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F rom: � Od�20t3 09: 01 F3it P 002!002 <br /> U3� I1J <br /> PrR1�iIT kP�LiC�41`EC3N <br /> BUiLDlFlG/MECHNNICAL/PLUIV�BING/SIGR�/SPRINKLERIDEMOLIT(OR� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, [verett, WA 9820'1 425-257-8810 FAX 425-257-8857 �v�tiv�everetRva org <br /> APPLICATIONS AR[ACCEPTED f ROM 8 AM TO A PI,; <br /> SITE ADDR[SS: ���� _ G 1� i^ vaOrFCrr rnx n S ^6 p� `r O '��� <br /> �� T� -�l � <br /> LEGAI fo� new censtrucnon $�:rl PI�•JSUCOrvIs¢�_ �ot No ;aftqch�ppy ol io�.s ieqai Cesa�pte�) <br /> OWNER w�� x( PhonNE-mai� �. ��� 3 vG ^ � O� �y <br /> � e # � <br /> nm,�ssa' 'YP_ F }' c�iyisiai��nc N �' l Pr o�C <br /> qPpLICAN7: Owner Ovmer';Agem �Contracicr Con:radorsA9ent 7ewNu,,,.�cn.«.mn�����e.,M,�.�mu.,.,,e.�euo..�+��i,..p.«i <br /> cokr�eCiC��G�i�" \!�c"�c.� L A�� i a i��� a� STW V�ri"1���gC cor e�s ��� a—,C� �'� <br /> noarcu 1]715 North Creek Parkway Stc C-]06 Aothell,WA 98011 � PnoneiEmai' mIT -Zi S}'lti Q�:C�SP4'l,PI,C� � <br /> TENAN'� ouaincaa �...��c ��'u1nr�i�w��T FOH PERMIT � <br /> `-1 LJ �I CI�F /�� CSS1�Y.). �QCZ�1 <br /> �'�oee/E�mY�I � t , uF(,'I, ��s {{'s .lC3tn� <br /> BUILDf!!G PERMIT APPLICATION CONTRACT PRIC[OF WORK T <br /> Ezistmg L)se ot OuilOing � 1Ef�7 SOURCE <br /> PropoSCtl Vsc o�Budding Gas F.icevk Cmer <br /> Buiminq type� _Singlc Family _�uplca_Townhousc �Muiti.Fam•�ly _Commcreial <br /> Ty e of project: __ New _Addilion ___ Remodel Re au_ _ 7I.__ Siqn__Sprir.kier_UemoLlion C�angc al Usc <br /> DESCRIPTION OF WORK f�emnonai>v��n pmv�e�w on me Gact)�. <br /> �e�� c 4'� '`I��1c{,C� �0� c.0 a�-e/d' 1�E�Q—P �� <br /> NiECFfANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIOk <br /> lypCOlProjecl: _NOw_A�dn _Aqomtion_RoOal� 7YPcoiPro�e[t. _New'_AUtln _Alturallon_Repdp <br /> Show NumOr�(�)uI lirturvs Snow NmnCer(p)o�Ii�iwes <br /> A/C-a�rhantllmguoits � Tmlet <br /> Forcetl aii s stcrns Ual�tuh <br /> Gas . nt0 lavatory QvasA ba:.in) <br /> Wulcn c�aler Showcr <br /> Gis Grepl�ctf �<itchen smk 8 d�sposal <br /> Ga5 Ilnqo OiShwashci <br /> Cblhes dryer C101hrs washer <br /> � Rangc hood bYalc�hr.atcr <br /> [uhAuxt fan Smk (scrvitulba�/movlcic.) <br /> Heat pump OaCklluw revenlor <br /> Unit hcatcr Vnnal <br /> Hoila Dnnkln Fountoin <br /> Rclnncrolion r-ioo�a���� <br /> WoaJs�ove GrcaSC l�ap <br /> OucLnq Rool tlrains <br /> � Olhcr <br /> � rdemca�ca; <br /> SPRfPlKLER / SUPRIrESS10N SYSTEM o�l,er <br /> Numbcr of Meads � Olher <br /> �nmeercrnrty�nallnevoroeaontlomminoa�AlxnOFlaeuonane�no..moaamemCalvennEco��eUA1No+�.onUlneoanamean�ceepa.me.q:nuhc�•�i�un.,•oecomr.�o I <br /> n�.ip rnelnar apecGcO I�Mnfn nr nol.T�u pmmmp of a Perm�tloea nol prceume lo plvn nevlcrry�o.��ain m Unrni I'�e pm.aior cl:iny otln v N�.or C�in I.i,.rr��-'ni np u:�-.:b.�i r-. <br /> T�.t 1 mm�ul�enxe0 OY�I�c cwnfr ol��la CrODmly ip Dedcm���!wOrk loi wyle�Pi�Kutbn It mnqo m 0 I<ompiy..n��Nr'.ime Co'naUorz I a..10 P RC1v er��.9u:tl.a Y:n�. <br /> � � � N Z ���3 <br /> Q / ul�orlretl AgenlSignature pyc ;r: 1, L^J:-J.`, <br /> ` ` <br />