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F�ERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Evcrctt,WA 98201 425-257•8810 FAX»25-257-8657 www.evereltwa.org <br /> SITEADDRE55: PROPERTYTAXn PERtdIT 1 — �O <br /> 2o3z colb ..� 2 � 2 �� bZ- <br /> LEGAL���newcurstru[9oo�. S�o'iPl:�.sa�d.vrsmn lei'!o le��ie5eeqe�long'.?qc+��csu:pluc) <br /> OWNER U/�'� LVl1�11 �A.}'.n� � �����C Phone�E-ma�IQLr' ZS�'���e�� ,(�.�"� w� {�t..t' �e�w...� t. <br /> nd,��F,�� �G32 �e�L /1VE C•{rr+l l. �} atv�5;ate,Z�p ^���t�"� �•✓/4 °/�ZG� <br /> APPUCANT: Canu _O�meflAgrr,t .}{Currrac'e� _CoN:ador'sAgeN _in�anl,�::::<<_.mea<n.,.sim...,�+..rw..r...,",.rn .. . <br /> CONTRACTOR uJ'�5� v. Statc L�c.tt (0(12, �p.� � (p�p Crty�us L�c +t � ,j ���1 � <br /> r,-e,,u �10�1 1:�..�t /�[- �.1. C��r� fl WA 9�$ �r,�����,ai l�L`'43�'`IjfU 4��e `(.i�i. -l. <br /> TENANT BU�INESS NAME CONTACT FOR PERMIT <br /> FncacE�m;��l <br /> BUIL.DING PERMIT APPLICATION CONituCT rRICE OFwoRK a 5 � • -I <br /> Eaist�ng Use oiBuiidmg H&1T SOURCE <br /> Propcse�f Use of 8wlamg Gas Eleclr�c Otne� <br /> Bcdding type. _S;ngle Family _D��plex_i o�+nhouse _A!�Ito-Famiry _Ccmmeraal <br /> i �^e cf m cr.P New Adddion Remodcl Re av TJ. Sinn S nnAler Demolihon Chan c ol Use <br /> DESCRIPTIONOF WORK�aa��;:an;,�s�accp�c���eacnmcbacti): <br /> fiV 1J� J1��5 �1i) / J�VI� V� ' 1 VVI •�1�n` .� f� vv (�" �I�� 1 � <br /> r � � <br /> VYD�I �la t � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type o�Project� _New_Atldn _Aleeralion_Repart Type ol Project: _New_Atldn __ Alleration_Reoair <br /> ShowNumDer p o/�riures ShowNuntOer d ol�ifures <br /> NC–arth,7ndlin unifs Todnt <br /> ForccA a�r s slems F7a�h�ii.^, <br /> GJS n lln� LIlv;dorV w;�sh b:i5in <br /> VJaterhenter I Sno��e• <br /> Gas frtc�Iace I K��Jrhen sinA 8 dis nsal <br /> I Gas ranqn Dshwa;hc� <br /> GoU�es drYcr Clolhe5 w:fsher <br /> Ran e horni Waler heater <br /> Fxhwsl(an Smk(serv2eibaflm0 lotC. <br /> Heal •um� (iar.hOcw reveNer <br /> Un�t neater Urinai <br /> 13oilur Drinhm Fountain <br /> Hc4i�erauun Fitwr d•��n <br /> Wond;rovc Greasclra <br /> �u:.lm� R�wl d�alns <br /> � Othcr � Metlic�Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM othcr: <br /> Number of Hcads Othcr: <br /> 1�rrvLv�om'y I'cJ I�a+n..,aif a�v1 e�ai*�ne�Tu.�:f^�.�in:�antl�now Rn;,�me b_n i¢e antl cm+ecL FA C'oris�:ns o'6r•';:;nC c,'.nanc¢5 Govaming:Ts:1Pa cl xon wi I pe:a--�p <br /> w,I�wnrP�Pr:.:r:.Jeanrren:.r�nline,�. ,r ,.l..:rimldoesrs•�te•urBWgneaunMlv'.:�vr411Po:t'.dn[e!tAeF-c�r.uiclanycl�eis'aleorlocallaw�epuUtwgw�sinrio� <br /> Tnai�a��.m'po��rA[r i'�^�'�',"�u:it����m(..rty lu pc�ln.m:IPa w��h lor xR:h aypical on is n,�^c an�I mmpl�wih lie 54Ve Coni'ec�ort Law IB 27 PC W anJ.P5.00��'1�C <br /> �) <br /> � S�✓vs- �U�3�i ��[%�� � <br /> OwnedAulhorixedAgenlSignalure � ale fF���'��`�'������%��! <br /> V <br />