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� � fZo7- ooZ <br /> P�RMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLER/DEi1110LITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , EvereU, WA 98201 425-257-fi810 FAX 425-257-8857 vn,nv evereltwa.org <br /> APPLICATIONS ARE ACCEPTEO FROtd 8 AM TO 4 A�d <br /> SITE ADDRESS: PROPEHTV iA%p PE t.11T <br /> ZIo6 ��J� oos 3� � bozao ��oa- <br /> LEGAL�or ren censtrucuon Snon Piav,uoe�va��on �m vo (anacn ecp�e!ieeq iegai eesc�etroN <br /> OWNER CGxr OGJe, �(1}���1� Pnorc�E�ma�i ���'Jy(� � /�� /'/J:l7A�V� s0�(� �1/�, :o/+� <br /> �ecress .C'�, yOX ' � Gry�StatciZ�o QI%�l�.I��C �/(! e..70 <br /> APPLICANT: Onner _ OrneYsA9erJ _Ccrarac!or Cen;�ado�sAgent 7cra�li�_:ic��..:o.���r<�nw�s��-i>or:^��+..��mao.+.*�.,:•o::.,-r1 <br /> CONTRACTOR o �G O CO S I/K L 8 I Lic # COE Bus Lic # <br /> �eer�ss , 0, �v� O� PncneiEmai �-��- /�/0 <br /> TENANT BUSINc55 NAME CjyOjNyAG T F�n�nT ,/�ZS'��$�' / I�� <br /> .., , ..r <br /> anone,E.ma�i <br /> BUILDING PERMIT APPLICATION CONTRACT PRICEOF WORK <br /> E.ist.ng Use of�udding S p _ HEAT SOURCE. <br /> Proposed Use ol Budd��ng S I� _ Gas F:�anc_ _. Omer__ <br /> Bwlding rype. �Smgle Family _Duplex_Town�ouse _htulli•Famity _Comrreraal <br /> Type of prolecl New Atltldion _Remodel _ Repair_,T I _S:gn_.Spr�nkter Dernclil�.on�Chang� af Usc <br /> DESCRIPTION OF WORK(aae�:�cna�spare F�oaCeC on me oac�)� <br /> Co.nc/�t S�l�es' I�o�1G �ek � S F 2 <br /> p�ns�a,irs ��m ,�nrpP�f,� <br /> MECHANICAL PERMIT APPLICATION PI.UMBING PERMIT APPLICATION <br /> Typc af Pro�cCC _New_Adtln _Alteraiian_Repair Typc o�Pro�ctC _New_Addn _Atlerailon_Repolr <br /> Show NumDer(a)ol M1�iures Shaw NumDrr(a)ol liriures <br /> AIC-av hand��.ng un,Is Todei <br /> Forced a�r syslc��s BaRrtub <br /> Gas oipmg Wvalory lwash basm) <br /> water heatcr ,/ ShcHer <br /> Gas I�replace K��Ichen sink&tlisposal <br /> Gas ranGc Dsh�vashcr <br /> Cbthes tlryer Clothe5 was�er <br /> Rar,qe hood Water heater <br /> Erhaust fan Smk(serviceibadmop�etc � <br /> Heal pump [3acklbW Dreventer <br /> Und ncatcr Unnal <br /> Boi'cr �nnkm9 Fountam <br /> Refngcrahon Floordra��n <br /> Woodstove Grease Irap <br /> �uchn9 Hool drain5 <br /> Other Metliwl Gas <br /> SPRINKLER / SUPPRESSION SYSTEM othcr. <br /> Number of Heads Other <br /> I�cr�p�ce�'y Na�i na.c reaJ estl c�arr�M i�u apD��wnon a�a�rcw!ec same�o Do In:c and mrtect All pmna:ns ol4wa a�A O�dna�ces Smec�-�a inii ppe t�rvo�A w:'.G^:cmp�ce <br /> wlh��neNerspi•o5r0�ere�.nrnpt Tpe9�an!naolupertnJCoesnclp.eSwrelo0'�eau11en71ohoNtoctea�:clNopiovuronolonyolpersl�laorio[al�iwrc0uaunpmn•:1<'r�i <br /> Tnailoraulne ��tnec:morolm�sOroprMtoDedorminowanlorw•:c�app'.;otnnnmaCoan0leampNwi�ma9aieCon•rocmrsLaw10i7RCV1an�:983001tYnC <br /> � V �— IV <br /> Owncr/ANhorited Agen!Signalure �a!e lRCnsetl 6'10171 <br />