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PEFtMIT APPLICATION
<br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION
<br /> CITY OF FVERF.TT PERMIT SEFVICES
<br /> 3200 Cedar St , Everett WA 98201 425-257-8810 FAX 42`i-257-8857 wwv� everethva org
<br /> $ITEADDRESS: � D� Q��t/� � r� NNOPkRTYiAxq P��j��Tj�fII _ IZ
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<br /> LEGAL'o�nu.v uJ�_. li:�� Tcr: {'I.q'.uG�ll.;sr �,1 Yu ;.�P.a�li r.�!1 0l l.n)I.��e �..r,�.'rl.ln�
<br /> OWNER / vi^GJ ..J�� __ _ _ _. ,I��o��e�F�inal L.�Z� I �./ ZI
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<br /> APPLICANT: ii•.".�r �.vn�•Y.;G�.�t�d Ccrtra�L�a _'_lOn�rafbrsAynl _ 'ensN, . �.�.i. ��.i ..... � .. .,.- •. �� •.����r.. �� ��.• � ,..
<br /> CONTRACTOR � ✓1��N� � �Wh Q�^� St:ate I i�. ++ �~2 � � -�� �c #
<br /> :.,�,� :; /oo �{ Cei�M�GfH'L�-llo 9 � �,���c��� ,�o - ?�—�" 7��
<br /> TENANT 9USINESS NAME CUNTACT FOR PERMIT
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<br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK__gJ ___
<br /> Fzis'in3 Use o113�.i.lairg__. ___ ^_ _y���__ HCAT SOUHCF
<br /> Prcposea Use e1 �dd�n7 _ .. __ __�--__ �;�,�._ !J„d.�c ;:!ner
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<br /> Budding lype _ '�mql� Famuy _D�plfx_TG� nhouse �9�IIrFamf� _Con'�me"i2'
<br /> lypeo�prC�ect Nev: Addihon Reinodel �pa�r 1 I Sign _Sp�in•Icr D^_��d�hon Cha��e olUse
<br /> DESCRIPTIONOFWORKi,�•n-•a,� •:.a-.,� :.cr,-•,^.•:.i ., � _��ij ��d�✓'X']ri
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<br /> L,i,�%J��� /��d �.�. J�1�'J�'�,����1" � �/'
<br /> MEC.HANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION
<br /> fypo of Pro�ec�: ___New _, AdAn _Alforohon Hopair Type ol Projecl: __New_Atldn ___AlloraUon'__Ropair
<br /> Show Numbcr(pl o/(u h�rrs SAow Numbcr��)o/h+turrs
<br /> —_— I A C�� du '�ar�d^�ny un�;s ' IcJet
<br /> Fc•n�tl �m sVstems (3atl�:ub
<br /> � Gas p�p�nq Lava'cry (was�6asm)
<br /> 1 ' W,iler hraler Sho:.cr
<br /> � Gds lueplare KdJ��en sinh 8 d�yposul
<br /> i;asranqo-- - Uish;.ashei --
<br /> � Ciuih�" dry�•i i Ciothes washer
<br /> Hanye houo � ' Wat.��hcatcr
<br /> -- EJci,ist I,in Si��k .5erncc�barlmop;etc 1
<br /> Hcal n�nnn � Bac4'low preventer
<br /> I Um!h�.t:Per Unnal
<br /> ' E3oi'rr I Dnn��,ny I"oun�am
<br /> � Re�naeral�on ' Floortlram
<br /> Wocdslove ' Grease Irap
<br /> — - �p,���,;,,� � Rooltlrams
<br /> ----�� —��i�i�,�� IAed ral Gas _ �
<br /> SPRINKLER / SUPPRESSION SYSTEM other
<br /> ' Y��a�;��•r�il 16•adF Olher ,
<br /> C•CLr � P�����JllfJ.cl]:JrJe�� '.�e'. ISJLL � .'+n.1�]1'i^n. _sa ._ ..� �n±OCdLU�e[� i.9G�oI�9on5Cfllwilr�fpF' TCJ[f:Hernm�I�iS�):Ccl�nc.� ndlL'C.r'^.� e:l ��
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<br /> OwnerlAulhor�zed Agonl Si9�alure 1?aL, ,l��O'°� ';�')�11
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