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Dec 0511 06:22p Mercier 425-257-9173 p.1 <br /> � � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGNlSPRINKLER/DEMOLITION <br /> C(TY OF EVERETT PERMITSERVICES ��AG/l/ <br /> 3200 Cedar St., Everett.WA 98201 -425-257-8810— FAX 425-257-8857—wyuw.everettwa.o�g <br /> APPLJCA710N5 ARE ACCEPTED FROM 8 AM TO<PM <br /> SITEADDRESS: I�O� CO{YJ �a/e�-!1"RpocG� PROPE�A%� C PE R�t' '-�_vU' <br /> � <br /> LEGAL to�naN conUn�aion: Stul PWViubdiNsbn Lct Na._ (atlxM cop�ol b�G k9el 0eurir.iw) <br /> owr+�a VJGtlii'cL hf. Ner '2+' v,�re.��� 'z5 257•R17 m rci r a <br /> nm«56 ��j I Q V�'Q W T��'. c�rv�suiaziv - ' ' (.C14 CI�ZG 3 <br /> CONTRACTOR �' L&1 Lic.tM <br /> �,Y�S Phone�Email <br /> TENANi BUSIN SS NAME CONTA F R PERMI <br /> PhpWE-mail 2 •2 -� 7 �� Y�J �. Cim <br /> BUILDING PERNIIT APPLICATIOH CONTRACT�RICE OF WORK <br /> Ezisting Use ot Bui dlnp t��M�� L-� ��� NEAT SOURCE: <br /> Propoaed Use of BuilEing \=1��'���I l��.�1���� Gas EkccAc Otter <br /> Bu�lOing type: �Singk Femily _Duplex_Townhovse _IduIU•Famiry _Corvnerdal <br /> Type of projed: _New _Addi;ion _Remodel _Repoir�T.t._Sign__Sprinkier_Demo�Rion Change A Use <br /> DesaiptionofWork(adOiJovN�cermvitledonNebady: �✓��� � -��ec� 1�. h�^14rc,o�.,,� ��_�'1«'L ��� <br /> S'JsYc�Nl� .. k�.,..� �� �.N�, i:.7 ih c�W 1\�...� � ouer S�rc��n au\�..n.Z.4 N,��. +u �g''(. <br /> ni 411 {'�Y1Jre5 � fCl•ou�l � ,�n �e�la�c ,� )w�irc� G�! �,.• ��-�..i�C�ef\ . c��c� SMC1�., o�4Y +�5 C�� <br /> r.o,-H ..,.d � . IllccfS . �..sin11 �cc����i�.+,�� r��y9 I�ccc,� � A Isc r•-{�la�e w„1� �.,;.:ISi�c �� �.. <br /> Hav0y0ustarted OAcingwithoutapertnit? _YES kN0 r� 4-cl,.Cln , `�"`� Q�'°s��'�y Ad�� a' r`�oJf �� ���P� �'� <br /> p � �<41 CJT�P� S� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 7ypeofPraHct: _Ncw_AOAn.SAllentlon�,�",Repair TypeofProjttt: _Nwv_AdCn �Al�entlon�Repalr <br /> Show Number(�cf/Irfurm SM1ow NurtrWr(tJ o/Rafure� <br /> � A/C-a�r hanClin unils 1 Toilet <br /> ForceCairs stems Batti:ub <br /> Gas i in Lavato wash basin <br /> Water neater I SCower <br /> � Gas(ire Ieco Kitchen eink&Oisoosel <br /> Ges ran e Dishwa5hef <br /> Clo;hes Q er Clothes waeher <br /> Ra e hood Water heater <br /> Eshaustfan Sink serviceNaNmop/etc.) <br /> Heat um Bsckfbw reverY.er <br /> UNt�ealer Urinal <br /> Boiler Orinkin Fountain I <br /> Refn e�ation Flcordtain � <br /> ll�ocdstove Grease tro <br /> Duct�n Roof tlrain5 <br /> Other Medical Gas <br /> SPRINKLER/SUPPRE;3310N SYSTEM O�her. <br /> � <br /> � Number o1 Heads Other. <br /> I hereby ceniy�hat I hava read an0 eXamineA thk�pAqcxibn an0 1�w Ne same�o be 1ne�nE corretl.AI�pm�isi�ns d��ws enE mAlnanaes G�min� <br /> ltis ty0e of�.vcri wNl be oompli�d wlth nhettier apecife0 herein cr net.Tw qranling d a pe•mA does not presune to pive eut�aity to rfolah or camzl <br /> the preWslon o!erry oNer iW:e w bcal lav npWtinfl oons:r�ctbn w the perto`marca ot t�nshudbi.Thet i sm aNhorieetl by t�e owrier of�hh prope�ry <br /> to Aorm Itie vqrk fo ich ncalbn Is me0e and I wmpry with ne State�ontreCton Lna 19.27 RCNI erG 298,2"uD tNAC <br /> j/' � / � <br /> ��_JI I � / ! {/. � <br /> ncr/author zeU Agent Slgneturo Delq! (Rev:setl 1/20f fJ <br /> r <br />