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�71��' <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CIT`( OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257•8857 www.everettwa org <br /> APPLICATIONS ARE ACCEPTED FR��A 8 AM TO 1 PM <br /> SITEAODRESS:�� ! ni^� �� � ��. VROPEX7vTl1Mp PERMITM _ <br /> ISVI <br /> LEGAL�or new wastmclwn Snon PiaVsubtl�v�slon Lot No (attac�caDY o�Wn9 4qai pescnphon) <br /> OWNER 1Q� , pnanci6mad S'�- o� T� <br /> aeress �aoa l,�1��2 5' • C�ryiStale2p �v �. a8aa <br /> APPUCANT: Owner p,vnefsAgen� Conlractor ConliaclorsAyent Tenarl �mmip�.auev�mr..mi�o�u•a+�umeo+on��neioui <br /> CONTRACiOR yv►K// L d I lic.p COE Bus Lic p <br /> Gdres� C, �' �,(,�' �. � �g'�(�' Pnon'J[ma�l ¢� ��� ?a. <br /> T N B I E CONTACT FOR PERMIT <br /> P�O��°�+� sular ��s-asa- 7� <br /> BUILDING PERMIT APPLICATION cONTRACT PRICE OF WORK <br /> Exis�ing Use ol Bwlding HEAT SOURCE�. <br /> Proposed Use o18udAmg / Gas. Eiecinc oiner <br /> BuAGing type� �Singie Fam�ly _DupleR_Townhouse _Midli-Femily �� Commerual <br /> T peof roecl New ACtlAion RomoEel Re av 7I S� n S nnkier Demoln�on Chan e o�Use <br /> DESCRIPTION OF WORK ia0amanai space prov�0ea o+me Cacwl <br /> MECMANICALPERMITAPPLICATION PLUMBINGPERMITAPPLICATION <br /> ty0o ol ProJecl: _New_AEdn _Alleratlon_Repalr Typo al ProJect: _Naw_ACAn _Alter�llon_RepHr <br /> S�ow NumDer(a)ol/Mures Show NumDer(M)o/4rfuros <br /> A/C-au�a�01in umis Tollet <br /> Forcea a�r s stems Batht�b <br /> GasD�p�n Lavalo �was� basin) <br /> Wa1en c�aler Snower <br /> Gas fireolace Kitchen smk d drsposal <br /> Ga5 ran e p�ShNashe� <br /> C�oth�s drycr Gloihes washcr <br /> Range nootl Water heater <br /> Ekhausl lan Smk(serv¢e/baumo ietc 1 <br /> Heat pump HackOuw preventei <br /> Un�l heater Unnal <br /> liodci Dnnkm Founllm <br /> Refn eralwn Floor Grain <br /> Woodslove Gmase lia <br /> Duchn Nool tlra��s <br /> Other MeCiwl Gas <br /> SPRINKLER / SUPPRESSION SYSTEM other 1!�/ <br /> Number ol fieatls Other <br /> I here�y cenM Nal I l�uve wna nna e.am m�0 mn ape�Km.+n nnC�now Ne fe�ne io Oe we on0 wnecl All pmv�snnf ol bwf en0 oNanncef Baremnp N�n type a�woA w]Ee mmOweE <br /> nnp wficNm fpcuhed�rrern a�nol 1 po qmn4np�1�pemmt doe�nol pmsume lo p.w euNOMy la nob��w[enc�l Ne pmwsan ol n�Y elher sb�rt m loral Nw ieB����^9�onsuuitmn <br /> TDoi I om euM NeU DY����^n ol l�ro p oetlo�m ine wnrllo�wnrcn nppbc�ian H maEe nnd l camply M�I�e Siole Conlrar.on L aw IB 17 RCW�nC]76 p004 W4C <br /> �a6 i� <br /> OwnerlAut�orlietl�gen IgnaWn ale (Revise0 b70i7) <br />