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Fron: pglna/2013 09:43 �182 P.0061U07 <br /> b �� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGJSIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar 51., Evem�i, WA 98201 425-257•8810 F�X 425-257-8857 vnvw everettwa org <br /> APPUCATIONSl.RE ACC[PTED fROY18 AM TO a PM <br /> SITEADDRESS:nr�1y-� Cb� � �j ,C lf_ � PROPE`TAkp � O� P M�TJZ <br /> OC�C V FfV � t+ % <br /> LEGAL�or new convruqion Snort P�aUsuoa�vrsion Lol tio_ (altuch copy ol lung Iegal tlesmC��on) <br /> /'� --' -- 360r I (J <br /> OWNER � ` 'Y'(L� ' Pnonc�E+nail <br /> AdCress � City/SIo1C2ip ��(f�� _ � � �} �� <br /> APPLICANT: Owner O �sAgem �Commelor Con!racrorsAgent TPNOI�Tu�1�ryW]�4b�C1[[Mlnl'rynNCew�✓ICI]ornl��Ib�Nm) <br /> CONTRACTOR fa5-4� N� ' � _4? L 8 I Lic N� �S`V�W c\��������-COE Dus.Lic Y�jG1-��=�3 <br /> naa�ess ��117j5 North Creck Parkwa Sou$�,Sl�C-106 f3othell,WA 98011 m,� �� � r �,Sj�l.�;n t,(�1P��(,« ti"� <br /> TENANT OUSIN[SS NAME CONTACT FOR PERMIT ��a��C� �0.tar� ' <br /> ��Zy lCF3-{ <br /> Phone/E-mau �� ' � � s }eS' •LQjf1�l <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK <br /> Exislin�Uso ol Bwlding HF iCE: <br /> PtoOosed U5e o(duildln Gas Electric Other____, <br /> 6wlding type�. _Singit Family Duplox 7awnhouso _Multi-Family _Commercial <br /> Ty e ol fo�eCt. New Atltliho omodcl Repair T.I. Sign_Spdnklcr_Oemolilion Cnan e ol Use <br /> DESCRI PTION OF W ORK�aaomonei apace n�c�mcu nn mo necal: <br /> ����v,.w J N � �. �—(��Qe� �.�-'f�) C c��ocS�-eY Ii���/ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc af Pro�oct: _Naw_AtlCn _Aileretion�Ropalr Typc ol Pro7otl: _Naw_Addn _�IlemUon_Repair <br /> Shvw NumDer(Mf o/0+1ure5 Show Numbei kf ol!lrfines <br /> NC—air hantllinq units i Toilel <br /> Potred,ir 5 stems eatl�tub <br /> Cas Pr �nn Wvalor (wash�asin) <br /> Watei hcater Shower <br /> Gas Gre lacu KAchen sink 8 disposal <br /> Gas ran o �ishwashcr <br /> Clolhes d cr Clolhes washer <br /> Rangchood i Walc�healar <br /> Eehau�:t lan Sink(scrviedbadmoD�cle.) <br /> Heal ump �ackflowpirvCnlCf <br /> Unit hcalcr Unnal <br /> Bmicr Uimkm Founinin <br /> ' Reh� erafion ! Floor Grain <br /> Vr'ootlstovo Grcasc liap <br /> ' Ouchnq Raof C�ains <br /> Oihcr � Metlical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM otncr, <br /> Number ol Hcads Ol�cr. <br /> I pf.leOY�[!L:/IMI�hOrn IeeE end ntomoaE Ibb dpO��Uo�nn01n>w I�a f!!'le 10 Ee Irve efb COV ftl.N plwll;On[0�Idwf e�E atOnaCcof DovCmnp Ons:ype o�wNY wl Uc rnin0��0 <br /> wtl0 w��iher�paclfcU nerem or npt l�e B�nnYnY al e pom�il Goe�nol pmxme lo Oiro euVionry W v�dnu or caneel��e provnen ot�n�otper aaie o�Wnl uw rtpNvtnp wnai:octni <br /> i M1at I em emAor¢N tY L�e aw01 OI N�f p�apeRl lo P�orm t�e wort lo�wTi:n app',k�Uon n m00a➢nC I mmOM��h t�0 Sltl!GonlW POn 1!w+B.]]NCN'Bn0 796 700A Wnl <br /> � � l_ ��' bq I 3 <br /> w ! utnorizeU Aponl Slgnaluro Dalo �Fe.uen:✓7or�i <br />