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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl , Everett, WA 98201 425-257•8810 FAX 425-257-8857 wvnv everettwa org // <br /> � � —�Y <br /> SITE A��RESS: PROPfRIV TA1l d PFRMIT t <br /> z c e��la.,,� e E„e��-� wa 48z�r 1 '�D�- 00 <br /> c � <br /> LEGAL b�new conslrucl on ShoA PIdL'Su�drvis�on !ul'!o Inliach r.opY��lo��q I�•r,al C�Saq 9c�! <br /> OWNER �PL� Swr:� C SCQ k/S v�ro�eiLria i UCo- (o57J `G �0 <br /> nCOirss � Po. B�x 12�/y r=✓C✓�N W�Q¢L� Cty�Slata7ip l��cl WA I� S�o <br /> APPLICANT: Cw^.ri _ Owna'snqeM Conl�aclo• Cnn'•actoiSAqPni ienant��.,.�.�.�:��o.�.��. -•. .�-�..o..,i�,c.�•^ca;•.\+.,>•�c,�., <br /> CONTRACTOR M.� Con+ru i,' � s+ateLic n OM�C�N�409(� S ciYe„5 i�� a zojSe2 <br /> 7 rno��rF�„�i 25-35�-83is b++.'��+��.c+-:ti � <br /> nao��s5 z393o 2T� A1 W ;,..� wA Po . y -, .�• <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> J�s.,. �.,<� <br /> rnc�,rt �,a� z - - -53rS <br /> BUILDING PERMIT APPLICATION CONTRACT FRICE OF WORK_ J�� <br /> Frshng Use ol8.n�d�^g _l.)ne�,.nn.�q,�Sr�3�Qy�;�y_1s�c._ .— Ntni souHCt <br /> Proposed Use c!Il.��laing_ S 4 �� ! _. . — <br /> Q �,�,e�'��.,�1 �n.L Gas___ Liectnc ome� <br /> `/ '"Pf <br /> Bml�ing typc 7�Singe Family __Oople� Townhouse _ Id„il, l�ar*�ly _Commeic�al <br /> •—' <br /> Type ol pro,ecl New Add�hon Remodel _Repa�r _ T I _ _ Sign_Sprokier_pemchtion_ _Change ol Use <br /> DESCRIPTION OF WORK rnnn.rro�a�sn���>Frov�vea un me eaci; <br /> �e�v.����e.. - �cp�.:rc„-,.� ��, ge/�., � �it��ca,..r�. l (5y,.e5 - «QQ j��f4.1�, �� w�.;nF��af <br /> � - ��) k��^ 1,.,�,D/r.��-� �,r <br /> �'c..,.,6•,��/c 2.S {�(n.. �ic.iL.�is� Ff�.nr I�,�ct�.��acQ.Q �Z� �il� �'+i.•,•> <br /> i (J r a I .iC.�t <br /> MECHANICAI PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol PraJocL __New__Addn �Ilurauon_Repart Typa ol ProJecf _N��w_Addn ��Allereuan_Repair <br /> Show NumDer(q ol b.(ures Show NumDer(NJ o�4�Nres <br /> i NC .u ha�d��ny �rets L 7o��et _ <br /> I forced a�r systems ' ��������n <br /> -- Gas p�p�nn Lavabry lwash bas�n� <br /> Water healer ShuHe• <br /> ___� Gas fireplace Kdchen sink 8 disposal <br /> ' Gas ra^�ge D�shwasher <br /> Cblhes�ryer i C�oP�es was�r.r --- <br /> ! Harqe hooJ ' W�te�Fcaler i <br /> � L.n.mst lan ' S�nN Iserv�r,e��arlrnoplelr 1 � <br /> Ilcal pumq ' _ Nacw.11ow PreveNe� <br /> I Um�acaler _ U��r��l I <br /> � Ai����.. — ; Unnb� Foonl2m <br /> ReingcraUo� _ � Floor dia�n <br /> � Wo0t751ove GrBdSC!rap __ � <br /> Ducl�ng ---- i Noof diains <br /> Othe� � Meaical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM ome� <br /> Number ol Heads I Other <br /> �Pe�ebycehlyP�a�lna.r�ea�fa„ae�im�neCih�saop��ca'o�nnd4nowt�efamelo�etmen�leoneci Anpronero�5n�iav.snnOo�E��a�cespovem�nginis�ypeo�wa�Mii�ecc�•['�•� <br /> w�tn w�clne�:penPc9'•r�nn oi n<I `^e q�ano�g c1 a oe�m�does nvt o�esvme�o grv<eW�o�dr�o vmrnle o�carKei tno poruion cl enr o1�a state or iocai law rcgulal�nq coroWc��o^ <br /> Tpnl i am aa�Pmirea�v�^e een�i c�R�a pw0e9y lo peAc�m I�u xo���e�M��c�apC'��a1wn�s n�aEe a�d l wmpi�wnb me Sla'e Ca�t�ac�on l�w IE 71 RC W�M 796 700<WAC 1 l <br /> 1' v <br /> { <br /> .('C ,�5�-ly <br /> Ownarl ulhori[edAg ISlgnaluro D,re lHr���rJ??OrJ� � <br />