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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINl�LERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett. Wl198201 425-257�8810 F�X »25-257-R857 w�w+evcrettwa or, <br /> APPLICATIONS ARE ACCEPTED FROM B Aht TO 4 PM <br /> SITE ADORESS: raov[nrv rnz a ve huT b D � _D� <br /> ' J <br /> LEGAL I^rr:.cc�:'r�c:r•i $r»r,P'..GLu:,^.i�G�oc L::G.: �.:VIJcI�.ccUi o��-:li�:a'Cc':o�'.n::�,� <br /> OWNER Pnone�i.•�r�' ' <br /> AC.;rec. V C[y�5taleZ�F <br /> APPLICANT: On•'e G.�rer'ch�rr� .r ConlracCr .^,c'��.r.�tlrr•, L9r-. __ Ie•':+n' . .. .�.�, . . ._ ...i�.•. , .... „ ..n : . ..� <br /> CONTRACTOR \ L 6 I L�c = L COE �us Lc ++ Q • <br /> uCCrn.,.� V^.ore Em-fr. <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> 1ZO.C.� <br /> �t.�r•:'L�*'a- <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK v� �,o�� o0 <br /> Ensr�rg Use c'5�r.".�na __ __ _ . __ H_AT SOURCE <br /> . _____ ___'___—"_ "- F <br /> °ropcsrC .;se^(0�„dCrt�q_ G.is _ Frc•,�: p',`e, <br /> Bu a rc!ype _lS�rGie Paru�y _Dup!ex_fownhouse _MWh•Famry __Co:rmeroal <br /> :yoe o!cro;ea Ne�.� ACddion �RemoCel Repav T I _ Si9n _ Spnnkie• De�rcld�c� CnanGe �f Jse <br /> DESCRIPTION OF WORK I.�a:7.'^a,i space r•,:,��.c o.,rr.,ra :i <br /> \r��cpa\ l�,�T-�\�S`� \\�,Q.,� �v.M� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypC 0�Pro�ecL . __New_Atldn _Alleralion Repair Type ol Pro�ecL _Nrw_Aadn _Alle�.lion_Repair <br /> ;how Number(a)o!(r+fures Sho�v NumDer(tl)o!lirfWes <br /> � A�C -air�antll n0�nds TouN <br /> Fo�crd a�� syslcros 7:itq'dh <br /> � G.�s pq:�nq t avatory Iwash Cas ni <br /> � ::��tcr r•.calcr 5'�o.v��r <br /> Gas i iep'ace K��e��r i�:rik R tl�sposal <br /> Gas r.inne D sh:::uhri <br /> CG,R',cs drye� ClnUies washer <br /> Ranqe r,,00d �V.tcn c�atcr <br /> Fehaust Ian Smk(cervi[e�barlmo0lelc I <br /> Heal{:ump Bachllo+✓D�eventer <br /> Und he;�tcr Urin:d <br /> Boilcr Dnnk�nq Fo�int[un <br /> RMnqe�a'or Floor drlm <br /> WooCstc�e G�eaSe V3p <br /> � Duchnq Rooldrams <br /> ODicr Aleaical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Olher <br /> Number cf Hea:!�: Olher. <br /> .rot':.... r"a�Il�a�rieaEan9e.am.,,e']Itr.aDf 'abnardMowRn..a�-nt��•en..ra�lccrNlA'�pov60^sollaw;an�ce:lnames,orewnqlnalfa`o1nOrAwnpni.�n. ...1 <br /> w�nae�.^�...pe��.leJn��encrnolt�rq �3cl�Pcm, Oor,n..tp,r;miiti.�.�. v , r . ,a.rcimr. . v..�.o..s...n ivc;ta ..n� � ':C'.a.v ��1'..�.•.n:rmnn ,� <br /> I �.tia...a�_ , .r,�tr:leponncrcl�C.;o'o:rrllot�eA:.rmtic'n:n!erh^.chaen':d• _�.. .nrf.:.r�. .n. . . c�o� �e.� �_ -,I..e .p. e::::.� . _..,..... <br /> Ow�dAulhonZCdAge $ 1��:�ture C'+I�• . r . �.'r .. . <br />