <br /> Heat utn Urinel <br /> Untt hearor DAnki Fountain <br /> Boiler Fbot d�ain <br /> Ref eretion �d6e Ve <br /> � Woodatove Rootoralnn <br /> Duain Medical Gea <br /> Ott�er <br /> SPRINKLER/ SUPPRESSION SYSTEM other: <br /> Olher. <br /> Number ot Haeds <br /> I haieuy certiN that I heve read and axomined thls appllcatio�and knoW�name to be trve end co�rect N�Drovlalona oi law�a�d oMlnances povem�n0 <br /> N�a type o(work wuI E�compi��m��her apeUllad harNn or nol.T1+e prenl�n0 of a Va^nu dooe�P�a�'^e to plve wthoMy to vlolote or cencal <br /> tne provi�lon of eny otiiar etaro or iocel�aw rap�iatlrq con6l+ua�on or lha partamanw o(�onitnKtlon,That I am autbarlLd by lhe ownar of UI�prvpenY <br /> to Pe�form tha work for wbi DPIIcaPon la ma0a and 1 comWY with Uu State Conlren�rs l�w 18.27 RCw end Y96.2W WAC <br /> � Date (WvIseQYIUf 1) <br /> pwn�r/A�lhorls�h Ap�ntSipnaWn <br /> _._ I I� <br />