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�RMIT APPLICATIO�
<br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 Cedar S� . CvereU. WA 98101 425-257-Sf�10 f i+X 425-2�i7 f�85! wtw+everr.ltv�a orq
<br /> /� �17 -��
<br /> SITE ADDRESS: — PRovERTV iAX a PlItMiT �
<br /> 3001 �V'c�l (�,isin�� �t�� 7 '�)�1;-_':17 ?RI1�1 1 5011 1 0111(111
<br /> �EGAL I�:� rn��r ensPueha�� Sry�rt P-i!.,,PA v•.nr l cl Vn �,tllaeh cnpY��I I.�nq.u,a'Ae..;,.�ph�•r�
<br /> OWNER 'I Iu' R��ri�l � (�nfTl ��I11�__ �'hnor9 r.�,a.: _
<br /> ndm��,, Pll }iax 3:f17 \U� ' hAl�(11 �=�hsi.,i�rZ�n tii•aitic 11'A `�HI �4
<br /> APPLICANT: Ormrr On^rvi�.!„���rl � �:n�diactor ( nnhd�•.r" R���.rl Ir„c��I,..�..,.. . ,,.� ,....�r„ .�.,r....�r.. �,....�.. �....:....�r�.. � .
<br /> CONTRACTOR I��han���n �Icchani.:.il, In�. s;ace i :. a i� �l I;�ti\11I"ti�h c;�iy t��s ��c a ,, ,.,
<br /> r.d�,ess '_IIIU�) 1�44th r1�•e NI�, 11'u�ulin�•�Ilc. A��t1 `�R(I';? Pnm.o,F,oa.i .I'� 441 ?.'.l,(,
<br /> TENANT RUSINESS NAME CONTACT FOR PERMIT
<br /> �;�IClllt: 1�'�' � C��:II7l;IC •��r�.'��4; ;'l�hl1'y�b+'!���1:1I15PIlI11Pi'�l.i(Illl
<br /> i'ta��e! 'r:u�
<br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ;�J�,!'��l _ __
<br /> 1 *SVn� Usr rl H.nl7 nq ��d1:U�_/:�C�U,ti��d(l____" .- N(!�T SOURCL
<br /> �'rop^,5?d ilse nl f3.rldi�y ti_II11C _. ___ '_____ ��us FJestnc Othr� .
<br /> pi�pdmq IyCe Sinq�r�amily ___DuPiex_ Townhouse __Mulh F a�rJy �Cnm^+e•oal
<br /> ?�.e o� iro ecl New� �tldiuon Remndel F2r�ar ' T I ;�an S ��nkie� Ue^�n��he^ Ctcriqc ol i k.e
<br /> DESCRIPTION OF WORK,a.,..,,, •,� �;;n �r�r,.;,•.:i�.,�r".,r r� .
<br /> kc�,l,i�r 1.'.1 !l.inr .11 I l`., ! I l rxh.iint 1,in,. � �RI��, .�n�l m���llh'�ucUc���I: F�ri {� .�n;.
<br /> MECHANICAL PERMIT APP�ICATION PLUMBING PERMIT APPLICATION
<br /> TypnnlPmj�ct. _New Atldn ,_Altenimn _ . Repair TyprnlPrn�rct' _ New._Ad�1n ___Alleratinn Hrpau
<br /> Show Numhrr(al ol M1rfurrs Show Numhrr(pl ul Ir.fures
<br /> �,C .i.r 1�.enrlhn lu�d5 lcilil
<br /> Furri`�1 m"YSinrtts Rlthtuh
<br /> �l.r. •i ��nq I ;�vatrn wdsh ba�,�n
<br /> lti',d��� I�raLrr tinnv:��r
<br /> rfd� Ir.� ,I,ICP Kilrhrn Smk R d�s tasal
<br /> ��aa r�nce D�shw�vsl�cr
<br /> ��_OuP�r•.di i�r Cinlhns Waitihr.r ' '
<br /> Ra�i�r In;�.�d Wnler hr:rtr�
<br /> Frhaiis��ar _ _ tiink�seivirr,ihrfr/innp�etc _
<br /> I�rat nmi� flac4flnvr p�evenler �ins�de bldg)
<br /> Ilnd nral�r Urn�.il
<br /> BOdpr Urm�,r�� I nunl;im
<br /> Helr�qerahoa (lunr rira�n
<br /> ' � l^bud,dnV.• (�'POSP irA
<br /> � U�n�.l�nr� Raaf tl�ams
<br /> utr<�� (,Il I Ys Me�n�„�,�a;,s
<br /> SPRINKLER I SUPPRESSION SYSTEM omN�
<br /> Nmn6er o�flP;irls Othrr
<br /> I P.•r�r rr�n�Inol i naue rraJ n��d e�ammeJ 1'ns uuD'�a�.�v�an:1�•.nH�r s.�n.r In L...�ur an�f�u.rn.l �i'pv n en�s ot In«ti un�n,q..,a,..rs qo�n ,ny iP�r lype clMorA w,Y 1��•����,i�
<br /> wynNnrno. p 'oJrvrrrn�� nol 1"e7rdrUapo�ap�rmt fortmll e ' c�ow. r I i�v� +i � i� -�i^ � . .... niar� . I�'uo Wca'.�nwicpuU npce:t�,.���i
<br /> `f.11l,l uR :�J�rinrcy,re , p5 �o0erlYlapnilprm��eWarklnrwnch.il,I"��� � �.' �.�lwanfi � iq��ywP,lhe-Inl .�qpal ff 'N.':NI :Jn��:9l700FWPt.
<br /> ,//G �� I Z �H�iS
<br /> OwnerlA orired Agent Siynature ipl' , , ,�,i n :i�rt.
<br /> .:,. ►Iz
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