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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St . Everett WA 98201 425-257-8810 FAX 425-257-8857 vnv�everettwa org <br /> SITE ADORESS: pqOPERTY TAM 1 PE MIT <br /> STf�cr �1 5 2oao o a �� <br /> LE(oAL 1or nev.mnsruci�:r� Sho9 Pial�SuW v6�on ��I.CGN�QS I�Qd�(_t o;No_� (aHavn a>p1 of Innq ligai EeYnpno�� <br /> OWNER LA�c.ELAn�o NO�`�ES ThIG . Pno^e�E�mail ZS-3S�'TI�o� <br /> naoress 7.V - d�( (_� . �T�,/�S C�ryiSiatal�o f� Cj�2,�'jej <br /> APPLIGANT' nner Ow�rr'SAperl _ C�n!r,��;• _CenlraHo'sA��e�! lera^I�. ...�.-.�n... . . �.,..� �-n.-..rue...��. . <br /> CONTRACTOR L/akL� 0 -1oM�.5 ?�� Slate Lic a (��`L � pp� Cily Bus Uc � 3 <br /> nnn-ess '�'• o. 0 4�i Ue. s?t]/L, r��-��„rm.,� VJ1A✓L81S IS �O�, �4i1.• <br /> TENANT BUSINESS NAME CONTACT FOR PFRMIT <br /> �12s- 8�u- � 2�17 <br /> u'+re�E ma I � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICF:OF WORK <br /> Ensl�nq USe ol Bun��ng __ ___ __ HEAT SOURCE <br /> Proposea Use ot Hwitlmg S' F�. fZ • cas [ieu•,r. ome� <br /> Bbddin(J type �Single fdm�iy _Duple�_Townnouse ____ MalrFam�"y _ CommerUal <br /> T c o` �o ect New Atld lon Remotlel Rc ar T I S� n 5 •�n41e� Demol�Uon Cha� e ol Usc <br /> DESCRIPTION OF WORK�aud�oa,ai w�cep�o��nea o�rne oncu <br /> �nS''"(LuG-nt�nl al l£93l �1 3•�� R. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projecl �New_Atltln _Allerahon_Rr{wirt Typp ol Pro�otf x New_�OOn __Allenbon_Repair <br /> S�ow NumUnr t ol hriurrs Show NumDer M)ol l�rfures <br /> 0.�C-auhandln �rv�s 3 ioJet <br /> Forcea a�i s slems BathluD <br /> Gas �n � Lavato� washbasm <br /> I � Wate�hea!er Snowe� <br /> I Gas f�m lacr � Ndchrr sin4 8 4�5 osa� <br /> Gas ran e � I D�ShNasher <br /> C'o!hes Ar ei � C�nlhNs washe� <br /> Rln,r hnncf <br /> L�hautt lar SinM IservicelDarhno IP.tc <br /> N��:rt um� Bac40nw re.venle� <br /> U�n healN• Urinal <br /> Uolc� Dnnk��� Fpu�tan <br /> Reh NraPo� Gloo��ra�n <br /> 1VooAslnvr G�case Irap <br /> Ouclin Hoof tl�ams <br /> ����e' Med�cai Gas <br /> SPRINKLER /SUPPRESSION SYSTEM ou�er <br /> Number of HeaOs Other <br /> �Pn✓1,�mNN Ir.P I ndra�t,ttl an0 e.aminrtl I�u afCNel4�n an�t ln��w Ipr vd�nn In M•Imr an�m�trcl N'C�n.nio�i il I.�wa n�iq�,N nnnrns yova�mna 11�M1 lyp•ol wm�wv Dr rmn� <br /> wrn wnrr•�w sPaWwJ Oem n n n:i fFn q.ari�g�:i d pw•.•.l aw•.nw p'rcumr h�Urvr a..tnerey tn wia�r nr ian�✓1 me prnwsnn nl a�y nlner aa�r m inotl uw ivg„lump u.�cnn bcu <br />. tTallarna�n0omrr�rwqr11lllq�c`�r�pl�tyi�� ,nnrmiprwrnrn�wn.l�.ipn^oi:i,mnm.�9ra^rliromphml�Re•na�r(.nm.�nar5law�e:'11C1Yane17'��;20��,U'In(' <br /> � 1/ <br /> ��/ Pn�s n�z�l , <br /> OWnorlAuthonr Mt Signelurn Dqlc � ;�pnsr�o;Ofal I�. <br />