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P�RMIT APP�.9�ATIOfV <br /> BUILDING/MECHANICAL/PL.UMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vrww.everettwa.org <br /> 2.1 G <br /> SITEADDRES : PROPERryTA%p <br /> ���- � � � 7 L ER(�71T i <br /> _. / 'G�7'� `!'t- � .�7 )-�� <br /> IEGAL`,cr.^,ew[cisWctia.i: ShoRPlaVsuD�;�d;;on <br /> — _LotNo. (atlachcopyol!englegaldescription) <br /> ON;VER <br /> F�anelE�mail <br /> aaa:ess <br /> CiryrS;tleRip <br /> APPLICANT�_p,.��r Ov,ner'sA•en1 GMradet <br /> — b __ _Conhado/sAyerl `ie.^.ani(m.���p•��eeavve�mncc�enmmoucmvmmneMmC.espa>� <br /> CO�TRACTOR /v7 UC,� E7(c..�r-� h i n sia,e u�.a Mo�n��,�-,�/' <br /> a4 .>JU GiryOus.Lic. .�$j(oSs <br /> 17 15 y =` ' vd5 �L� - <br /> k�d'2SS 5� �,� �IlV Jh' � <br /> TENANTBUSfNESS NAME � � w �� 4�ZGU Fh�ne/[mzl k3('I r�.} � �y�" �4^�jrw , co�s� <br /> CONTACT FOR ?ERh11T <br /> - Pnone�E-na.l <br /> BUILDING PERMIT APPLICATION CONTRACTPRICE OF WORK <br /> iExis:m9 U,e ct Bu;l^.�ng H[AT SOURCE: <br /> Prcposetl Use o'°mltlica <br /> — Gas Eleqnc OIDc�___ <br /> Bmlaing typr __Single Fam,ly _Dup!ex_Townhouse _;dulti-Family _Commercial <br /> Tyae of prc�ect V Ncw Aadition _Remotlel Repai�_T I.___Siqn Sprinkler___Demolition Change o(Use <br /> DESCRIPTIOl1 OF Vl'QRK(ad::icna�s,atc prcv�oeaon mc Cacp/: <br /> ��. ��, II 7 l. lac� �'z-�C_'�Z � <br /> MECHANICAL PERMIT APPLICATION PCUMBING PERMIT APPLICATION <br /> Type of Project: _Nmv_AdAn ,�AI(nralion_Repair 'Typo o�Pmject New AAAn Alleratlon__Repair <br /> Slrow Number(Ci ol firtures Show Number(pJ o1/ixfurrs <br /> � rVC-airhandlir9units I Toilet <br /> I Porcej air sys;ems I Bathlub <br /> � I Gas pip�ny <br /> I Lava;ory(wash basin <br /> I 1VaterCcaler � Sho�ve� <br /> I Gas nreplace <br /> �_ Gas nnge I Kitchen sink 3 d;sposal <br /> ,___I _Cimhes C�•er � Uishviasher <br /> I Hanc�ehootl -- — I CIOIhCSN'05I11•( _ __ <br /> � Water hrater <br /> � Exhausl lan j Sink(servicolbadmop/etc.) <br /> He2l pump �,- <br /> � � Umt hcater � Ba�kfio�.v preventer_ <br /> Urinal <br /> I t?o�!er Drinkino Fountain <br /> I Refigcration � <br /> Flaor drain <br /> I I VJoodstovc � Grcaset2p <br /> I �ucting � Roof drains <br /> � Olhcr <br /> � Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Olhcr. <br /> � Numbcr of Hee:ds � Ot�e[ <br /> I�Creby cn2!y R�t I�ivr 2sd nnn evmhrd lhis appl:oLcn and Anow Ue zanc lo ee Irue antl artvn.AU p�vvnioro ol la�r.unJ oidmnw peveming I�b type ol woA wlll De cnmpLeo <br /> NT.11 Nf1[VICf Spevl�tE IIC2Y1 O!nOl TT[Sm,�'�'13 OI e(�[rtl�l�C�GS nel p.T.SLft�G 10 gN!.tuIf101T.y�p YpITp O(qlKL•I�'10 pIVA51011 p(Y'ry T.f:U iLllC Of IOCJI I.tN Ifl�'Yld W 9 fDlISINQICII <br /> That I am uWhoriud Gy Ihe mmrr cf Nis p.eperty lo pertcml VIe n9fk iar xTIf71 a�'.M C2lio:f 6 made a�d I[p;n�!y a?:11he Sta:e CCnIrJ:1Gs La'u 19 77 FCIv end 296100A WAC <br /> C.✓J � /�L---- � '.�S �� S / . <br /> OwnedAuthorized Agrn!Signalurc Uale (nevisrd.in,07JJ <br />