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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everet', WA 98201 425-257-8°10 FAX 425-257-BB57 v,nvw.everetriva org <br /> SITE ADDRESS: 7�;OPERIV TAX q P MIT e <br /> I� O v_cn � Oo5 S OOCo Dl'10 1 <br /> LEGAL!cr nav ccns!rucF.on S�o"P'a:'s:.a:rv�si�n IZAaYrj2'�itt4 b��Loi N_ Z (a;tac^�cop�c'!ong!caal d�_scn�:��_-�) <br /> vcs-tto. ti <br /> OWNER Pnone/E-mad v p <br /> :.ce�css �py�, y Gryrstate2io <br /> APPLICANT: _O.�ner _O'nne�sA�Cni �' CCn!'iCC' _Con'�CIOfSAgent _Te�BV,'.�uic��vicermmcice-nrn••-�m�..`r.�.oc:r��cr�,.c�'. <br /> CONTRACTOR � � State L•�� # -(ovV R-QS P Qty�us Lic � <br /> � /� 4t$•So\ .6-�w0 <br /> A^.,7'C55� '� N-Qu.� �yJ q� rh:r•.e�Emai �Ce E AIU. <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> �\l� TOt�D Sr-.r�H4� ''o>eK.�fGH'�(� <br /> h• ?nonN6man NtG� SGI -$�� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK SU � <br /> Esrsbng Use ol8uitdmg�F R— HEAT SOURCE <br /> Proposetl Use ol BuilCmg 5�4� Gas E'eanc O!rer <br /> Bu��ld�ng p�pe �Sing!: Fam�ly _Ouo!ez,_Trxnncuse _�dWn-Fam�.ly _CoT�inerc�ai <br /> Tv e of ro ect New Atltlihon RemoCel Repa�r TJ Si n S nni�er �=molrtron Chan,c of Use <br /> DESCRIPTION OF WORK(aad,ror.ar soace s�o+,:w o�r�e oac*� <br /> ADD A f��u� rLoo.v� • 'Z l� X 2 � � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projecl: _New_AdCn __Alteralion_Repair Typ ol Project: _New_Addn _Alteration_Repa�r <br /> Slmw Num6er(#1 0l fi.mres Show Number(xl al�rfures <br /> NC-an handlinp unds I Tmtet <br /> I Farced ar svslems Balbtcb <br /> Gas i �na I.avatc wash bas�n <br /> � Watcr heater Sno�v�r <br /> I Gas fire lace I Knchc�vn4 n disoosal <br /> � as ran,e ��sh:asher <br /> C nes d��er � '�o � ���ashcr <br /> Han .� h.ocJ V , er I,eater <br /> Exhaus in Si k �eroi[c�barimo �elC <br /> � Hcal oum � Bar��.fo� .revenle� <br /> � U��!lheatef I Unn7 <br /> fjoilCf n�iflAl'1 foUL llrl <br /> Refn eratmn Floorare�n <br /> Woalstove Greasc tra <br /> Duchn Roof tlrains <br /> Olher Mediwl Gas <br /> SPRINKLER ! SUPPRESSION SYSTE � Other <br /> Number cl Heads Olhcr <br /> I�ercb�Crrt!y I�al I I�ave read an0 e�amme91pi5 d.^D'r:�Uon ait�know If.e same U l�c Inic anG«rtecl .l'1 p�rismns ol Lnv:�nG[7ingnu�s 5ovem:��I,�is�Te ci wD�w11 Ce wnp' <br /> �,:Ow1�,MM1crspcc:ficyqp�e�nurncl fiep�aabngalapenn-.ICocsnotp,rsumab9rve.utnonlylovnlaxmGmceR�eP'ovu�ono'anyol�erslateorloullawrepulalingmnr,Lv:lm�i <br /> tn�llo•nav�,no^:eutytnec rUinuD'op[eyioFerlortnt?e..orAlonrncliappnw!ion�smaCenn�icompywl�IneSiatoCm'neior,Law7B2lNCwana196200aWnC <br /> / C: . ��15- <br /> OwnerlAulionzedAgen 19naWre �- C.te �Revrsed9�t0147 <br /> � � /Z <br />