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PERMIT APPLiCATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everc�t, WA 98201 425-257-8810 FAX 425-257-8857 v�nvw.everetlwa.ory <br /> SITEADDRESS:n�� (vk nW�` POOR � 38�2�05-OU � � � - Q <br /> �.� �� -/ �. <br /> LEGAL ro,rew con;�ruc'�on S�oR PlaUsub�rv�.�On Lol No ;at10c�copy ol lonq legat Cescnp��on� <br /> OWNER G V� .l �C PnonerE-ma�i <br /> A�C�e,s 0 6 ( JL �J� Gty%Stale2ip Sea, ti_ q8�a� <br /> APPLICANT:_ O.v^e� J!O.cer'stgenl _�eCrnlric'or _Co�traqor'sAgeni __Tennt�+:iv-.�e�a.�e�;+m•c.-.i•;rn.r.+w-•�e:....�,+.�.��.�:.. <br /> CONTRACTOR �S��� Sl 1.1 S t-��i�n.t State Lic.k���f� .SSg��'B� Cily Bus. Uc. u 0.� �'�6 <br /> Reccess�Y00 Q(�l�'s�n P�L Gvzrt}t WA ��'�� • P�oneEma� y�S �"}6' ��� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �/�/ <br /> [L UGCcE�r <br /> Le��Vr�- Gtra�t� �7 <br /> P•�re�E.ma�� r - - lbe� s!-Ns �s e « ec.+. <br /> BUILDING PERMIT APP�ICATION CONTRACT PRICE OF WORK I 00 b <br /> Ez�st�ng Use of Budding._ __ _ NEAT SCURCE� <br /> Proposed Use of Buliding ___ _ ____ f,as Eiecmr. O�rer <br /> Bmitling rype: _ _Sing!e FainJy _Duplex_Townnouse _61u1U•Famdy X Commerclal <br /> T eol roecC New Addition Remotlel Re a�r T,I. Smn 5 r�n�'�er peT,olAion Charae o1Use <br /> DESCRIPTION OF WORK�adm:�ona�space aro.•,eeo aa trre n;,eti i <br /> J r,sf-�rr� �a) i(IuM;�+�,t��l W�tll s���,s <br /> MECHANICAL PERMIT APPI.ICATION PLUMBING PERMIT APPLICATION <br /> Type ol Pmjecl: _New_Addn _Altaralion_Repalr iype of Projecl: _New_Addn _Alteralion_._Repair <br /> ShowNumbe� e o/lvfums ShowMimbcr M offiAwns <br /> NC—:i�rh,�tidlln unAs Tnilet <br /> Forced air syslems Batlriub <br /> Gas �i in lavato^�Iwashbasin <br /> Water heater Shower <br /> Gas Gre I�ce Kachrn sirk R d�s osnl <br /> Gris�an e Dishwash!•r <br /> Clolhc5 d Cr C�alhe;w.�shi�r <br /> Ran e hnod Watnr healer <br /> FahiuSt(an C�nklP�rvirelUadmo letc <br /> Hcat own HacAflo.v revenler �nsWc bl0c 1 <br /> Unit heaier Unnal <br /> Uodcr Dnnkina founl�in <br /> Rc6� erat�nn Floor dr�m <br /> Woodslovc Greasc tra <br /> Ductin Roo�drain5 <br /> � Olher Mcdical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM otner: <br /> IJumber of Heads Olher <br /> 1 hnrc.lq q•rt�y Ile:i I lia�p mda an�evmimP0lM1e appl�po�ai.t Mow P�r samr I��bc Viie.iret�ortect AU pqrvG»ns ol ldMs���A orqmanms 9%verrur3:n�s I yM�,1 wvl.wiA tc rnmp <br /> w It�wM1CI`.t i yf Ccil�N Mrem or not The Ornnhy OI a pcnn�f U�S nol C'r5im�c VN yne eulho�.ry to vpLv!e vr cnicel IhP prov6�on ol aiy oRim slale or local law mgul�:ing Con..tm:Gon <br /> iM1al I ain aullw�ved�Y Itr�iwnrr ol pie D'TM�ry�o(Mtlo'm mB worF br n1�aM1 apd��lion rt mdJe nrwl i torn:Jy.��tPrz Sta1e CanUanon Law 1B 3)RG\Y an0 796:00A WPL <br /> ��rJ� � 5 I�5— <br /> Owner Ihotlted Agen, 9lgnature Daie �Hewsc[f a^•OIS) �� <br /> J 7 <br /> \ <br />