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<br /> PERMIT APPLICATION
<br /> BUI I r .ff LU - . NKLEF?JDEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 Cedar St, Everett,WA 98201 428=257-8810 FAX 425.257-8857 .everett
<br /> SITE TAS � z w Tt2-b g
<br /> . ., ,
<br /> LEGAL for:new construction. Snort Piatisubdivisiatt Lot No. (attar copy of long legal description)
<br /> OWNER 0/14,1 t I 7,744e,A'S Photref«rt sii
<br /> Address f, v �/fie Of- .. Cityl§t(tea`'ip .. T 7
<br /> 7,7-?
<br /> `I IMMO01.01.115101•111
<br /> APPLICANT: Ovm Owner's Agent ,01°.—Contractor 0ererectors Agent Tenant owe Ps:Nide a Mist of cows treaty the owner ..:-_
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<br /> CONTRACTOR „ZS'
<br /> � S, r 1 t j State t iG.# ° c 1 '`1.Gity Bus,t ^/ w �/ ,s,
<br /> Addax a1 ' 1 1V44410, 44,..e ,'°
<br /> TENANT BUSINESS CONTACT Poi P IT _ 4 "tfe.°t`
<br /> M� te r' -. , &7
<br /> W *- ,),,,,,,,,,v/e,,">, , Phon e-rnaE.„„,,A 1 ,„,--e dry�r
<br /> U IF/G PERMIT APPLICATION CONTRACT ACT PRICE OFS
<br /> € isting Use of Building t /YAP- HEAT SOURS: 'U�.��. `lti � ' B
<br /> Proposed Use of Building Cas, . EteetricOther ,
<br /> ,�__
<br /> Building type: Single Fanriuly Duplex TownhouSe P ttltr Famity X commercial
<br /> Type of project: New': _ idttien —Remodel Rook' T:l. Sign Spin-Wet Demolition Chane of Use
<br /> .DESCRIPTION OF WORK(s (bone(space provided on the beck):
<br /> k‹-k-k 0 -OCA-6
<br /> MECHANICAL PERMIT I'T APPLICATIO TPLUMBING ITA..PLL A "I N .
<br /> Type of Project: _New Addn ,, Alteration_Repair Type of Project: New__Adan Alteration_Repair
<br /> toW Nwnher(t1)of fixtures Spew!yoke((5)uf fixtures
<br /> • AFC'- Mr Candling units Toilet
<br /> Forced air systems : Bathtub
<br /> Gat piping i. Lavatory(wash basin)
<br /> Water heaterr .
<br /> Gee replsce �. Sitcherr Sink?,dispo l„
<br /> teas;ta► Diehwas f ..
<br /> dryerClothesthes asher
<br /> Range hoed; �... Waw
<br /> ter her
<br /> Exh . 1nl ( �ce�( pre j. _
<br /> austart .
<br /> Heat pu - kflOw preyenter
<br /> E Unit heater Ural
<br /> Boiler �;:... . t1.nkItig Feurttain_ ....
<br /> RefrigerationFlr7or drain
<br /> Woodstove Grease trap
<br /> I' Quoting Reef drains
<br /> Other ..- Medical Gas
<br /> SPRINKLER 1 SUPPRESSION SYSTEM Other:
<br /> Nutnberoffteads,_ other .... , .
<br /> I hereby certify that i have read artd.etartf&te0 this aPp(ica6i tt and 1stt<3W Itie aeni to be true and coal.At'prevvstehief tars and antirtances goven mng k aria.( att rk be mp.
<br /> with whether spe d harsh crept.The . „'#Lf of a permit does eel gree r e to Ova a,othoTity to vtotete or c oda be ptrMatott of soy other stateor ort tsaw o,iiaestruction
<br /> Khat 1 attt au•.„t,.>= • the owner':s• o•,...•; to,oef€artttthe-work 3r'vhtLct eon mane and'(oorapty? +#te rite CForittertnre Law 18: 7 RCWet t .2OO;A 4AC>
<br /> OwneriAuthariaed Agent signature: Date'T (Rev/tea 9/2014)
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