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�ERMIT APPLICATIO� <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/QEMOLITION <br /> CITY OF EVERETr PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 9420? '�2S-L'J/•L3B�O FAX 425�257-8857 �w�nv.everet;���ao;g <br /> SITEADI]flESS: �l' � i'f{�'�[p7(yThX7 PU7M111TA , <br /> � Z `�i � <br /> LEGAL!e;ns:,ec^�,truR�on�. SvcA PIZV.uGd.�:io•i Lo;tJo..__, (anaeh eepy e!ipng lega�desvn,!ion) <br /> 01'JNER �Lll1'� �}"Lr1l�id1� Ph�ne/e�ma�lyV9�'S7q'(�/ Z � 10� Q <br /> %�ccr^.� y' b� � Gr�/Stato2? �/�YQyJ w <br /> J • a4' <br /> APP�ICANT:_I/�weer "Uw'neY�;k�qn: �kt;c^•r�co� _Con!tatlor'SAgenl _ �:r.: , .-o�a:=ca��e:rcrca��c�.ie:naac«rorisa.M.-r.:.,_�. <br /> CONTRACTOR IS'3te Lic. x Ciry Bus. Lic.a <br /> :.r.J�xns PGoneic'mall <br /> TEtJANT 9USINESS NAh1E CUNTACT FOP RERF"�T <br /> P�,nr„E•ma!I <br /> BUILDINGPERMITAPPLICATION CONTqACTPRICEOFWORK <br /> Ezisting i:sn o}8ddding HEA7 SOURCE�. <br /> ?r::.ac� U„ol 6udd!r.o <br /> Ga9__ Eiectrtc Othsr <br /> g..do,n�r;pa: ,j�Singte Fam;ry a Duplex_To+�nhouse _r.tultrFamdy _Commero�al <br /> 7ype at ro r.c!. _Na�.v _AOdition _Remodel Aepair_-J. Siqn_Sornklar_Dnm0li�On Ch e of Usc <br /> DESCHIPTION OF N�ORK{aedlsona�spaca prcrrdcC o,�;7m ba:lcj: <br /> � hm�r c�. �v�,;f -�y aoG'.e� .�ix�x s �x a. hcrfhrern. �ernu.� =�- <br /> � 19a�- U�3 <br /> �i3m CLafciah �L�t ...B,C�Lu.tfs� Yf� <br /> MECHANIC L PERMITAPPLICATION PLUMBING PERMITAPPLICATION <br /> TYFe of Projecl: _New_Atltln �Nturalian Finp�ir Type ol Prqeet�. _New�ddn �Itat�Slon,qopalr ' <br /> Snor.�Jrumber(A)olh.rr�res � � Snorvrv�.rnnnr/�)ollixrvres <br /> _ NC–uirhte;clin �n��t: I TOI;et <br /> Forceh air,vsleros Bathtuh <br /> Gas pl inq Lavn;r.r vrash hasln <br /> 4'latr.r hi�o!or Shn�.ver �– <br /> Gas Ilrr,,tace I Kitchen slnk 8 tlis o5el <br /> Gas ranq�3 pish�vasher <br /> I GIOfhBS(lryBf CIO1ho5 Yr:1Shf/ <br /> -- Rnnne hood VJater hn�ler --- <br /> Exhau^t fan _ Srn;(sarNc�Nar/mop/otc.) <br /> I Hent mm �ackllow pruventer <br /> ._ Unii heater Urmal <br /> . Boller I Onnkin�� `rounian <br /> Holrig6•aii0n Floordrain <br /> I Waotl<;ova � Grc[isetrop <br /> � Ductinq - � <br /> Aoof drains <br /> Giher___ t9edicvl Gas <br /> SPRINKLER / SUPPRESSION SYSTEM O�hcr. <br /> � Num6ar of Hoads Olhe�: <br /> i nereoy csr.:ry ine�i nava mm ena e.em��oo ura sFn'�=9'�!=n and knoH ine same n ce uua any conett nn oro�+;uns oi iav.and orena�cao govornm6 tns rypo c�woM rv oe coT;. <br /> 'M'.n wp6tnnr soec"is�^�erpin or not.Tha g,nbo�cl u p��ml1 Coae not pmGume W gbe OUM P�W M�:0!a'p Cr UnCsl lhc orovi;un ol any oi�o�cLi�.a c-iaco��a.v myWu�nB cans:�uctlan <br /> TM1d;I�mJUL�Jii;��p��IBJupplC!1'1;gF:CpO�ytOpO��ImIF.pMOlkl0fv�111Ch0-p1�01'JObm9C^&rdl(pmrf"����hthe$tatLCcPbL^.orslJ�vl9.c RGNaPd26GcT.9A'AlFC <br /> �•�,�/ <br /> �%3��!!�a��d r�'[Dy�tf-�a ia.�-�}� � ��I Call 1-��-Y'"1"'' da , <br /> o�fiodAumonzed A9��t Signature ^am �' (Rev�tsd o2o1� <br /> T. ,..nn a�l I �..,a�� rn/n m. n <br /> . � ^ . . . .. � f . __ ..� . .: .. <br /> + L P � B� .�. .i. <br /> y <br /> � �P Ya}.M .«3y\ .�.�...� . . "iA ....T F ,� , t ��.� ( `'. � . <br />_._.. ._ _ _ � �._ ..�J._...4.�_...�.,_ �__ �" __—' ._ H_�.x. __ _ 7 c�.e__ ,_ . :`; �: �2__.. _ ._ ._.._`__ <br />