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<br /> PERMIT APPLICATION
<br /> BUILD;NG/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> ;� 3200 Cedar St., Everell. WA 96201 425-257-6810 FN(425-257-&857 v.^.,nv.everetiv:a.orc
<br />- ,�� A7PLICATIONS ARE ACCE-PTE�FROh1 U A�d TO 4 PA1
<br /> 9'-fE ADDRE55: PftOPEftTY TN(K P: M1 IT
<br />' �, ,� =�� c,i arr� Ave. E �-ac�� WA q8.�o3 oos �oi�o� oo � 3�1
<br /> IEGAL!ornc.vu;r,;WUlon� $hcrtPlab'cctC�:cion LOINo (atL�chcopYa�!�nglenald�.cnpl�cn;
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<br />' :ti;.y or,Nea � C� ---r�r���e.,a� 25- 355- a�3q
<br />��'�' � ,�«��s d�, �-1 ar ���s:�<<�,zP Evtxc.{�l- �N t� 8ao 3
<br /> APPLILANT; Ov.ner OnneYSA:enl Corhac;or �nlra[ts'.Agenl T�^anllm�ur'c..eeaa-:,o�m�xer:rr-mec.^u::eo..,.+^cr•,;.er,
<br /> CCNTRACTOR W� �0.�11,�f�Ll� S L 5 I Lic.k vdASRi��j�t 13 L COE Bus.Lic.::
<br /> �.��,�:. ��i5 W Casino Rd 2J� �v�ek#�Ul�a q8ao3 P��-�,Em.,� 4a5- 3'�� - I�F1�4
<br /> IENANT BUSINESS NA�dE CONTACT FOR PERR.IT
<br /> Ulush,,,gta�, V'lak�u�al �q5
<br /> FroncrEr,�an U ' .3 � ' ���
<br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK
<br /> cxi;tir.g Usc of Builtlinc 225�C.�-C-1'1 ___ HEFT SCURCE:
<br /> '� '� opc'Ctl Usn ol Bu''�iding Gas�� LWqr::__ O:her_ __
<br /> ::�i d�ng type: `�Single Family _Duplex__Townhewe _t.tcit� Famdy __Commeroal
<br /> �� �"�.ne cl projecC `� New _ A�ldition Remodel _ Repalr�_�. y S:::n . Spnrd.icr__Gernpl�lion Chanqe o`U-,e
<br /> DESCRIPTION FWORK(��d::r:,��sn-a�r•���-'eu:��ir.av.:k�:
<br />.,:{�;:;� II MECHANICAL PERMIT APPLICATION pLUM61NG PERMIT APPLICATION
<br />� �I I -- — -- — — -- --
<br /> ���e ol Pmjecl: �New Addn Aller�tion Repalr Type el ProJecl. Now AJdn Alturaiion Repair
<br /> Show Number(p)o/fi Aure: Show Numher(N)o!lxfines
<br /> NC-air�anAlinq unis � Toilet
<br /> FotceE ah�;tem; BOlhlub
<br /> � Gas ipinq Lavalo. washba;in
<br /> 4Vnlcn c�atcr Shov:et h,�:.
<br /> G:15�fi I�C� Kdctien;ink 8 dispo;al �S�
<br /> Gas ran�n �isht�c+sher �
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<br /> 77 Cloth��s Or er CloUies washe� �'r`:.
<br /> I�x"''� . Ronqe hootl Waler heoler _ t ,I
<br /> _ __ Exhdust tan S�rk 5ervicMbarlmo !eM. � ,�
<br /> Heot um pi�kllow F�evenlrr
<br /> , __ _ UnAhcaler Urin�l
<br /> ;i - 6oAer Drinkina Faunfain
<br /> �, _ RCtnqenUon Floor Crain
<br /> ,��{i I Waad.bvo Greasetmp
<br />�5�"� �u�fnp Roof Crains
<br />" ,�x1 Oihcr �sedicai Gas
<br /> ,'�..j� i SPRINKLER / SUPPRESSION SYSTEM O�hcr:
<br /> ! ' � Numbar ol Heads Othec
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