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PERMIT APPLICAT90N <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITEADDRE55: PROPERTYTAftp PERMIT i _� I <br /> LEGALfornewconsimction: SnonPlavsu�arvision�SCG.C,K. Q(�2�1 LotNo. _ (auacncopyoflonglegalEescription) <br /> OWNER J�aRISZ \ �>U ��C, k-lo�nA�S Pno�e�E-ma��i qzs ci53 - ZE'�Do <br /> naaress 1 Lo S W rcJ42uT WVs�c..� .i��S�i'o cnyisu�e�z�p�Z�� (,.q , �igZG� <br /> P.PPLICANT: Or�ner OwnefsFgen� ConVactor ConvactofsFgent Tenant�m�mproVlcasiai�roim�savirominaow�anoeowominmas��i <br /> CONTRACTOR J+C�.RL.FL_ \f�.l=� �S State Lic 715�ArPH OoS V City Bus. Lic HIip3—z4 Jto�+ <br /> FEEress S��/�/1� PM1onelEmail <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT �DyyN UZ,q Vyy� <br /> PM1onelE-ma�il �'tZ5� 35 � � `��� Z <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK .0 <br /> Existing Use ot Building HEAT SOURC E: <br /> Proposed Use o(Buildino �as � elecvic Omer <br /> Buildingtype�. �SingleFamily _Duplex_Townhouse _Multi-Family _Commercial <br /> Typeo(project ✓New Addition Remotlel Repair T.I._Sign_Sprinkler_Demolition Change o(Use <br /> DESCRIPTION OF WORK(additiona�space pmvided on rne back): <br /> \3�S ,L �� �Aiv S.;t3�.i. � ���, � (fa58�) <br /> MECMANICAL PERMIT APPLICATION PLIIMSING PERNJIT APPLICATION <br /> TypeofFrojec�: �New_Atltln Al�e�a[ion_Repai� TypeofProjec�✓ New_Atltln Al�e�ation_Repai� <br /> Show NumJe�(M)o//ixfures Show NumOe�(M)o//ufures <br /> Fl/C-airhandlingunits I Toilet <br /> 1 Forcedairsystems I Bathtub <br /> c� I Gas piping q Lavatory (wash basin) <br /> � Waterheater ' Shower <br /> Gas breplace Kitchen sink 8 disposal <br /> � Gas renge i Dishwasher <br /> � Clothesdryer ' Clotheswasher <br /> \ Range hootl � y��—�dY'at'.s.heater' <br /> l E i Exhaust(an I Sink(service/bar/mop/etc.) <br /> ' Heatpump � Backflowpreventer <br /> i Unitheater Urinal <br /> Boiler i Drinking Fountain <br /> ' Rehigeration �� Floordrein <br /> Woodstove ' Grearetrep . <br /> � Ducting q ' Roo(dreins <br /> Other ' Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM other. <br /> Numbero(Heads � Other: <br /> I M1e�eby ce�ify Na�I M1ave�eatl antl examiretl�Ms appliw�ion antl krow Ne same�o be Vue antl co�red.HII p�ovision�s IN la'rvs antl o�tllnances go�eming Nis�ype IN wo�k will be completl <br /> wiN vdirlM1e�specfletl M1ere n a not.The grenting M e permlt tices nM premme to glve eWM1orlty tovlolate or cencel Ne pmvlsbn oleny oNer ztete or rocel law regulating conzirudlon <br /> T�a11am Non tlEy�O ne� f�M1 p�opetly�oDeRo�mtM1ewwkb�wMMappllcalionlsmaaean4lcomplywXM1NaSfaleConVatlo�sLaw194iRCWantl496200hWhC. <br /> � � (�!-�i �_ 1\-� - i `1 <br /> 0 rlAuthorizetlAgentSi naWre oate � (Revisetl.Y2o13) <br />