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�� �ERMIT APPLICATIO� <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, VVA �J8201 425-257 8810 FAX 425 257-8857 �vwv+ everettwa org <br /> � 72- 1 <br /> SITE ADDRESS: � ' �j� a2 ��� 7ROPE RTV TA%p PF13_��]y 0 'n � <br /> �' !� (�J �� <br /> LEGAL lo�new consimd�on S��ort PiaVsuhd�v�ro�� Let Ho ;allach copy of long legal aeu��.phon) <br /> OWNFR _ /� — Ph:•-..e�Gmad Z3�' ��� 3 _ <br /> Address `�t G Cdyl5t31e'lip � -`�� � 3 <br /> APPLICANT: Or:ne� __ bv:ner'sA3eni __Conlratlo� _Conlracloi',Agenl Irnanlm��:�u�c.�ra.,�o•^�o�:�.��.^rn,c��no�..ee�maowonmmasc��•�1 <br /> CONTRACTOR �l�—��gl�� �l \, — �' S�ateLic tt '�p C�ty (3us Lic #� <br /> 4dJress <br /> 21 1�,9c.s. �°�,o�����Tad �zs) zsz-31�� <br /> TENANT BUSINFSS NAM[ CONTACT FOR P MIT <br /> rnc��elFCm�, � � L�ra 61.LX r YG <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORN____, � �_____ <br /> Fzis�ing Usc al�3.i�i��.nq _ . _ HFFT SUURCE <br /> ProU�sed Use 01 9mldi^g_'__ __ _____- _—_ Gas_ Eiectnc� Ol�er ____ <br /> liuild�n9ly{?e �Sing��e Family _ Duplex _Townhouse _��1uIIrFz�m•ly _Commercial <br /> ty,e r.l pro;ecl New AtldA�on Remodel � Repa�r x T I __ Siai� __ Spmkler __Demold�on_Change of U;e <br /> DESCRIPTIOH OF WORK I.�dn:�oncd spaceI\wov�deo on me bac�i n <br /> ivar.�tsn ` � �i �� U�-(�ss_KuT� P�t�..,p Jys��►c, <br /> �;-. _ f <br /> . ,._�._� <br /> '..-`� <br /> MECHANICAL PERMIT APPLICATION `� PLUMBIMG PERMIT APPLICATIOtd <br /> IyprolProJecC _New_Ad�n __Nlera��on .Nepah TypeolPro�ect�. __ Nevi__Adtln _Al:eratmn_Repan <br /> Shaw humber(kJ o!/�xfures Sho.v Num�cr�M,I o/I�+Wres __ <br /> --. !UC � a�i hantlling �inds — _7Udet <br /> —-- 1 orced,+r systems _—— - � I �U.thfuU <br /> -- —'—� " V�5���,n� -- _ � Lavalory(wdsh bdsin) - - __ <br /> --�—��- Wa�e�healer � ShowCr _ <br /> � Gas hreplace _ � Nddren smk 8 Aisposal <br /> � Gasrange _ _ � Dishwashe� _ __ <br /> —'-� � Clo�hr.s drYer � � j � Clolhes washer _ __ <br /> —� Range honA � _—-- -� � V✓ata heater .'._ <br /> --�� Cxhausl fan �-- Smk(sernce�bai/mop/etc� <br /> -_��_--�i---He��!pump ..�- � BackOaN prevenlcr -- <br /> � Una heainr � Uunai <br /> � BoJcr � _ UnnA�,iq foun�ain __ <br /> __. _._�_" Rr.ingeralion "—.. _ � _ 1 loor dravi <br /> _ _—_-� __-Woodslo�>=.--_ _ _ � .. _ Gieasetrap ___ _._ <br /> _- — - I Dn;:!,nq � � RoolOrBins ___ <br /> —. --_- Oihci � � Ncd�cai Gas _._ <br /> SPRINKLER I SUPPRESSION SYSTEPA —� Olher _ <br /> - .._ ___I _ Nur^ber:_,' He�ads _ _ -- Other _ <br /> I 1 rirby crilrly I�ol I�ave mn0 and e.dm�ne�I��s�pJ��ca��en an�l�to+�1��sTme la Oe I,�e nntl eoi¢tl AI�prows nn5 rl��ws 0�t10��+��nr.ee.yo�o��,�g I�i•.tYf-r el v.O,M w�fi Dr ro�rp'�r] <br /> n�i�wl�ci�e�spen6lU�eremm�ol L�ograningolaPumilaoesnolPrtsumelogireau�npnrytovm�aier,aa�ri:9��•�.�.r,�inJ���.. ,.•^�•.li..r r- .".�:r�•c✓.��-;_�,r��'�,�ir-� <br /> .. .���mdul�oriteCpYlM1eon'ne�0linppd YtoPe'lormllleworklo�w�c1100P'Ko�ianismT4eM4�:_,.•LI�..� � ._ . �� r��l � .:lavld:;r:" :. � .. ,.. ., . <br /> -- - .`�"'_ �>`.� - -� �ZZ ��� � , <br /> Ow-nertAulhori�d A9en�S�gnalurc 1>,�'� ;1:,�. �.�,. . .'21- <br />