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PERIVIIT APPLICATION <br /> BUILDIMG/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, V�JA 98201 425-257-8810 FAX 425-257-8857 www.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITE ADDRE55: PROPERN TA%N PE <br /> O - = = i.v Gd 3 (�yL� ��03 -0 <br /> LEGALIornervtonstrudion: ShotlPlaVsubOivision�=�..��(..���� Ldl � (a a cop�df�onglegalde=_[np�ion) a�[�1{.�{[ <br /> OWNER �D(,1{(!n�I G ��GG� PAonelE�mail —�Cj <br /> aer�ss � p� — � 2G �� c�ryis�a��z�u �.����i l,lJ �}' Zb"3 <br /> APPLICANT:�Owner Ownersagent Conlractor Contracioi'sAgem 7enantt��.:ic�oAoatz,«�o��<mco�nea.,��i�ao.wn���mesP.,mi <br /> CONTRACTOR 1N I L O G L 8 I Lic.k COE Bus. Lic.# <br /> Address P�one/Emad <br /> TENANT B�US\INESS NAME CONTACT FOR PERMIT 'r' f-+, �7j7_��W ��' <br /> l)-�L�N`�Z. SGNIy � ��C�l� +CV'IGNG IrOV�G�O�e.OWGVIC.reCtS,COG4� <br /> P�ane/CJ�mI � — r�SCI — S�GU <br /> BUILDING PERMtT APPLICATION CONiRACT PR�CE oF WORK + �o <br /> Existing Use of Buildin9 �(-7�l jj�'�7'� HEAT SOURCE: <br /> Pmposed Use ol Building ((<<.�TA(J�Z A'/�1T Gas_ Eicctnc oiner _ <br /> Building type: _Single Family _Duplex_Tavnhousc _Idulti-Family �Commercial <br /> Type ot prolett: New Atltlition Remodel Repair_TJ. Si n SD�inkler_Demolition Change of Use <br /> DESCRIPTIONOFWORK(aad�rmnaispaceprov�CeConrneoa;F�i' � Lx�S,,,r�N <br /> �=XParJp ��-(C- LXiST/rJG �l'�GFIL-'N � 5(��"TItJC'a L�2Cla � G <br /> (Zc sT-�.�12l��T , I��'LJ �c..v��Z �z�A i s�s�I�iwx �z s sF �}c� sr f��2 <br /> � ��- - is w�l�C�.o X � G 5 SI�, l.=W ,�c�A 1 T �a�DED. <br /> MECHANICAL PERMIT APPLiCAT10N PLUMBING PERMIT APPLICATION <br /> Typo ol Projecl: _New_Addn _Alteratlon_Repalr Typo ol PraJect: _New_Ad�n _Allentlon_Repalr <br /> Show Number(p)o/I7xfwes ' ShowNam�cr(aJ olllrtures <br /> A/C—air hantlling units � Toile; <br /> forced air systems Bathtub <br /> Gas piping Lavato (wash basin) <br /> Water heater Shower <br /> Gas freplace Kdchen sink 8 dispasal <br /> Gas r�nye Dishwasher <br /> Clothes d�•cr CloUies washer <br /> Range hood Watet Cealer <br /> Exh,us�lan Sirk(service/badmoplelc) <br /> Heal pump BackOow preventcr <br /> Umt hcalcr Urinal <br /> Boiler Drinkin Fountain <br /> Relri9eration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medicat Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Otner: <br /> Number o�Heads Othec <br /> I�ereby ceMy Nal l havo resa an0 eumine�Nn ap0�ra4on ona know Ne sa.�ne lo Ge Wo anE cortect A110�v:eronf ol Wro nnd oNi�ancca poveme�p Ih�f ryyo o1v.oM1 vr7 be wmpfe� <br /> wM wTCV:M fDCG',eC heR� r n . Ao Gnp of u pemul Don nal0�esume la qrco outhan,y lo vioW'e or eancel L90 pransmn ol uny oNer smie or locil t�w reB��=���A wnsbucuon <br /> , nm a tleetl Oy cr i operry lo perto'm No wnA Ir.r wLich appM1cawn b made ona I wmpM w������e Slale GanUaclon Law 10.71 RCV!nnE 206200A WAC. �I� <br /> � � 3. zi -i3 <br /> G Own AuthoAz d Agent Si nalure Date lRevised 6i2072) <br /> T�2�7�'r� 20.nJ�1�VG�=� ,d�LGN/TG-Zj G/5C. # g��� ��. Z- �� <br />