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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, W!1 98201 425-257-8810 FAX 425-257-8857 www everettwa org <br /> � �t S <br /> SITE ADDRESS: � � 5 JCIt 'l 4 PRODE TY TA%M P RMiT a <br /> "c" S�� oo � EJNe Oo�o cx� ' — O. <br /> LEGAL ro��c��consrt�ctw� Sncn�iavsut��;�;�o� io�r+o I���ach copv c(!onq icga�cesr�c��c�l <br /> OWNER W4S If� 7tV. OCQ rrJv�4 ✓(C�t PnoneiE-ma�! �`S-��T �777� <br /> � <br /> ncd:ess �� G �✓Cr� t� c�tyisiaicrZ�P �kY� �' D8 <br /> APPLICANT;_O�ner �,OwnerS�genl �Co�VaGor COr.Irdclo�SFgen1 1enaM�m�;�mn.�a..+•�r+c,o•ce�s.�-�no„�ec.+,e�maa.-��.^.�,c.�:•�� <br /> CONTRACTOR �r� S uf IrB CLVNsrf✓[ ;oA L�..L state�m nTRIg4G L.S � C��ry Bus L�c a <br /> ACtlress � SO p � �Q - �CJMf w � Qp P�or,aEma�l �Q- � y <br /> 7 �IQSgU��E�� Vo `Q�iO�� / �r ✓IC f 5 CONTACT FOR PERMIT �e r� �OI l' �a$�-q31��QI <br /> 1 n '}^ <br /> . <br /> PnonciE�maJ �COY� I Y �rc L�C. �l4^ <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK O O <br /> Er�shng Usc ol BvdCing D '! .�LP �J�/� HEni SOURCE <br /> Proposed Use ol Bu��ld��ng � C�RU.� C �" �-T'F�( < _ Gas [iecv�c Oir.er <br /> . <br /> Bwlding IyDe _S�rgle Pamily _Duplex_Townhouse _M1'utti-Famdy �CommerGal <br /> T e o1 ro�ecl New Adait�on ReTotlel Re av 7 I S� n S rnkler Demohbon Cnan e ol Use <br /> DESCRIPTIONOFWORK(aea.nc�aisnace��o�meeo�rr,eoac�l AC'C11�4 '�VA �'1�7�7_�of W��IS <br /> u.r ;1 r;,,� �"1� e (�'f c l0 6 d y . I 4�;g ^ �s-��'I� �'o.� Kn f wo <br /> SzP..,r��c f oow�5 �� ����,c� S. � hc wot-6c rs on -�i �5� �'(�r <br /> N MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Pro�ecL _New_Addn _AlMration_Repau Type ol Pro�ect _New_Adtln _Allera�ion_Repau <br /> $how NumDcr pl allirfures S�aw NumDcr a�ollirlurcs <br /> /VC-au handhn umts i Todet <br /> ForCetl air 5 SICms ' Oalhtu� <br /> Gas � �n � Wvatc Iwash bisin <br /> Water heater Shower <br /> Gas Grc iacc J KitUun smk 3 d�sposal <br /> Gas wn c I D�shwasher <br /> Cbthes d er i Cbthes washer <br /> Ran c hood i Water heater <br /> EMhauSt fan i Sink sern[e/Dar/mo �etc <br /> Heat um ' Batkllow rcventer �ns�de bld <br /> Und heater Unnal <br /> BoAer Dnnkin Pountam <br /> Rerriqeration ' floortlrain <br /> Waoostove I Grease tra <br /> O�clin Rool drams <br /> Oiher_ � Mediw�Gas <br /> SPRINKLER / SUPPRESSION SYSTEM j otner <br /> I Number ol Heatls I Other <br /> ��'.i���Y ce�i�y Ihal i�ave imE ar0 e�amme0 Ni.�DDitaLon ana know�M1e same lo�^hue an0 conec:.AI'provivons ot Wws anU orJnunces povemmg Ims ry0r ol won..r.ue comp.. <br /> �v'!i xnelnfr 50«�T�eC ne�e�n or nol ine q�Pnbnq cl a yertnd doc.noi pmsumc lo gne aelnoniy lo v�olate or GinLel I�e pi0ni�on ol any ol�b TIOIe ar lol2llaw�epu�OLn9�ans�NCPon <br /> 1 nai i�� auinonmd Ov�"�'ow�m cl i rs c� ;.ertv�o oeHo�m tRe wv�k����Kn aoo��a'�rn r maCe an01 eom0�v+�1�i�e Siate Ce�lionois Law t8I7 RCW an0 79R 7u0�WAC <br /> � Q—a— (S �� <br /> OwnCr/AulholiaetlAgCn15 )� urc Dale (ACviSCJ�?Of51 <br />