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� ' ��:�ab�G�� �a�����'ad�����i�� <br /> ���D�..R�@�9�������19���.I ��_�9641a�1Y�� I ���i� /�`«�P�E����1 ��V���Y i���� <br /> CITY OF EVEREI l PFRMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> ����E��' ��`�� eh&����Q'�1��7 <br /> . ..�JECT 51T�A+DC)F2Z�Z4' ►�l''�'' -}fee+ �V�retl �°�o�'�RTv�-A�c#:(� 5 1 D010) 2 D <br /> LEGAL for new constructio�i: Shoit Plat/subdivision__ Lot Na_____ (attach copy of long legal description) <br /> ��t+�"�'WC'�' Ofd�ORPdB��a�$�9 <br /> OWiVER NAME: ��(11 S T� TENAV�T iVAME (If Commercial): <br /> OWNER iVIAILIIVG,4DDRESS: sri�E_E.r 2.SZ LF' J�� �e� <br /> cri;_ 1�'���'� srni� � �i� ��2Q <br /> 011ll'NER Pf-40RIE: ZU(p• 2�' �j�'v� OWI�ER ENiAIL: <br /> COI�IRACTORNAME; (� q- N�}e �I�Mb�r�q -�- I-�fa-i-�n <br /> co�a�RAc i ora Aoo��ss: 5,���-, I�lQ I �- 1 �"�' ,4��e <br /> ��,�� L nnw� � �«,,� y�ff� z�� �8v3�- <br /> COfV7RACTORPFiOPJE: 'T2'�j. �--�• (��—(p COPJ7R.�CTOF2EMAIL: @ C�GI G1,Yl�t(1� fc-•�e-+ <br /> COB�ITRACTOR LICEfVSE#(REQUIRED): A N�-PH —1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): v�� �� <br /> PRIMRRY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACTNANdE:��l�� •��G� � f-'f COrdTACTPHONE: 9.2CJ.�.�lj • (f��—(pG�.- <br /> _� <br /> `�G d N;�-e. t�lv Mb�;� -4. H e�-�-t r�y corJrae-r Enn�,i�:'�r c�r'�G� cl c,,�d/�i�2� /'7�i�- <br /> � BUILDIWG PEIRMIT/APPLICA710N <br /> ting Use of Building: Contract Price of Work: $ S"� <br /> 1��posed Use of Building: Heat Source: as ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached SFR-Attached ❑Duplex ❑Mul'ti-Family�/#of Units: ❑ ommer � ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DE�R�I P�iOCN�CO�F W O�X r,,.���q G Gl S -��-n!ti C..Q. l,tJ� T Y 1 n�� CJ�U S ��- <br /> � 1 J <br /> �o n e.w 9 u.,S (�c��y. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLIC/�Y'IOIV PLUMBING PERMBT�iPPLICA'f101V <br /> Type of Project: _New _ Addn Alteration _Repair Type of Projec4: _New _Addn _Alteration _Repair <br /> #of #of #of #of <br /> Fixtures List of Fixfures Fixtures List of Fixtures Fixfures Lisf of Fixfures Fixtures Lisf of Fixtures <br /> A!C—Air Handling Units Heat Pump Toilet Backflow Preventer(lnside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boi�er Lavatory(Wash E3asin) Drinking Fountain <br /> Water Neater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink& Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clofhes Washer Medical Gas <br /> Range i iood Water Heater Other: <br /> Exhaust Fan Sink(Service/Qar/Mop/etc.) Ofher: <br /> SPRINKLEFt/ SUPPRESSIOPI SYS'fEM <br /> Number of Heads <br /> • ":!�VI F_DGF_MEN!'. 1 h�iv�:i��viewed tliis application and coniirm t(�e information contained he�ein is true and correct. Wor/c done pursuant fo f,his p�rnut must comply with <br /> ueral,state, and local law. The granrrng of a pennit only authonzes approved worl<and no deviations therefi�m.Deviations must iirst be aunc�n�ed in�r✓riting from fhe <br /> y,��fir,ial befae being authorizecf under anV ciroumstance. 1 am ihe ov✓nei; or 1 am authorized hy tl�e owner of this prope�ty to perform fne�✓orl<;oi whicli applicafion is made, <br /> �,i,h vrith t/ie StatF l.�n�r,� f��5 L�':-�. i�3_27 RC�� �rjnJ 296.200A lN/aC. <br /> City of�verett Oiflcial Use Only <br /> l o ��� l� ���� � C� <br /> � <br /> Owne'r/Authori - gentSignafure D>iio (;Zavisedl0/12/201.5) <br />