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PERMIT APPLICATION <br /> BUILQIN MECMANICA PLUMBING/SIGN/SPRINKLER DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St. Everett, WA 98201 425-257-8810 FAX 425-257-$857 www.everettwaorg <br /> SITE,ADORES$, y PROPERTYTAX# p Ff <br /> EAUrirz <br /> LEO I_for new construction: Short NaVaubdiviamn Lot Nn (attach copy of long legal Aaseription) <br /> OWNER �' I �d� O Phoneme meii 2 S - `6" so� <br /> ddmtss �3 ti if+.d°s�'i !l 'mow./ 1:t� CitylStaDa2lA <br /> APPLICANT:_Owner _Ownw a AgerrtCantrecir�r Cortt Ctor'B Agcrtt _TWmr4(meetPm�Evaa Bomaoransrumm ma or.�ereneo,.o� �a apps) <br /> CONTRACTOR city stns_tom_# 057,Y3 <br /> drGSbBr�U �fCh�LY S dL1�► k�, Cl l �� �nor> r�, l 7P- 5 wk E <br /> BUSINESS EPERMIT <br /> ctcU <br /> Phcne/f=!Hall <br /> BUII.OING PERMIT APPLICATION COKTRACT PRICE OF WORK <br /> e� <br /> Ldsting Use of Building HEAT SOURCE: <br /> Froposed Use of Bullding _. - _ Gas Els=c Other <br /> Building type: _Single Family —Duplex Tpwnhouse _MUI&Famlly �....Cominercial <br /> of pmIez New Addition Remodel R air T.I. Sin Sprinkler Demalltlon Change of Use <br /> DESCRIPTION OF WORK(ao2ibnal space provided on the back): <br /> IdECHANICAL PES'Aff APPLICATION PLUMBING PERMIT APP"CATION <br /> Type of project- _New Addn ,Alteration_Repair Type Ot Prolan! NaW Adds Alteration_Repair <br /> Show Number m Ofrocturw show Numbar(g)aftctwrea <br /> A/C–air handling units i Toilet <br /> Formd.airs stems i Bathtub <br /> Gas pfpjng I.avato wash faaeln <br /> Water NE Zd r I shower <br /> Gas lt. dace i )Qchan sink&d osal <br /> Gas rapp2 Dishwasher <br /> Clothes dryer Clothes w9sher <br /> Range hood f Water haaWr <br /> ediaust fmn Sink sel'viea/bar/mo lett. <br /> S Heat 2unip Backflow preventer <br /> Unit heater Urlrtsl <br /> Boiler DiInkirm Fountain <br /> Refrigeration Floor drain <br /> woodstove Grease trap <br /> DucOnoi RORdralns <br /> Other Medical Gas <br /> SPRINKLI=R I SUPPRE8810N SYSTEM outer <br /> Numbar of Heads I Other. <br /> 1 hemGy awiry Mat I RIIYC Wd and oxarairtcid Utis RppkEeon ana know the szms to ba true and carred AB Pr7V4ctorte of Is"and oraftanws gm ambrg thta m3a of worts V4 bo comps <br /> Wfth whether apecmd herein or nut The gnutfing of a 1iffM4 dues not presume to Wrs atoorly to violate or mr­�the Provider!Of auty Other state or tams low reg�cmum <br /> Kuon <br /> That t errr 8{rt}sOr l by tits owner of rhlg proper y to parfona hie work far which apakadon Is masa and I cwan*v&h the St$te Contact=Law 18.27 RCW and 2,M—"I=WAC- <br /> OwnedA uthorlXbd AgontSig pa <br /> (Fi'Hv�8dd 812014) <br />