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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Ce�ar St . [verett VJA 98201 425 25' 8810 FAX 425-257 885! �wnv everettwa org <br /> _ -�v <br /> SITEADDRESS . �J L PROPfRiYTA%u P FMITI <br /> �� � L � 5 f � _ U U <br /> LEGAL'ai new een,Iruct on SMit Pla'JsuCoi.•cn I ot No �a'tac9 cu:�y cl lung�eqal Cesu�phoni <br /> (' _�y �jI,,I <br /> OWNER �/' Gt�/1 7(A�`/4i71 � � / vnorr�! mad Q��{ 3a I ✓ �0 G! UIN YJ�'�i01 <br /> ��a,«: �� �, a 'f�w,s�����z�, vev H I,✓ A <br /> APPLICArlT' Ow��rr Owr�isPgrn! . . Can'r�clor CnnLac!oYsAqriq �enlnl•..,..:�ir�:o.��.-.. •.�.....:....�:•.n�...�,r._•.�...+ .�r.�:n:�� <br /> i' <br /> CONTRACTOR J�h Sla�c L c a C�.' Bus I.ic a <br /> �00'es; I'�on!,�[�•�ad <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> vhv,r I �'a' <br /> BUILDING PERMIT APPUCATION CONTRACT PRICE OF WORK _ y�y� <br /> Cx�st ^.�Use ci().iil��r9 --- �jl�y�_n.� .__5�.���_(��.4.j�!'�� I1[AT SOURCF <br /> Pro�csed Use ol BwIC�,rg ____ _ ____ _ ___ Gas lirc'��c Otnm __ <br /> Bu�ltlmg type �Si�g��c I am�ly _. _ Dap e� __Towrhouse _Mu!I:�Family _Corrmerc al <br /> Type ol p'o�ecl _New Adddion ___ RemoCel ReD�ir__1 I S.gn _ SCrrk'er Demchuo� __ C�an e o�Use <br /> DESCRIP710NOf WORK ,�ceno�mspocepro�-r.rdo�rr�.c�,��i , � q�Jd bQf�^�"���N Ve �I�rCJ <br /> �Q;H F��� /s lMo k� da,na y e , re u�,� e , ) <br /> i��5c�la�e i�s+ali 2-_5 neu/ �iev� �5 �5 , � ✓ealv� �� l'ou5� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> iypo ol Pro�ecL __Now�Addn _Altorallon �Hepalr Typo ol 7ro�ect. _Now,�AA�n _Alleratlon�Ropan <br /> S�ow NumDw�M)o//nfures Show Numbri i�)ol�nfures <br /> lVC -dv hdntli�nq �ndS 1 ' lodc� <br /> � Morced an s stems �� [laP�iab <br /> Gas p�pmq I aviro �wa5h bas,n) <br /> ' Walc� hcal�,� S°.oee� _ <br /> Gas hreplH«.� Kitchcn 5inh 8 disposal <br /> I Gas nngc --�---l)ishwasher <br /> ( Clolhes A e� � 1 ..�oPms washe� <br /> Ranyc hwtl :itrr w_� <br /> 1-e�aus��an Sink(semcclbainnop�etc � <br /> Hcal um I HaC�Pow Orevmtrr <br /> Und hcaler Unnal <br /> I I�Oi!Pf Ur�nk�ng F W�Ildrtl <br /> ' Re�rigeration � Flnci Arain <br /> Woodstovc Grcasc hap <br /> Uuthng Ruo�d�ams <br /> Ulher �Aed�cal Gas <br /> SPRINKLER / SUPPRESSION SYSTEM otner <br /> Numbcr ol Heads � OthC� <br /> I nrwLY�'�'�Y��`at I�ave iea0 a�d e�dv^nel'�t�is app4c.Son and lrow IDe same'u De Iroe ond axvtl All proriSrons ol laws an0 md�na�c�s govem�ng iTt l�y alwon wll0e umpLe:f <br /> wn�wlinVier tpecMeO M�nn rn not ipe 9��n�i�g r,l a Orrmi:Cw�rol prnum�'u S+e a�nnml�b vio4�e m unvl Ihe C�er-von cl anr��.�n 5111e m Ixal qiw re9ulJLnq mns�vcaun <br /> Thot�om aw�o��i�d EY Ine ormer ol ln�f pmprt,,lo y'ibn.i the xon foi xMrn af[�.a`�un�f maCe a'�d 1 mmC4 wnn Ue S�a�e Cenbanmf 1 aw'A 77 Rl Yl a��)oF 700n Wnr <br /> /�_-- - ��- 3 - 13 ' �z <br /> Own �Authorl:uJAgenl51gna1ure Datv I�+^nse01:0f)I <br />