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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett WA 98201 425 257-8810 FAX 425-257-p857 vn+nv everettwa org <br /> SITE AODRESS: pFOVFRTY TA%q P FMIT _ �O3 <br /> LEGAL tor�e++mn5bucbo� Short P�aVzu60 vis�on i.ot No �anacn copy o�ionq��eyai deso u'�r�� <br /> OWNER O(/n��V�Cu �ontR/�C�o/S Pnonr�Fna�i ��zs �J �O � 7.� `/ � <br /> t.�C�ess SZ17 (vi�fbCG�e �VC L'VC'C.f'f- �I�� Cty/5!dlrv2�p <br /> APPLICANi: XOwnr �x�crsnyc..I _Conlri.yoi �ortractm'snqrnl Te�+,nl.�.��;�,.m.�.�.-.,��u-.�-r.--.�r.r...,...-.e.:.,� �,v.,,.,.,., <br /> CONTRACTOR SnwdV� r� CoA�fA�-4a�S S'aleL�r. N CtyB�s L�c a <br /> namess 511 � Na�bn�e A(.r Ev(.e1I- ✓q �,�a�S rr�o��e�F��a�i �/jS'fJ70 � 7l '/) <br /> TENANT BUSINE55 NAME CQNiACT FOR PERMIT <br /> M�+r (3e C 1� <br /> vn�-�F TAiI yLS E� -71`� 7 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK _�7 Sco__ _ _ <br /> F,����,a u5a o�r.��ra�e . .�F.iZ __ ____ _ Henr sounc[ <br /> Pr000sed Use ol dildr���_._,___ __ Gas_. L rclnc rn4er <br /> Bwltling lyee _ S�ng'e Family _ _ D��ciee _Tonnho�se _ I.ti.i -fam.�y _GcT�me�c al <br /> iyFe o'o�o ecl New Adddion Remodei ReDan __ T I S�gn _Spnrkier Demo��hon Cha�ge ol Use <br /> DESCRIPTION OF WORK �a�>�nra�sr.��c oro��ceo nn r^o tacw� <br /> De,�� ex;si�,, ll���.rc ��� c�.,..s-� ���-� �� rv�. , SF � <br /> MECFIANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo el Pro�ocY. _New_AAtln _Alleralion__Reprlr Typo ol FroJen _Now__Addn __Allanuon_ Repair <br /> Show Nuntber/MJ ol M1rfuies Show Number�N)olli�fines <br /> —T NG au hi�dling unds _ � Io�'el <br /> ! I o•cr.d a�r syslems �-Palht�b <br /> �— G.s pipin9 Lavatory(wash bavn� <br /> Waier heater Sho�vrr <br /> Gas firepl,�u i �Kitchen s�nk 8 tlisposai <br /> G.; ranqe --�—U�sPwashcr � <br /> I Ciothes drye� �Clothes washer __ <br /> Ra��gc hood Water heate� <br /> F�haust lan _ �Smk fservice�barimopletc I <br /> Heal pi�mp � E�;�ckllow Dreven!er <br /> i Und hcaici Uuna� <br /> Uo�,ler __ i7m��king fbunia�n <br /> T Neh�qcrnho�i Plonr dia�n <br /> Woodstavc � Grease Irap <br /> Uuctinq Roo!dra��ns <br /> Cther ldeU�cal Gas <br /> SPRIINKLER / SUPPRESSION SYSTEM i omer <br />� Nu�n6r of Heads Other <br /> �^e�epy C�rt�y Inat I�om teaE and e.ammeU�his flpD�cd��o�9��1 Yno+�I�e samv io ee Iru�imC cCnetl PII pr�vrto�s o�l.�n5 a�d r�Q�ndnces govemrnp inis I�pe o�v.eh n i Ae ecm:��H <br /> v�nnr.qe!nerfpecheJneremarretir,egr�n�� em�nCnrs Cmsumeby��ene�Mniylov�o�atearcancrii�rprows.onnln�yaR•erfiaieo�bai�awreqNnimym�:�•uci.r,n <br /> I�al I am au�no�dr0 Gy Ine owner ol o<�Y�o �Ine wo4�or Hq2�app'icybo��s maCe nC I cwnpiy min�pe Sla�e Lo�lqtlo�f Ub 1p 1/NC W I�E 796 7W4 Y:a� <br /> � � /�^ �/ <br /> Ow r/AuthonzetlAgon1518natwo Daie �aense0J47�T <br />