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PERMIT APPLIrATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLFR/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everethva.org <br /> - )b- IS� <br /> SITE ADDRESS: pRovERivT xa PER ITa <br /> 205 W Y Sui E 29C51� OZ08100 <br /> LEGAL for newton5iru[�ion. Short PIdVSubGrvi5i0n �ol No. (allach coDY ol long Icgal descnpimn) <br /> OWNEF2 PC� Phone/E�mad 9zs- 3�-a�� <br /> nda�ess QS' S,' CirylState2ip ��/ E ,� � <br /> APPLICANT:_Ovmer �'_U+mer'sAgent _CoNraclo� _ContracloYs�genl _Tenanfl��:�no�mraknnoico�„���inomn.w,.,iom..,n,��.�•-spa�.� <br /> CONTRACTOR IjU�CG S R IG� INC� StateLic. #,�j TGD O /U� Citypus. Lic. �,35,5 <br /> Addres; 5�(�S /T�E. S � � � Phonei[maii S(� • tf q 2 <br /> TENANT BUSINESS NAME OG�N GATE �ONTACT FOR PERMIT M�LES ! K� <br /> �hanel[�mail ZS�ZJ 1 -�8� WI I le5 (�(�UY� .(�0{Y� <br /> BUILDING PERMIT APPLICATION COfITRACT PRICE OF WORK . iCf/ <br /> Ea�;ling Use o(Ruilding_� HEAT SOURCE. <br /> Proposed Use of�udding .V _ Gas [iectr�c_ omrr <br /> BuAAing lype: _Single Family _Duplex_Tovmhouse _Multi•F�imdy x Commertial <br /> T e ol ro eU New Add�lion Remodel Re air T.I Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTIONOFWORK�addmonarspacepmaeeeonmeaack� '��/�� �-,- �M��jvF/in�rfT wo� <br /> II�CLUDr�� 1l�ff��io� �h�'T'rTlor� y�/a.Lc,�� c>ccRs �D y,sF��►DED L'EIuN(a. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeotProjacl: _New_Adtln _Alteralion_Rapair TypeolProjeck _New_AAtln _Allerallon_Ropalr <br /> ShowNumbcr(o ollirfwrs ShowNumLrr N o/(rlures <br /> AIC-av hanAlin unJs Toilet <br /> �orcecl air s ,tem, dallit�b <br /> �as i m Lavalo wash hasm <br /> Walc�hr.atcr Shower <br /> Gas fire lacc K�tdirn;ink A Ws osa� <br /> Gas�an e U�shwashcr <br /> Clothes tl cr Clothes vrashcr <br /> Ran e hoal WBICf�1P.dICf <br /> [Khaust fan Smk sr.rv¢c/bar/mo letc. <br /> Hr.at um RarY.Onw reventr.r <br /> Und hcatrr Unnal <br /> Boder prinkin< Founlain <br /> Reln cialion Floor tlrain <br /> NJootlslove ,reaseln <br /> Dur.hn Haal Arams <br /> Olhcr tdetliull Gas <br /> SPRINKLER I SUPPRESSION SYSTEM ouicr, <br /> Number ol Head; Olher <br /> I�erebY cnbly IM1aI I Aavc rra�f aml e..�mm�A Ilus apo��calmn inrl b+o:�I���.;aire In b•Inie anu coneel N porrs�ans ol la.y anrl uelna�rs 9oveimnq un;lype ol nod wN ee comn <br /> w�thwiirl�rrxPrcAu.d�rreinnrnnt Il�.eq�anunqnlapem�A�nr:nulry�•annrlo9�vnqiilt�nnlytovmqleoru�nmll�epmvivonolanynl�er5liteorl�r.ill,iwrrgiAalmnconSVucUnr� <br /> Ilia�I am aulborvetl Ly I�e�uvm�rr ol ir.�pn'`�IY tv pr�innu In�•vmnF Inr Mvch appYca�nn r,modr.�n�i rompiy wlli Itm Sl.�tn(;nnrartnn,l aw 1N 7!HCYJ anA?(F]OOA;//./; <br /> �%./ �i�'G�--�- 9�io/2G�5- `I� <br /> 0 orlAut ioriznd Agenl �9naluro �— (Revi;etl9?Ola) <br />