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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CI7Y OF EVERcTT PERMIT SERVICES (� _�I —/� <br /> 3200 Cedar St.. Everett, WA 98201 425457-8810 FAX 425257-8857 ww�.everettwa.org <br /> pPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM B I�JO�i-(7 <br /> SRE ADDRES PROPERTY TAX M PEPMIT� <br /> -. 1 � ✓�C � ��C , P.UGC� 0 3 G I�D d �--�`� <br /> LEGALiornewmnstru�tion� ShonPlaUsuOdr+�sion__ _LotNo., (attachmpyoflonglegaldesm{Yuon) <br /> OWNER �!-0/)�C: I�� . i,e�JL'��! Phnne/e-mail -�"J'���"O O`3 �'CL11 � �OIIC :i�'.l� <br /> aee�es: � O1C �0�007 acris;ateJZ�p �A.0 A � A � -��3 <br /> APPLICANT:_O.mer _OvnersAgent 1yContracmr � Contraaor'sAgent _Tenant(r.uso�4e>kne�aaorsamnammem+e�wao.onnme�xe) <br /> CONTRACTOR .11 /0 L(i ��1C�C�C ��'��-Y�� ' L 8 I Lic # -gl��� � COE Bus Lic r <br /> atlaress � =FiIZ �lI�. �J ���L• �����C•�.� ClJIg D�7-3 Phone�Eman3(ld-33(�-�y�3�IGC�I[�%V �% ib <br /> TENANT BUSINESS NAME CONTACt FOR PERMIT GO � » <br /> 5�j(�L�LI�I�� �i ����/�A1�� Pnone�E-mad �1�•0 �36-3339 ��(�CJ�'ti1 �rd�'oCC.I) ' <br /> A)• <br /> BUILDING PERMIT APPLICATION CONiRACTPRICEOF WORK `�g•O° <br /> HEAT SOURCE <br /> Existing Use ot Building___ <br /> Proposed U5e of Builtling_ __ Gas__ Eleanc__ OMer__ <br /> Builtling type�. _Single Famiry _Duplez_Townhouse _MUIh�Family�_Commerdal <br /> Type of pro ect New _Addrtio� Remotle� Repeir T I. Si n SC^nkler Demolition Chan e of Use <br /> DESCRIP710N OF WORK(adddrona�spacY p�ov d m i oacM ��p�J .�0,�, ,(J�/� <br /> �iu�eut o�O�,vi�9 a�� ��efcr,e.4/ �e� �tt <br /> �/l cy� �foo�e.. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typ•of Pro�ecr. ,N.w�4ddn �Alnrallon_Rpalr Typ�of ProJ�ct: _N�w_Addn _Ah�ndon_Rpalr <br /> ShowNumber / o/Nxture� SMwNumber / o/Rwtures <br /> A/C-av hantlhn ur.its Todel <br /> Forceda�rs tems Bathtub <br /> Gas pipmg Lavatury(wash basin) <br /> � Waterneater Shower <br /> Gas hreplace V<�lchen s�nk R AiSposal <br /> Gas ren e Dishwasher <br /> Clothes d r Cio[hes washer <br /> Ran ehooa Waterheater <br /> E"•hau5t fan Slnk(serv�Ce/baf/mop/elG ) <br /> Heat pump Backflow preveMer <br /> I Undheater Unn21 <br /> Boaer Dnnlan PouMain <br /> Refriaerelicn Ploor drain <br /> Wootlstove Greese tre <br /> ! Ducting Roof drams <br /> ; Gther Medir,al Gas <br /> SPRINKLER /SUPPRESSION SYSTEM Other <br /> Number of Heads Other <br /> Iheeb7 � 1lhtvereadander:mmedlhieaD7lqeLonaridknowlhesametoheWeanCcorteclAipmrs�onsofl;wsandar0��mce5qeveminglhistypeolwarkvnibecomp:e0 <br /> wl ufiedhereino�nolThegronUngol�FeimidaeenolprewmetogneauthedylorioulearanceltEeprcv�soncl�ngmhers�atembcallawregwafngrnnslructnn <br /> nat I am aulhorzed by Ihe crmer o(ths pmperty ic pedorm the work lor wh¢h apP��atan is maCe anC I camply wilh the S:ats Ccntracmis La..18 27 R;,W and 296 7J0/+�'�'AC <br /> � � � S •31 • i3 <br /> Oate (RevisedF✓1012J � <br /> Own�dRuth • Aq�r.t5lpnatun � <br /> L <br />