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hlar_ 4. 201i 1 :05PP,1 EVEnGkEEN STATE NEI+T & AC ho 3i1"1 �'. 1 <br /> �ERMIT APPLICATIO* <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St.. Everelt, WA 98201 425•257•8A10 FAX 425-257-Q857 www.evcrettwa org <br /> SITGADDilES3: PPOPERiYTAXd P � Mi � <br /> lS �/99rr� % U� L� P ' <br /> LECAL lor nnH ccn:fn:cUon� Shoii PlsVsutMlWston Lol No._____, (ollacn mpY of long togai do:cnpticn) <br /> OWNER :7TE1ll= �A�I�: PhaneiE�ma�i ��fJ .��_�.30'L <br /> ada�ass (�{' Aii9NtU'7G�AL — � cnrrsiaio2in -�/ - � <br /> APPLICANT: Ov�ner Q�meYSFgenl Canlio:lor GontroUcrG�+ppnl TO^BN�a„qyolueaie�.eraran�eni4ant?ttrone�i000•atmNntf+xl <br /> CONTRACTOR LVC`2�1� •�> ���[� � . � Slalo Lic.N L�(�7�StiZZ(J� CA Bus u�.a aa7 955— <br /> neaross �IZO 4u Pnone/Ema �/2 �$'L- <br /> TENANT BUSINE56 NANE CON7AC7 FOR PERMIT <br /> F��� �R� <br /> rnc�e�e�nan �/i <br /> BUILDING PERMIT APPLICATION CONTRACT PRICC OF 1YOR �Q <br /> EaiSPng Uso o��w!d�ng _ HEn7 SOURCE: <br /> Propo6etl VSc O(BuilO:ng Gee� EinclAc S� O:her_ <br /> Efu'Idlnp type: _Sm^ylo Family _,Duplcx„RJownhouac _S�iilll�family _COmmefCial <br /> Type ol n�o�ecl. New Atld�bon Remodcl Repolr_TJ._Slnn_Sprnkler__Domolllon Ghanaa of Use <br /> DESCRIPTION OF V10RK(edmuone�tFnwv���daaon menatk): <br /> f=i,�¢��s� � T�sr��� (�t� Zo�. Q��tIE� FK�--r i�KP ��s�i..� <br /> MEGHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Pro�ceC _New V,J1ddn �Altciotion_�:��pa�r rype of Prn�ecl: _New,_Addn �RcroGon_N��pa�r <br /> SAow NunrDer(N)ol lirfinee Show Number(n)ol Gafurea <br /> �� A�C—alrhardlr,gunls Tr,l!et <br /> Pr,fCYd A7,Ys:ems Balhtuh <br /> l:as p�G�^�9 � Lavaln (wa:h bosin) __ <br /> � Watcr healcr Shontr <br /> � G�s G�epla;c � Kdchon 5fnk S d�spos�l ^ <br /> G,s ran:3o Di511wa;hef <br /> � Clo!ncs dry�er Clclhes washer <br /> Range hood �Neier Nealet <br /> Exheust fan Sink(serv'celbar/moplelc.) <br /> - - HcalOump-- �-- AndcOewprevenler — -- - <br /> I Unfl hcaler I UrinDl <br /> _��t <br /> � [�oJr.r � Unnking Fountain <br /> Rc!riacrabon Fioor Urain <br /> -_---J � w�onslove _ Grease Ir,p <br /> � Ducbnn I Raol di,ms <br /> 4 O:hcr MCdILdI(id5 <br /> SPRINKLtR / SUPPF2ESSION SYSTEM Othor: <br /> I Nwnbc'nl H<eaC� OthB�: <br /> I herrny u�ry Nei I�ave rea 0 ar.0 ew�mU.eC R,f JpM W�a��^a hr0.r i�e f emo ta:,e nue end correa A!ryodoun�d lowe onC oid��noncnc Do���'7�tia IyOe al waA vr�te wmpLM. <br /> wcli�a�•�har�peafed Aurn a nal.Tha 9'�nifn7 oi a peirtul Eas no�Drc:�m:l0 9�•e JJ+WJV m�Uule m U9ce1 Ne 0��+��lon o�a�Y e'ne���eie a bul inv�oputnl+q cana•r�4lcn <br /> Tnei 1 em eu�noAtcd b�Jn o�nr��iAis qep�n�lo pedwm Uia.w:t lor w^.u.h app��w!on o maGt an01 eMy/�1�1np Slak CoM�a4as Ww 1l.11 qC\��'d 79B.10Cs W�C. <br /> 3-�a-/$� <br /> O�vnedA IhoiizedAge t ignoturo Oatn (RevlsedYlO1J) <br />