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PERMIT APPLICATION <br /> BUILDING/MECHANIC PLUMBING/SIGNISPRINKLERIDEMOUT O <br /> CITY OF EVERE T PERMIT SERVICES <br /> 3200 Cedar St,Everett,t A 98201 425-257-8810 FAX 4 5-257 �r re a.org <br /> ADDRESS:erre i r 0 . I -03.5 <br /> LEGAL for new on:Shen.Plathaubtavision Lot Nen {attach way of;long leggy dosoiptionj <br /> OWNER t 1.3 E Pnanosoaii1_0(0---7141- 10-6S <br /> Address " r . <br /> t .. : �w.. C..ft&Z........m.4 <br /> 1 l ,. � � �Y <br /> APPLICANT; Owner Owner's Agent _I-Contractor Contracts "i'"` Tenant <br /> oteasentnentheawnotto de„ , t: <br /> CONTRACTOR st ® w _State y K ° E 't,5%-11.gb City Sus.uc.if CKtg,65- <br /> Address <br /> `dress 'ipt Si . fir+cAve , t y/�01 0 .: # phomwt�Emai r,► ", rt k. A+, <br /> 'FINANT s "�FAME., 4 . ' CONT+ R�yP�E. . ' k <br /> IfIlery <br /> -Mali ip.- — t„�i,„#-Z <br /> BUILDING PERMIT APPLICATION CONTNACT PRICE OF WORK 104 <br /> Earls Dig Use of Bu ding._ -- . -ems ` HEAT SOURCE: <br /> 'Proposed Use of BuildingGas .,: BecteeZ Other_ <br /> Buidirig:type: Single'Famiy LOuples_Townhouse,�„_ luitIFatrtity,.�„Commercial <br /> Type of pro d e'_ii-,.�r ti. _ Sprinkler Oetholition Change of Use <br /> DESCRIPTION OP WORK.faddirienei space provided on the haat): <br /> ' e,1()\WO aux re t )t-OW A <br /> MECHANICAL PERMIT APPLICATION PLUNII3ING PERMIT APPLICATION 1 <br /> `Type of Prod:._Nom ;__Alteration Repair Type of Project.Naw ' ,,,,,,,,Alteration_Repair <br /> Show Numb it r 06 of ibdurris Show Numb.t ot!xt i <br /> AiC--eif handling unite Z TOM <br /> Forced air systems t, Bathtub <br /> Gins .. 1., Lreattery(wash basin) <br /> Water h+ tter.. . I Shower <br /> Gas finspliosI Kitchen sink&disposal <br /> Gas, nitiV I DIStArsher' <br /> Clothes tiger „, , ., t Oases washer ., , , <br /> t a E <br /> txhaust <br /> y qt fane. ..�. e� rvipel rtmgplete.) <br /> pum <br /> Heat p ^_ _ .. Backflow groveler <br /> r <br /> Unit heater Wired <br /> �. DrInk1r Fountain <br /> n c _ kSdS/4iwiSiFlFtiF �` r n <br /> GuarssRoof drains <br /> +LER t IEiST1 i S <br /> tilled:cal Gas <br /> BPRDTSYSTEM Other <br /> Number of Heads , <br /> I hereby noddy Man hemmed and examAn apakaten and Maw the same* ed arniedens of Jaws n governing dna nde of emieede be=eV <br /> ettewhalher specified koala or not Theemnang of a p n ,ran pTaliume*give entinanty to vies areanceI the prev +Owl o eras*ar toot law medenna construntion <br /> That I ares:.,a,.,...„by the owner: to perforin the for widan 1s made and I wanly was ties State a Law 1827 ROW and 2r6.20dA WAC. <br /> OwnarIAndtorizad Agent signature Date d 14i <br />