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F:� !'i Cllli ) �ir�i [Yii�{tCiJ .1' li� l '_ ,�tAI l, l;� �J ). i�aE I <br /> �ERMIT APPLICATIO� <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SF'RINKLER/DEMOLITIOfV <br /> CITY OF EVERETT P[RMIT SERVICES <br /> 32UU Cedar SL, Everelt, WA 9t3201 425-257•8010 FAX 425-257-8857 www.everettwa.o�9 <br /> SIiEADURF.55: PNOPCHT7IAXN pE MI tl <br /> I 12 �N� , - _ 5 02 - o S <br /> I.ECAL for new con;lrucl:�on Snort FioVsu�d��visicn Lt!Na._ (allach eopY o�locg Icgol tlosCaptlon) <br /> OWNER 1 � % PhonelE-mu I �1� - wg— `�(aGj� <br /> nCdress �� �-{ ��— l,lf1`a,s �f� C!ryl5ia:c2iD �li�Rl�`� .� . ` �9 <br /> APPLICANT. Uvnrr _O.+nehA�onl _�Conlraelor GonlructofeAgenl _Tenanll��nirm�.aeo�>��e�oi.u�:<+e'm�rac..^ar.a.c�rmae.o.ul <br /> CONTRAC70R E�L=II.�iZC7_/��v eef u�n siaiu�.�c #F ' SSDZ2oT ai u�>. ��� a�o7 55 <br /> na:ress Z�zO /3-C�-EcC� Phonr�Em i 4-ZS) Z — (f`f <br /> T[NANT�USINESS NAM[ CONTACT FOR PERt y <br /> ��c�, �a�o <br /> Wnons�L•ir.ali �4�2Si 5�- o?1Z <br /> BUILDING PERMIT OPPLICATION CONTRACT PRICE OF WORK �" <br /> [zi;Uny Vsc c!���icln� HEAT SOUFiCE <br /> Proposetl Usr of Bwldinp Gas EieUnc_ Oihor <br /> Bclltllnp type: _S�nglc Pemily _Duplex_Townhousc _Mutli-Fomiiy _Commcraal <br /> T ve ol projecC New Additlon Romodel ftepnir_T I. SiSn_Spnnkicr,_D��molAlon Chargo el Use <br /> DESCRIPTION OP WORK(adc'rfonaf spscc p;onded en 1r,o nacK1� /�� �1 r <br /> CLL fi h-�"� �u,T 4�� ��JG � W'�'S �1 U..11 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ot ProJeel: _4ow_ndJn _Al�nr�llon,_,Report rypo af ProJccl: _Now_Addn _Mterellon_Hepu❑ <br /> SAowNumDcr(aJ all4(oies ShowNumbr�(p)e/lhNres <br /> AiC—art handhnn unlls Todol <br /> Porced.rt systems Balhlub <br /> Gas pip:ng Levatcry(wash C:�sin) <br /> We!er Lealer Showcr <br /> Gns fireplece Kilchcn elnk A tli;posal - - <br /> Gnsranyc Uishwn,hcr <br /> Glo;hes d cr qolhcs wnshe� <br /> i Ranqnhootl �----- --- Walc� hr.atcr ---- <br /> --- . ... _.. <br /> ,J F.Mhausl fa� - Sink(scrv�cc/oorimop/etc 1 _ <br /> � Heal P��mp Backllow Provenlcr <br /> - � � Und heatcr , Urinnl <br /> Eio'der J —�— pnnkinp Founta;n � <br /> RefnpernGan Flam droln <br /> WouJviovc +� Grcasc trap - <br /> Duclin� � Roo(tlrains � <br /> Othcr Medlcal Gns <br /> SPRINKLER I SUPPRESSION SY$7EM ot�,m: <br /> NumbcrofHeads Olher: <br /> i�avbi caM1ty Ihal I�Dw re���d e�aminM It�n nppYaiicn ond knaw Ihe same lo pe Im0 nnd owreU.A�p�orw�ons el l�wa antl mE�nantee gommng IM�Iype al worK w��be cvm;,l;� <br /> w;.n��neiAeltDBU�ed�nemaeol T�eqr�'u,�gmeDertnAvaecnolprawmoloqNcoNMPyloW�leoipnceiU�arymllbnolwrolA:ra!alcaUco,'�Nr[4�b7agca•.uvu2n <br /> In�ll�nlnm�on:ed ylnlamaro "popMylopMaminewahfarwTlNaDD��4m�]c,n01«nPN�•�,����BSIe!xComnclatlx.r1027HCW�^d196.WAY:nt, <br /> �l✓ V r���� <br /> OwncrlAu horized Agent S�ynaturo �,tle (no,lsed 3?J17) <br />