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Fram: 051'0 �2013 08:40 #503 P .002/002 <br /> C ��� 1 � � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANiCALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Fveretl, WA 98201 425-257-8870 FAX 425-257-8057 wv.av everettwa or <br /> APPLICATIONS AftE ACGEPTED FROM B AM TO�PM s " a�-i 3 <br /> SITE ADDRESS: VROPEPTr tAlf M �' MI <br /> -, �o?� Ca �2 � 00 � O D I C� - <br /> LEGAL�o�now conelmclion Snon Ma!b�bG�vrsion .o�No___ (aBac�wpv ol lonp iepul tleactlption) <br /> OWNER �h�1`� C�YI ���'�INaI'1(� -`---- vnone�[-mnd L 'L —a 4" -1 � �i Ei <br /> nEJrc6s <br /> C d�'C U � l�l (;�Iy/5��le/Zio ��✓lU)'C�,� �'f� �.�"�Z�� <br /> APPLICANT: CMnar Ovmer'aApenl �Conlrodor ConlncloreApenl lene�Imwuem.M..��.�wcanu+�nemm.�..v�e�o.wrm..pmi <br /> CONTRACTOR ��Sa���� 1� .Fl� -�<"� i a i u� M T(�rl YJ W 1�"I�-��S�C-coE e�s i.�� a���Y}�_�;S <br /> naa�a�s ��11Y35 North Creck PaijcWa Soc4h,51�CdOG �othell, WA'38011 ���Hq MI � �t ��t���.`�a��'�t'<��•-�,',,. 1�1 <br /> T NANT BUSINESS NAME CON ACT FOR PERMIT ��.��� ��l � <br /> u2s �c�� 1 <br /> PhOnClC�mel � 1����^. r—s \ ' .l_�1�'1 <br /> BUILDING PERMIT APPUCATION GONTRACT VRICE OF WORK_ �y� <br /> Eaisling Uae ol(7utlding -,�.eae�ite __ Hf-AT SOURCE. <br /> P�oposed Use oy�Bwltlmy __ Gee Elnclnc Ul�cr <br /> Building typu- L15ingle Femlly __Uuplex_ iown�ouse _Mutl�-�emdy _Commeruel <br /> T ot ro acl New Addition Remodel _Repeir__T I _S�gn.__Spnnkler_Uemolilion_Chan e oi Uee <br /> DESGRIPTION OF WORK�nam��onnienecepo�roeaon rn.e.ck1. 11 <br /> ``j;� lti,ti,�,,K� �'t� ���N�;'��2 ( f� C�C%(,�;� l.Ir�.P F.)�� �1 F'r��T�' �� <br /> f , <br /> MECHANICAL PERMIT APPLICl�TION PLUMBING PERMIT APPLICATION <br /> Typ�of Pro�ncL _Naw_Atltln _Allonllon_Rapalr iypc o/Prof�ct: _New_Adtln _Al�or�llon_Rop�lr <br /> Show Nombe�(�)ol/irfuies SAow Numbm(YJ oI llriwrs <br /> NC-Bu hantllin unilt Toile� <br /> i Forced oir s slems Hathlub <br /> Gos piping _ Lavato 1wes�6nvn <br /> Weler haater Shower <br /> Gns fue Inco Ktichen sink 8 disposal <br /> Ges ran e Dishwashe� <br /> (:lolhee aryer Clu(hes wesher <br /> ' Itun a hootl Watcr lioater <br /> '— f.rhausl lan Smk�nrvice;be�/mo /elc. <br /> � Ileat pump BaCktlow prevonler <br /> Unq hen!c� UrinBi <br /> ' ❑oiler � U�inMm9�olmlbin <br /> � {3e�ri8cration Fluortlrqin <br /> , WoodStave G�ease Irap <br /> Uucting Rool dram5 <br /> ��— �V,oi MetlicalGes <br /> SPRINKLER ! SUPPRESSION SYSTEM olnor <br /> Nuniner al HenOs Ol�er <br /> ���'et r<�n.4 i�'^���nvn�m�e��.1 eu�r:n�a Inn�DV�e•cn�ne�nna v.��ne In ne Oee u,c m�ucJ A��pmrnant M bw��na om�nrcr�pw�miq0lnn ryCe o1 wiv�W e�cpmD�e] <br /> rv9'i..1 i9�,N f Ve�na��l Ptn n m��>1 TM Q��v4np rl�permil Jn��i�ol C'��vme lo V�ve�uNmiNy lo nobb d[�nce�N�O�oa�ion O��nY o1nV�bl�or Y�C�I bw nyW�4�p uM11N[W9 <br /> n,N�nrn upLorv�O LY Ine om�n nl inn pvp�rlY lo pu�orm IM wcA lo'wli<L�pDlu�ro�n m�Ee ma I cMqN��N�gbN Cunlo�bn:en 41)]qC W�nC}66100P WPC <br /> � ��1f��',�D�-1-- �ra-� ►3 <br /> [�� M,�Ibor�led�9ent Slgnature Uele fRonsnaN10t7) <br /> � <br />