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A - Q i3o� -o t 1 <br /> f� -� i3oq -GS�( <br /> � 13 IioQ � ', y <br /> PERMIT APPLICATION n i3 i 3a i c, 3� <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl , [verett, WA 98201 425•257-8810 FAX 425•257-8857 wvrw everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO�PM <br /> SITE ADDFESS: 7NOPERTY TiUI M PEqMiI M ' <br /> I� W � G�4 1 !-ro ,D, 0 1 OGi7 0D S� 1��1v <br /> LEGAL b�rea wnshucl�on SPon P�avsuDE�v�sa� y E l'. K I I(1G _��Lm No Iatlacr mCl ol icng'eqn�Crars�r,�mi <br /> OWNER 1 C�j � �'4�t� �J�R - I`�dt��D�.� no c: [mA�G i 1.��i -' ��6 " �J Z� <br /> aaTn CAY�SIate7�o <br /> APPLICANT: Ow�c� Gr��SApe^I Corira:to� Go�iracinr'sApcni Ir�.an!r�.n�c�n..r•..��. .. �..-..... ,�,�.. ,r,.ra+i <br /> CONTRACTOR L 81 Lc M COE Bus Lm M <br /> �re55 O�/V Pbo�cEmad / <br /> TENA T BUSINESS NAME CONTACT FOR PERMIT .Pl.�- P111I`��[ O �ST• <br /> .�c1Y f10�1u �3 r�-�� OC �+N�, flia .- 6� -�vzs �r <br /> rro�e�[�na�� <br /> BUILDINf3 PERMIT APPLICATION CONTRACT FHICE OF WORK O O o�t� � � <br /> Ea�st�ng Use ol Build�ng ��� ���'���E.V f HEAT SOURCE 4 B S , <br /> PioposM Use of Dwlding � p __ <br /> /j7��rJ���� Gas fka,lnr. Otner <br /> / <br /> Bmb��g rype __Smgie Famny _DuD�e�_Townnouse V Mult�-Famay _Ccmmeraal <br /> T�pe ol D�u ect New AOtl�.�ion Remotlel Re a� T I Si n SpnnNei Demolroon Cnan e of Usc <br /> DESCRIPTION OF WORK�adl�nona�spacepro.�emom m�nadi <br /> t�o�F R���� �L <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Pro�ocf _Naw_AEdn _Aiterallon_Repelr i�py ol P/o�ocl�. _New_AAUn _Allorallon__Rrpalr <br /> S�ow NumDri(q o/!I`lures SAow NumMr p;ol�rfums <br /> A/C-drt 110n0Un LNI� IO�ICI <br /> ForceA av s slems Ba1Me� <br /> Ga5 pip�ng Lavalor (was�basml <br /> waier neater ShoNer <br /> Ga5 fi�P I.i�p K�tChpn Smk 6 di5 Sal <br /> Gas ran e Dis�xas�e� <br /> Cblhps A er ClotAes washer <br /> Ran e�oo0 Waler�eale� <br /> E�hausl�an S�nk sern�lpirlma ic�c <br /> Ncat ump Back!'ow preventci <br /> UnA�cale� U� na� <br /> Bodcr Dr�nwi� �o,inlain <br /> Refn eral�on Poo�d�a�n <br /> WooOstove G�ease I�a <br /> Ductin Rool a�ams <br /> 08ier MeOitdl Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Otner <br /> Nurn�er o!Neads Gther <br /> 1�nMry vrIRY a'wl 1�ev�mn:1 xM��n'nv,M Tn eJ0lrnbn nnE Intm Me wme In b Ive nnd mn�r1 PI'pmr�utn ol pvn�+U oKPnnvf pmemmy Ne Irye d vw�h vnf pr mmpWN <br /> wOtl MeV�ei apCOMC fleT�n ur nul lpe p.a'15rp ol e pe�l^tl Utt`f noi prryvme lo yrve nuthM�y lo viOl.i�a a Cpncl�C�e D�nfqn ol n^�o����flnb n Ka�lew TpuN�nP rmtb�RTm� <br /> iPel l nn evMaV M�Y Inr mv�rr m Mi�On�prrry lo perb�m Te ria�b��MM npDKntm o me0�nnC I mmDh+�Nr S�nle Corbease l nw tB]I qf,1Y nna 7`Mr:Mn 1Y>:: <br /> �_�2�. -�.�3 <br /> (hvner/AuthotleeA Agenl Slgn�ture Dalr iRevise06.0iA <br />