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<br /> • PERMIT APPt,ICATIO
<br /> BUILDING/MECHANICAL/PL6 MBING t SIGN 1 SPRINKLER/DEMOLITION
<br /> 7 CITY OF EVERETT PERMIT SERVPGES -
<br /> 3200 CEDAR STREET,EVERETT,WA 98201
<br /> (P)425-257-8810 ( FAX 425-257-8857 I(E)everettepo JaveretTwa.gov{ www,everettwe.govfpermits
<br /> (Bl1 .orws:kInkO ;i . ! ,TE
<br /> INFORMATION
<br /> PROJECT SITE ADDRESS.* r� .
<br /> l +L��S�j" c�A/Z PROPERTY TAX#:
<br /> LEGAL for new construction: Shoff PlaVsubdtvtaton
<br /> Lot No. (&tsth copy,of tong legal desorlptlon)
<br /> CONTACT INFORMATION
<br /> OWNER NAME: )")/In 1' .ALA,ts,41-- L1 L TENANT BUSINESS NAME(Commerotal:
<br /> �
<br /> OWNER MAILING ADDRESS: STREET aL J. L ri,t:t(41' j
<br /> CRY vt re,t i
<br /> E W zr 9v)1Za 1
<br /> OWNER PHONE: �. j.) ~t Ow E� Mu�rl.;
<br /> CONTRACTOR NAME: OCigetp,v i c e 4_,s r,,}i r y�t.Is i ct
<br /> CONTRACTOR ADDRESS: STREET S+1 8
<br /> ,j ,4 e t, Ai,it:\"'"""7".."..}......ad 1 t i 0 (-) -
<br /> 8rA'rE V V f!" ZIP tI ti Z l 3
<br /> CONTRACTOR PHONE: 60 1 t 7 8 11 3r CONTRACTOR EMAIL: t' t 1 �'�yt `�•L r�.Y�
<br /> CONTRACTOR LICENSE#(REOUIREt3: t "�CITY OF EVERETT BUSINESS LICENSE#{REQUIRED): ‘ F
<br /> PRIMARY CONTACT:, OWNER a CONTRACTOR I OTHER(Please Specify) �!
<br /> CONTACT NAME: A443 'a", a 4s +.ti
<br /> ', , rvtiyt` CONTACT PHONE: ,, 'S) 781 2 '� _tGt•> (s ,y_ N r �,
<br /> CONTACT EMAIL: .-1 CC" : LL L oa„ V U k tlsy.Lc f'r‘
<br /> BUILDING INFORMATION
<br /> Exist/nitUse of Building: i
<br /> Contract Price of Work:$ A, b d Pro..sad Use of Burldin.
<br /> o•Lill J�U5 : Ir..-, Heat Source: (,Gas r�� rio a 0
<br /> i`i•errfp .. *Non mmercial cessory Structure
<br /> DESCRIPTION OF WORK:
<br /> mode!11 in . al . ..(r �,�� M molttlon
<br /> rinkier ant: of use
<br /> 1`,- of gt.t4 .. 'it,*i}4.`h, ` dr4i'•'t!�. 4A i(..Lr 11 )l;U'�J"
<br /> J P.Prt LA,Ni ',),th..Sy c It s, ..140. r ,lye t4 yt,• j
<br /> ASSOCIATED BUILDING PERMIT# if„Bath' tea h<1-v�•4...
<br /> IMIEchtANltwAL PERMIT APPLICa4'1'ION
<br /> rune PLUMBING PERMIT APPLICATION
<br /> co ttntPix
<br /> count t is Ftxtvrs s " LtstofFixtures F1th ire
<br /> Milin A/c List of Fixtures Fixture
<br /> -AIr H Un�s Count Count Ust of Fixtures
<br /> o
<br /> der Backfiow Ptrcaenter inside 81dr.
<br /> maw Cictllee p .r i•' ,` ClothesNM Washer Shower Tub or Combo
<br /> Duct S (:aryl •enlode Heat Punt.�Cluctless Dishwasher Sink-Commercial(3-cam• .re., oar
<br /> MOM Refriger&tron Drinklnf Fountain Sink-Residential lichen bath bar
<br /> Exhaust Fans Residontisil Corrimercial Ventilatlo Sink-WIN ,found ,ma,E�tlaltst NNtt T t Floor Drain
<br /> Not Heat/AC s .lam Toilet
<br /> u+st Nord � . i r * Hose Slab
<br /> in ..7:0441
<br /> d Reeidantlaal lntert t.or-Grea:ie Urine)
<br /> For a.,A. atrlmt♦ W Stove Water 3erter Pi.I f
<br /> Interco•tor•Sand10lWater Service beb Re.:lr
<br /> batsFOther:
<br /> tleerifLog �lYfedtcet Gas
<br /> (behind meter
<br /> muning Roof Drains Water Valves or Fixtures
<br /> SPRINKLER/SUPPRESSION SYSTEM
<br /> Sawap Etector or Sump Ptm Water Heater
<br /> „0 » ;,fen on $em
<br /> ;rf ty, ooil ;:.fitllll A UM MIMI�tr. ,a8•s P Other:
<br /> ' . ;.:.a
<br /> �r!x� frat, cte, '�� dsotzi$rrn trrfor �
<br /> tt#>: 1 Thy#Rr�P , s fl LJ C i°t► ea la k: 'fir t 1 frl to tnrs cnd corm Wo, donspa ratr rrt to tints
<br /> td �, �,f sm �+rtwtrw 1tlerefo .t kations nloput Furst be eultxzrfzerd Jn uwtitin f If`wtih
<br /> t sw TEO� d 6e omt f 8 by ttt.t f of hksproperty`toPerTarattha wont for which epplicatIon is made,
<br /> City of Event
<br /> µ PERM t tlh�lal e Only
<br />
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