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PE'�MiT APPLICATION
<br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERlDEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 Cedar St . Everett. Wn 98201 425-757-881J FAX 425-257-8857 vrww everettwa org
<br /> APPLICATIONS ARE ACCEPTED FROM B AM T04 PM
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<br /> SITEADDRESS: r '�n � nGs'Ino ��� 5 po 0 � � �J-np�
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<br /> pncnc,l-n.v� � � 5 . �l� 5 i✓� ISG�C�$ ✓1. OM
<br /> OWNER � V1 L`�C�L'f�' �
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<br /> APPLICANT: f)e�r• _�D+^�cr';Aqc�t � �;nr'•;r�rr Cr:n'•acic��5A7e^� _ . ir�avin���r•+..:•�o-•.�,....,,:...�..... ,. .....,�.c...,e., .�r. .;
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<br /> CONTRACTOR I�S )C�S 1'� '��✓��� � L �/
<br /> n-»i��ss ' ��� �O�t'INt(vC.Q �l. .l�r. �.-�C �SC L'.14 ��F'��a Pnr,r�•�E�n,r��+Oy�J.�20D Sk(rr�/SCI�'S/ I'1•(t��l
<br /> TENANT BUSINESS NAME CON7ACT FOR PERMIT ;���� ��f�L
<br /> PPGre�E^od �� `�i �L� .`l � �� �5C7U�-$1 �� l7�
<br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORH �
<br /> HFJ�T SOURCE
<br /> D�sting Use ol �udCing�(��' �-�'� --- — �
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<br /> Prcposed Use cl�u Id ng C�<`��-��
<br /> Hw'd��y�ype S^.9�eFamilV __DuP'e� _'_lownhou5e __._ M�I;�-Fami�Y ___Cor-mcrial
<br /> 1 0� o�ect Ncw �dddon RemcAel ftepart ! I . 5� n SDnrkier f)erioh'ion _Change ol Use
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<br /> DESCRIPTIONOFWORK,�,•,,.,:,,�i�r� ^cT,.���r,�:,,;n,.n,,�v ��IQ�'- C.y-SS{-(nC, C�Lc�N��
<br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION
<br /> Typo ol Project New AAAn Alluralion RCPA�r TYP�al Pro�ecL .New Addn .Al�eralion_Hepan
<br /> S/row Numhrr ia)all�turrs
<br /> Shnw Numhrr IM�o/fidurrs Ioi'el
<br /> . q��-��rhand��n unds ---
<br /> FoiceJ a r s slcn•.s [3aP.!ub
<br /> Gas p�o�^q 1 avalory Iwash L•asm�
<br /> i ChCf
<br /> l"J�'rr ^ealrr
<br /> KA[he�i smk S Aspoti:d
<br /> � Gas lueplace Us^.vashcr —�
<br /> cla:ran e
<br /> I CIo1�o5 W+Ishri
<br /> (,IO:hC9 di EI
<br /> W;ftrn c�aMr
<br /> I�an c�ooA
<br /> Frh.l��sl lan Sin41•.rn�ut/bodmU lelc )
<br /> Haallr.w pmventer
<br /> Hral pump Unral
<br /> Umt hca!r.r
<br /> Hoi�r_r U�i^nmg Fountam
<br /> Ncln eradon
<br /> F'�ocr drain
<br /> (,ea•��c trap
<br /> Woodstove __ Kor,ldrains
<br /> _—_ Uu;.l.r
<br /> Med�cal Gas
<br /> Olher
<br /> SPRINKLER / SUPPRESSION SYSTEti1 Othe�
<br /> Numbcr cl Heads
<br /> Olher
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