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Fram: 04/��/2013 12:42 n269 P.0021002 <br /> � 3 ��� ► J <br /> P�RMIT APPLIC�lTION <br /> BUILDIt�G/MECHANICAL/PLUMBING/SIGPI/SPRINKLER/DEMOLITION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 9820� 425-257-8d10 FAX 425-257-8857 wvnv everettwa org <br /> APPLICATIONS ARE ACCEPTEU FROM B AM TO A PM <br /> SITEADORE55: ( I � C 1 � VPOPCRTYTAX� PER ITk ' <br /> LEGAL tor newea+siruclion Sno�P•aVSoDtli��s�en___ Lol Na (altach cepy ol Icng Ixga1 CesCriplloa) <br /> OWNER C Q," �� PnonC/F-mall �.�— � ( —� � � o <br /> ad�rcrs l I � c:tv/stale/zip �v� '�� �� � <br /> APPLICANT:_Ownor Owner'sAgenl +�Conlraclo� ConlractofsAgenl TLnanl�mvnpm.c��wm�o��mm�,iromm.v.-vrticownn�u�n.:q <br /> coNrRnGSC��aS{- �'��e� ea��--� L&ILic.q� STY�1� �`'JIy�DOCCOE8u5 L�[ tt C �?� <br /> naaress 11715 �ordi:,rcek Parkway til� C•lOG Ro[hell,WA y8011 � �'no�e�r:ma �?'�i ''J �`-W��.���(�q-}2.(,(L \'� <br /> TENAN"i oumnwo n..n�� i�vrv�nc�POR PEftM1T � <br /> u25 �c�-p ��m. �o,cz�, <br /> Nno-ae.ma�> >� , Fc, o#�s}�# .iJ�,-i� <br /> BUILDING PERMIT APPLICATIOtd CONTRACTPRICEOFWORK .�0�� � <br /> Eaic:ing Uso ol Ouilding ` HEA�SOURCE: <br /> P�opOSed Use of Building Gas EleqrK_ Ot�cr <br /> duild�n3 lype. �3ingie Family _Duplea_Townhouse _MWC�-famiy _Commcrcial <br /> Type of pro'ecC New AtlGition _ _Remodel RcOair,_ T.I. Slgn_Spnnkler Ocmolition C�ange ol Use <br /> �ESCRIPTION OF WORK(admhonalspacop�ov:c�W on tnr0ock). <br /> ��vvt�o v e �'� 4Z�1o�.C� �u/� �.�a.,2�a' '�tc��.l�y r,� i 1-G� <br /> �tc�.v�� l p-S� V�- <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol ProJecL _Nuw_Addn _Altantlon_Rnpalr Type o�Projeet: _Naw_AOtln _Altrra�ian_ReOelr <br /> Show NumDci(M)af llrfurxs Slrow Numncr tl)e/llrlures <br /> A/C-air hantllinq umis Toiiel <br /> Fo:ced.R 5 i�ems �ath(uh <br /> Gas ipin � Lavato (wash basin) <br /> Walen c�alcr Shower <br /> Gas lireplacc KitUicn sink 8 disposal <br /> Gas r,m c DiSAwashCr <br /> Clothes tlryer Clolhes wasner <br /> Ran c hoatl Wate�hoatci <br /> Eahaus�tan Sink servicel�ar/muMelc.) <br /> Neat pump �ackllow p�eventer <br /> Unit hcatar Unnal <br /> [3oilor Dnnkin Fountaln <br /> Rcln cratmn � Floor drain <br /> Wootlslovo Groase Irep <br /> Ducbnq Raot Crains <br /> � OthCr _ i 1,"ediwl Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM Other. <br /> Number ot HeaC�. ' Ol�er <br /> I nerepy coMp I�dl I�ave rtrE eM eYlrnnoo Iq�applenl.on an0\now Ina f nme 10 te Ive�nC corrtcl All ymnsona ol lnel L�0 orOranco��overnin0'���h0e ol rvn wlt eo cemptep <br /> A1�1µT1•1�!!](.'lC�iOC 110�0lI OI IIQI �TC 0'e!1�i11Q O�H���-'���QOCf 1101 pl9{l,T!l0 01Y0 O�J111IXI!Y ID V'�Ji01L'D![1111CC�III(PfOVJblI EI O�/0111ff�Idlp U11]ldi b�y�QQy���inV���SIfuG:4� <br /> T:�at i am uuviorUeu 4y i�o oenm m in�e e��cuM�.DeAcmi me wo.+roe vmr_n uoei+-+wi b mnCe en�i eompry wan¢e Sm�e[o�vacror�i a.v te n Rpwana:06 37vn rmC <br /> f� r v�=- Oy 11 � 13 <br /> � I NhorizedApent5lgnaturo Uala (Rensntlf.70�1) <br /> I` <br /> % <br />