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Z3\�y —So —`7 <br /> PERMIT APPLICATION <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.evereriwa.org <br /> SITEADDRESS: PROPERTVTA%N �ERMIT# _a <br /> K r� <br /> LEGAL for new constmction: Shon PlaVsubtlivision Lot No. (avanc �opy of brg legal tlescription) <br /> OWNER S�� l�Fc_ t Au�LC_ �u.M�z S Phoneie-man qZ5 �15 3— Z'�c7C:� <br /> naaasslZo J:�c.(T vWw,� �.••A cryis�a��rrP ��S�Ir � �t�ZO� <br /> APPLICANT: ownar ownar'sngant Comracta ConVacta'sngam Tanamim�s�n��aea��o�Po����o-ommeow�armcoworxmrt�spa«� <br /> coN.aac.oa SrzAT�'� 1 Ac�E-.� rlor�nF S s�a�e �ic.u ciry e�s. �ic.u '� <br /> naaress \Zo Sw �zJ qRTr_i'( lM/a� l.W+ Fhoneiemai� LS�) �153- Z-4i�= o <br /> TENANTBUSINESS NAME CONTACTFOR PERMR �V�N �����ad <br /> PnoneiE-maii C/�'ZS7 �S—l�' hGU 7- . <br /> BUILDING PERMIT APPLICATION CONTR4CT PRICE OF WORK <br /> Existing Use of BuiWing HEAT SOURCE <br /> Proposed Use of Buildinq Gas X ElecVic Other <br /> Buildingtype�. �C SirgleFamily _Duplex_Townhouse _MuAi-Famiy _Commercial <br /> Typeofproject: �New Addition Remodel Repair_T.I._Sign_Sprinkler_Demolition Change ofUse <br /> DESCRIPTION OF WORK(additionaspaceprovidedonMebacW: <br /> �3ASiL � 31 �'i -��-Cl <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typeo/ProjecC ,ly�New_Atltln AI[e�a[ion_Repai� TypeofProject �New_Atltln AI[e�a[ion_Repai� <br /> Show Number(p)W flxNres Show Number(p)W flxNres <br /> NC-air handling units Toilet <br /> I Forcedairsystems Z Bathtub <br /> � Gas piping ' Lavatory(wash basin) <br /> I Waterheater 2 Shower <br /> Gas freplace Kitchen sink&dispwal <br /> Gas renge Dishwasher <br /> � Clothesdryer Clotheswasher <br /> Range hood Water heater <br /> Exhaust fan ' Sink service/bar/mop/etcJ <br /> � Heat pump I Backflow preventer +- <br /> Unitheater '� Urinal <br /> Boiler '� Drinking Fountain <br /> ' Refrigeretion '� Floordrein <br /> Woodstove ' Grease irep <br /> Ducting — ' Roofdreins <br /> Olher — � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I o!her. <br /> � Numberof Heads ' O!her: <br /> i rvereny cenrcy�ne�i rveve reea ena exemmm�rviz eppuceuon ena knrnr�rve zeme�o ne vue ena correm.nu promsionz or iewz aim oraine�rez yoveminy�nis�ype a w«kwiu ce compea <br /> wan wnemer zpemr¢a rverem o,na.rne g�emmg or e pvma arez nm pres�me�o yrve ewrvomy�o vwie�e a cenceune pmmsion oie�y aner z�e�e or iocai iew re�wewy corewmion <br /> T�a�lamaiAorzetl�ylqeawnero�fhis petlylope�lorm��ewoMk�w�[pappl[a1lmisma0ean01mmplywR�GteStaleConVmlorsLaw18.9kCNlantl296ID�AWAC <br /> ��C�� �� ,-Z- �q <br /> Ownedputborizetl Agent Signature �ate (Revised J/201J) <br />