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� � � <br /> PERMIT APPLICATION <br /> SUILDINGIMECHANICALlPLUMBINGlSIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everetl WA 9820t 425-257-98�0 FAX t?5-25r-8857 vn�nv evere,nva org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PNOPERTV TNf p EFMIT <br /> 'LID F I� �Pi 005 �1700200 �10 - C7 <br /> LEC�iAL'c•^rw�;;�;irccl�cn S^cH FI;�'Js�.+M'�ns�.cn I:,"7� (at'ach�GY c:Ic^.q'.c9al Cescn;':�ol <br /> OWNER �red,-f an En-� � r� 5e5 ►-�-G ���-��F.T,.�. �(c0� N5y• 5 3� .��.e��<M �� ���m, <br /> :.,��,.•.z U C�oK 1 0� �,�,,5����,z� ��1 r c.v I �A �ig 0 <br /> APPUCANT: X Ca^.e' Cnrer's.>rnl X Ce .,ra'ic• �m��:rac';.:;t.genl Ce�;anl;F�siv.:ca�e,a�aw-.srn�.��c.�•,,:.,..,� ..,._..... .� ...., <br /> CONTRACTOR EG� '1{' �5 ! L�� � COE Bus L�c p <br /> :qa+ess Y.�� � I , I���� ��1 I , Ub�li _ !Q °r�enel"emad <br /> TENANT BUSINESS NAME CONTACT fOR P[RMI7 <br /> M�ci�ei� C��r�s�ensev� 3�� �+5y 5i3� <br /> W�a-�„� _,� t • ��.c' � µc�rl• Cm'n <br /> BUILDING PERMIT APPLICATION CONTw�CT PRICE OF wORK <br /> F��S���� �5� �� 3��d,�, C��c��, Son�r ou� _ t��T so�ace <br /> ?rcpose�Use ot p d�ng ���� �i �q�1y�I ef$t1 C'�i Gas_ _ e�e<tr c _ ome� <br /> 9u;d�n9(ype �C S�.ny e FaT��:y _Dupiea To.vnhouse _Mulh�Famtly _Ccmmera:� <br /> fype of D�c;ect New ACtl�t�on _}� RemcCel Repan_T I S�gn _ Spnn4ier _ Dempl�h0^_ Chanqe ol USe <br /> DESCRIPTIONOFWORKiaaa;o�aispaceprowae�ontneeacV ��n�/er-�' CiPah �, Sobe+� livirl� i�ouse <br /> �tCK -40 5�i2 , SoM�c ba5em�er�F ��praveM��Lts c�on2 Wi��l�ou.-� �FrMit.��e . <br /> flQG��IM� �'J?C�L'i,bMS� f�11 �IUf�b �1lUFfj� �('YMI-iS 1NEY� b�Uil�PG� . <br /> MECNANICAL PERMIT APPIICATION PLUMBING PERMIT APPLICATION <br /> Type ol Pro�ecP New_AOdn __Alterabon_Repau Type ol Vro�ect _New_AAtln _Altrrahon _Hepart <br /> 5 ow Num�cr(u)al liifures Shaw NumCer(p/o!hrfwes <br /> 0.�C—art hanAhnq unds iodel <br /> fcrcetl:urs st?m5 OaV��ub <br /> I Gas � ma Lava!o (wash basin) <br /> Watcn c�atcr Showcr <br /> as Lrep!ace N�Ichen sink R disposal <br /> Gxsran c DShwas^cr <br /> CIO�h25 d P.f Cio�he5 wd5h2f <br /> Ran e�hootl Water hpatef <br /> Exhausi Iqa �n6 (serv�u�ibar/mopletc ) <br /> Meal pump ckllOw preventer <br /> Umt heale� Ur�, i <br /> Boi'.er Dnn;inq Poun;a�n <br /> I Refn erat�on Floor d �n <br /> Woodstove Grease 1 p <br /> UuUinq � Roof drain <br /> � Olnei Metl¢al Gas <br /> SPRINKLER I SUPPRESSION SYSTEM O�her <br /> � Number cl licads � O�her� <br /> I nrreOY ceP,'p:fd�I Da.e red�a-p e.v^re�I�:a.pi citOn a^4�.ncrv r,ne;axe fo Ei INe anE mrtecl A�G'Oris�o+s ot Idxs and oN,nanCes 9ovem�ng IPi;t�Or�ol woA n�li pe compv�d <br /> wlhw�Cl�,e,;p�ci'�canereinorrpl i!'.ep�a9L�'�olapCm�.lac!•snn10��';umetog'redutno"'p�owC�YCprulnfcllnep�oY,sionolonyclllersid!eortool�llwregNJt�pco�•Jryticn <br /> iop�1 am au:ncnte�hY t�e owncr ol lna C�epenY�o pedom�Ine�wn lo�wIDcp aCp�=����n„mo;e.t^.a i mmpl�wt�IOc Sto;e CeN�nUon law iB Si RC W and 1?ti 200A Y:AC <br /> M �e� �'1Qrt9�"�� � �5 � i� � <br /> OwnerlAutho�uetl Ageni Siqnature �ale (Revae�6:?0f2J <br /> f�lichei�e, Cl�risi"�ehse� '� <br /> c�wner Agervl� <br />