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0 0 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE <br /> 3200 Ceder St., Everett,WA 98201 426-267-8810 FAX 425-257-8857 vAmeverettwa.org <br /> SITE ADDRESS- Fie, Pttt)PERTY TAK# R <br /> 3c3 t . a'hvdav :98r «°a �Q <br /> LEGAL for new canstructfofl: Short Platlsubdivislon Lot N'o,:.,,�„„„b, (attach copy of long legal description) <br /> OWNER &COV61 Phone/&met1 _ <br /> Address "4. citylsta rzip -f--A% , WA 7,81;2- 4 <br /> APPLICANT;—Owner �Owners Agent Contractor ____ ontractor'sAgent �Tenant t t Rovid.a ge"arof oommlfmmtheownertodo"rKmtho l <br /> CONTRACTOR dr� + !7' lFtf ,¢f tt C State Lic. t WeWS M I City Bus.Lits.#5'16-0:25 —("f& <br /> Address tGl`ii qT P .(tc Phpnefernali 2oeo— 3 6q -- 11 00 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT � �VAA <br /> Xor Ilve, Phones-mall v2�& 57 S-0— B-7 13 J a#v"r"7- <br /> BUILDING <br /> .IL I PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> 0oo <br /> Existing Use of Building_fit tt ca u t r-t HEAT SOURCE, <br /> Proposed Use of Building F­. Etas Electrle <br /> w Other <br /> Building type: —Single Family:Duplex—T6wnhbuse _ Multi-Family ,,,Commet lal <br /> T of T eot: New Addition Remodel Repair T.I._ S n_ Sprinkler demolition ­Changie of Use <br /> DESCRIPTION OF WORK g(arddtticrraat space provided carr the boo): <br /> 2 { <br /> I i''t�s�;'.!F� o4' ��'�'aE x,, t�!'`� ,�'�:. '�..s 1,3 :<�� p�"�;•<.Z� .�::�a,4-v t a S'll'•;V! el rawt f'.r 3th°>?W.„. t-.) T'u- e�ar <br /> l � � <br /> f k S 6//0/Yems. of -^f -rloo, 't -0,�-t. <br /> EcHANICAL PER MIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: .,Now_,_,Adds Alteration Repair Type of Project: New,_,Addn ' Alteration_Repair <br /> Show Number # of fixtures Show Number ff2 of fixtures <br /> A1C--air handtifl units Toilet <br /> Forced air s stems Bathtub <br /> Ga*piping Lavato t�eah basin <br /> water heater Shaver <br /> Gas fireplace Kitchen sink&disposal <br /> Gastanoe Dishwasher <br /> Clothes d er Clothes washer <br /> Ran2e hood Nater heater <br /> Exhaust flan intC service/bardrr atc. <br /> Feat pump Bo"ron revaarlter <br /> Unit heater urinal; <br /> Wier Drinittrt rounl <br /> afri radon t Floor drain <br /> ­4[podslove Grease trap <br /> Ductin Roof drains <br /> Qther Medical,Gas .� <br /> SPRINKLER 1 SUPPRESSION SYSTEM Other. <br /> Number of Heads Other. <br /> I hareby oertdy that I have road and examined this application and know the some to tnarr and correct,All provisions of latus and or+dirtonces governing this type of work will be camp <br /> with whether specified herakr or not.The granting arts permit does not presume to give aWhorky to vlotato or cancel the provision of any other state or local law regulating construction <br /> That t am authorized by ttta iter or this property to perform the work for*(tach application Is made and I comply with the state Contractors Law t B27 ROW and 298,200A WAC. <br /> 11� I;144110 <br /> Dvt14 <br /> "Authoriz gent 19natur0 Date (Revised 912014) <br /> c„, <br />