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PERMIT AF'PLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3?.UO Cedar St., Evereit, 1NA 9f3201 425-2b7-&810 FAX 425-257-8857 wv✓w.everetiwaorg <br /> SITE ADDRESS:�; PPOPFqTY TA%p� �3�O�L'Z�Xl�.a�� PFR'Ali N <br /> 3��0; •)�il GEcax� Sr� c�va�a�otc oo �1 <br /> LEGAL fer ne��v mnstmctir.n: S�atl PIaV,u�C�vi:ian____.. ul Ha__ _ . (attach eopy o�long legal Aescription) <br /> 1 � (.�iht {�•lAlOhL�_ <br /> OWNER �,�J .�� - vl '�" . L�-f�/ Phone/Gmail ��'7 -�j ^ 'S7 oU?j' <br /> �—._ �^ G� <br /> AdArc;s �33�Q - _ S"(' � CitylSlate/Lp ��� t\ \ � (S��' <br /> APPLICANT:_O�mer �OwnersAgenl __Con�mdor __.CoNractor'sAgenl _TenaN(mc:ipmvuen�mrrarmmemccameo+m•.ioaono�kiv,c:p�<uI <br /> CONTRACTOR � �v�_ �= - {1.�itL ''� Slatc Lic.it� _ Cily Bus. Lic # <br /> . , _ ,. <br /> Addiess Phonel[mail <br /> TENANT BUSINESS NAM[ CONTACT FUN PERMIT�'v� C�L ��� <br /> �tr«-r-�tr �-�-►��.�c, �,, �-��L �� �+,�-�cvP.E �(zs•zsz z�s� <br /> PhonelEman _Y.'+nl� Z,.];Jtµ�i - Z '•C <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK L�O" <br /> Fxisting Use of Dullding��_________. _ HEAT SOURCEt <br /> Praposed Use ol8uitding.���'� �___ __ Gas � � Eiectnt Other _ <br /> � <br /> Building type: Single Family .__Duplex_iownhouse _Multi-Family SCCommerclal <br /> T eol roecC Ne�v Addition Remodel Re air T.I. S�n S rink�er bemolition Chan e ufUsc <br /> DESCRIPTION OF WORK(ade�tona�saaceprowdedonlheDackJ: CYPAr3O $P.-r_1n.Y=�Y U�1jZ� �{D�. V/KAh1t Pj.1�'�, <br /> I1J51�w 'f.1Fa.S E-���n�.�. DF Si�i�E=0 S���i GV i IfJ '� QEin1�a���z� tJE41 <br /> �-0(5(�l+Op�-3Vil�sS (�2 ALGCSS pje-1Z��rJ �jLp�S� e��t�1Fta� �'R�� <br /> .j'il�i 2 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type nt Projecl: __N�w__Atldn _Alteralion_._Repav Type uf ProjecF. _NeW__Atldn _Alloralian ,__Repair <br /> Show Nurn6cr(#)o/firimes Shaw Number(#)o(fixturcs <br /> NC-mr handling unds � Toilet <br /> Forced air s stems Uathtub _ <br /> Gas pipiny _ _ _ I.nvato wash basinL <br /> --- - Water henler Shnwer _ . <br /> Ga,fireplacc Kikhen sink A Aisposal _ <br /> Ga;ran�e ______ ____" Uishwnshef <br /> — Clolhes dryer Clulhes waslier <br /> Kar. n hood WaMr heater <br /> fxhausl fan Sink(service/badmo lalc. <br /> lieal pump � l3ackflow mevenlcr <br /> Und hcalcr Urinal <br /> [3oilcr ____ __ Urinkinyl-ountain ___ __ <br /> � Refri erntlon Floor drain <br /> WnoAstme --,---... — ---- -- Gmasetra�— --- <br /> f7ur.lin � Roof drai�is <br /> Othrr Medical Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM •� o�hec �Gt�G(�M-'t"JP_�•(P� __ <br /> Num6er ol Hcads � Othec <br /> I here�y ceMAy il+nl I�ave reaJ e��a e�am�neE In�s np�lrniion untl know i�e samt•lo hn Ime and canttl Ali pmvislons ol laws end oNhiances Bovemin9lAls typa ul woiM wdl be comyi <br /> x N ahcil rr s eolfetl N•rein ar nol 1Te q�a�f�9^�n f�PC!�dues nol pic:um^�o g�ve n�liionN lo violale or eincel ihe provhion ol any nlher sloia orloul law mgolaiin9 conelmclion <br /> IDatlan un nrea�Ynivow ���tl!s�p�p�rt i�Tpenorm�ti�owoM1lorwhkhepp'caLonlemadeanJicamplywllilhPS�oleCenlrn:wrsLawlB.PRCWen7796I00AWAG. <br /> 1i�e'_I_'�t-.rL_�L-�/� �-e.�'.�� '�t�_ 'l�-:3/GjS9�,��e� <br /> OwnedAL Ro iecA A�ei�1 5i�naWm Uate (R�viseJ 9?Ol4) <br />