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� � <br /> PERMIT APPLICATION <br /> BJILDING/MECHANICA�/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257•8857 wvrw.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM IO "�' ���2i <br /> SIT ADU ESS:- PHOPENNTA%q PERMITa <br /> - � r� � � •W .t`��� s aso-�v'�- <br /> LEGAL lar new conslruclion�. Short PlaVsubdwision lol No._ (011ach copy ol long IC9�I tlesctlplmn) <br /> OWNER Mr'Y1 (��eS �hone/E�mail <br /> namess � -f32. � A.JE, S{e /5 c�i�•�si�iaz�p <br /> APPLICANT:_O�mer OwnefsA9enl CONraclor Conlraclor'sAgent '�enaM�m��sir�o��eo�iere�aicc.,s�•�.�nommoo...�or.oaa�.oa�.,mospa��1 <br /> CONTRACTOR L&I Lic.# CO[Eius.Lic.# <br /> A�Oress P�one/Emad <br /> TENANT BUSINESS AME CONTACT FOR P RMIT -7 <br /> �,nv'i.5e ��fe✓v��i�lion SpCiety ��o- �-�3� ! <br /> Phone/E�mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �`� �-/.S�=' <br /> Ezisimg Usebf Budding � � HEAT SOURCE� <br /> Proposed Use ol.Bvi�diq9 � 1• '. _ _ Gas_ Eiectnc_ Ot�er__ <br /> Building lype: _Single Family _Duplez�_Townhouse _Multi�Family _Commercial <br /> Type of projecf. New llddition Remodel Repair_T I._Sign__Sprinkler_Demotitwn_ Change ol Use <br /> DESCRIPTIONOFWORKWdmoona�spacenmvidedonrneoactil: q ^ ��� yCvvtcT�� �� <br /> '"rG�iv.p a�Wvl lo��h '� �„ �..�. ,VZ �OCGc.:.h"'.J <br /> Sc..,d�;� b0�✓� �-` S-������� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projecl: _New_AUt1n _Allera�ion_Nepalr Type o�ProJect: _New_Atltln _Alleralion_Repuir <br /> SM1ow Numbv(N)ol lirfures Show Numberlal o!lirtmes <br /> AIC—air handling unds Todet <br /> I�orced air syslems 6athtub <br /> Gas p�u���q Lavatory(wash 6asin) <br /> Waler heatcr Shower <br /> Gas lireplace Wtchen sinh&disposal <br /> Gas range �i5hwashef <br /> Clothes tlryer Clothes washcr <br /> Ranqc hood Water healer <br /> E.hausl fan Sink(serv�ce/badmop/etc� <br /> Hcat pump Dachllow preventer <br /> Und hcaler Urmal <br /> Boder Dnnkinq Founlain <br /> Re6iqcration Floor drain <br /> Woodstove Grensc Irap <br /> Uuctmg Rool drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM othc� <br /> Numbcr of Hcads Other <br /> 1 M1crebY r�i ly IOaI l h.rv and e�ainineJ Ilu;appbcaLon nn�Anow Inn samu io�a�mo nntl conrcl MI provr.�iom ollavrs anJ orJm:mcev pvvem�.i911i,f�p�,olw¢k wi 1 po[ompArJ <br /> wnpwTelnr. ul.�ll/1I o�notl0oprnnbnpolapemulaoesno�presamelo9ivomd�onrylnvioh�Inorcancell�oC�ovr.�nnalanym�m:la�rmlmaR�.virpWatinpconzWclmn <br /> ��al l n�ih v !p ilir wnw ul Ihb IrmpertV lo perl��n Ihn wnd lorw�•c�nppM1caF.nn u matic an�I mmpry w�tp i�c iiato Con�c¢lou 1 a.v IU 7]NCVJ anJ 29!i]OOA WpC <br /> - zy- /� �� � <br /> O ncr/A rired entSignaturc Dale p+rwse�lrii;ol:1 <br /> \�1 � S �p���vl� <br /> � L� �_2..,,-.,� M,,, P1/`-__ <br />