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Fron: 07l'= '2013 13:�1 �851 P 002/002
<br /> C-� S�C� a 2
<br /> PERIlfi[� APPLICATiON�
<br /> BUILDIfVG/MECHANlCAL/PLUME31f�lG/SIGPI/SPRINKLER/DEMOLITiOf�!
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 Cedar SL, Everett, WA 96201 425-257-8870 FAX 425-257-8657 vrvnv?verettv+a ory
<br /> APPLICATIONS ARE ACCEPTED FROM B AI.1 TO 4 PM
<br /> SI7E AD�RESS:' � ^ ��OfI D� pqOVERTV TA P P'Rt.11T
<br /> U 1015•�0000 a _ �
<br /> LEGAL lor newcnnslmctlon' Shon Pi�Vsucarviskn___ lct No
<br /> (attac�cr;py ol lond Icga:desaiphon�
<br /> OWNER ��� ��J� Pnone/Emali � Z5-a 68 � I oy3
<br /> _ .:Cdress O O ` O�l Ci1y/StalrJZip �Ei �- Ga� � 5��O L
<br /> APPLICANT:_Oanar __O+mc�yApent +�Co.�trac7or
<br /> Conlraqo�sAgent __Tenam�m��i;,,�.�ee....uoim.,anxammee,.�.�om..�,•�,n.
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<br /> CONTRACTOR ��� V� ' r _ 7 L 81 Lic.# f �S�TV�W \\�I -QL�C_COF. �us. L�c #�����j J
<br /> ;,ceress ��11735 Nortn Creek Pa�kwa Sout?i, Sl�C-106 9othell, WA 98011 _ma, m�� � ��4-�,�.+L�(-�1P4-��-(,( � �
<br /> TENANT BUSINESS NAME CONTACT FOR PERMIT
<br /> � �ZS '�1�� �_}�C'.�.S1Q�. �Q�C�� .
<br /> Fhonc/E�mail ��' 1 . U �•�Q�S' � 's .CIFJ/��
<br /> 66JILDItdG PERMIT APPLICATIOM �L
<br /> CONTRACT PRICE OF WORK_ _I�j�
<br /> Exis�ing Use ol(3uilding HEAT SOURCE:
<br /> Proposed Use of i ing _ Gas Eiecti�c
<br /> — _ Olncr
<br /> 8uild�ng type: Single Famil _puplex_TowMouso _MWti-Family _Commercial
<br /> T ol pro-ecl _ ew _Addiiion _�t�model _Fepair__T.I._Sign_Sprinkler OcmolAion Chanqe nl Use
<br /> DESCRIPTION OF WORK/add�nonar space prov�ood on rnc becx/:
<br /> `���,l,c'�vF �r.�����J�0.C� C�Ci/� l/�a�2.� ��9s�-�' �
<br /> MECHANICAL PERMIT APpLiCATION PLUMBING PERMIT APPLICATIOPI
<br /> TypoofProfoct' _Now_Apan Altomtlan_Repalr Typeo(Profoc4 Now Atldn Alterallon Repalr
<br /> Show NumOc�(p)of Orfuro5 Sho w NumDer
<br /> (t�J ol flr(ums
<br /> � A/C-airhantllin unils Toilet
<br /> I Forced air s ;tems Balhtub
<br /> Gas pi m f.avato wash Dasin)
<br /> Wa�er healer Shower
<br /> Gas fimplacc Kitehen sink 8 disposal
<br /> Gas range
<br /> Clothes d er Dishwashei
<br /> R�n c hood
<br /> Clolhes wa,hor
<br /> Waler hCaler
<br /> i [xhaust Ian Sink(scrncoNaUmoplelc.)
<br /> Hcal um
<br /> Unit hcaler
<br /> 6aCk(low p�Cvenlef
<br /> �oilnr Uiinal �
<br /> Rclri eralion Orinkin9 Founiain
<br /> WeoEsfovc Floor tlrain
<br /> �uctinp �
<br /> Grease Irap
<br /> Other 7 Rooldrains
<br /> MediwlGas
<br /> SPRINtSLER /SUPPRESSION SYSTEM Omer:
<br /> Num�cr ol Heatls �
<br /> Olher.
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