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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMF_CHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Ceda St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 w�wv.everettwa.org <br /> 3 —�b�rs <br /> SITE AODRESS: PROPERiY TAX N PE MIT N <br /> 17.o�. 5h�ksa W0. E � W 4 3 7. 040 5 � <br /> IEGAL lor new construction. Shon PlaVsubdrvision Lol No._ (atlach copy of long le9al descriDlion) <br /> OWNER(J g p� u o..� r e P�ane�6mad R� 9��-' � 6 .re G7o� /'. <br /> AdOress CilylState2ip <br /> APPLICANT._Owncr O�r.cYSAgent �Conuacior Contrauor'sAgent _Tenam�m�:�n,o.w�amn��oi�,���n�o�rmoo..���mm.wn��m��o,,m� <br /> CONTRACTOR M . �, G Stalc Lic.# M R Pi L Cily Bus.Lic.p 7 <br /> ndnress 50o sw I �h 5�' �'r�On q OSl P��^e�E�"��� y75 .ZO7•00 <br /> TENANT BUSINESS NAME COIiTACT FOR PERMIT <br /> Corey Fergvso� <br /> FV(lh0 anonc�E+na��(2S; 4S6 —9105 are �'rnt�tS �o <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK I3I2�000 <br /> �r.t ¢ -5 � <br /> [�isling Use of Building__ _ � � � ( r/� �'�� HEAT SOURCE: <br /> ` � ru. � � <br /> Propo,ed USC ol Bud�ing_ `J (J��/ L� ' ��' Gas Eleclnc OtOer <br /> Building type� _Singlc Family _Duplex_Townhouse _Multi•Family x Commercial <br /> T e of ro�ecL New Adddion Remodel Re air k T.I. Si n 5 rinkler Demoldion Chan c ol Use <br /> DESCRIPTION OF WORK(aeddmnal spaco prowtlorl nr rha back) � _�/ /� � � <br /> .��-S�c.// ���! St,�f*a7�-s �a�/�� sfo r�a�.�_ Qfil� �/'L ./J d � c/1/J rJ <br /> � �y �/! <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Project: _New_Adtln _Alteration_Repair Typa o/Pmjacl: _Naw_Addn _Allerallon_Repair <br /> ShowNum�ei N o/lirfures ShowN�..^�ncr p olliYlures <br /> NC—air hanOhn unns Todet <br /> Forced air s slems �atlilub <br /> Gas i in Lavato v.�ash basin <br /> W atef heller Shower <br /> Gas fire dar.e Kilchen tiink A Ais osal <br /> Ga;ran r. Dishwashcr <br /> Ctolhi!s d er Clothes washor <br /> Ran e haod Wrdcr hentrr <br /> EMhaust fan Sink ,crvicr,/badmo lelc. <br /> Hcat um O:ickllow neventer <br /> Umt healr.r Unnal <br /> �oiler Dnnkm Founlain <br /> Reln eraUon Flaor drain <br /> Woodstove Grease Ira <br /> UucPn Hooldrams <br /> Other � MeAm:d Ga5 <br /> SPRINKLER ! SUPPRESSION SYSTEM ou,er <br /> Number of Heads Olher. <br /> I hombY cMJy I�dl I havn road rnd mammcU TAe.dpplKdlion and Anow IM Sdmo IO Do INo dn0 fArtocl AlI0ron40ns ol llw..lnd ord�ndrrot qovnm�nq I�i:lypn M wotk vnA En romp <br /> win wnolnN•.prt.Aq�ncinm o�not ilin q�anPng nl.l pmmil tlaa.nol ormumo to 9rva nut�onlY lo vqlalu or canutl Inn o�•�+bn ol any aRicr slala or bul law rnquLiLnq conMmclwn <br /> Thni 1 am ovu�py I�c n ci ol i1�s pmpc�y In pMnrm i�n woil br whitli app'Kilron u maan and I wmnN+�+ib Inc Siaio GONracto¢Law 1fl 2/ItCW ana 194I00A Yl�C <br /> 1 <br /> �- � , � 1��..�/3, z�/S �z <br /> OwnarlAul rixoA g SignaWro Datc (Itnvr,r,d'VJD74) <br />