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OCT-7-�U1± 14:51 FROPt:HERRTHSIGE 4257440�753 T0:4252578857 P•� <br /> I <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBING/SEGN/SPRINKLERlDEMOUTION <br /> CRY OF EVERETT PERMIT SERVICES <br /> 3200 Codar St., Evqroh,WP 90201 -425257-0810—FAX 425-257-�657—w�vw•ovorotlwn.org <br /> MPLICATIONS ARE ACCEPTED FROM E AM TO 4 PM <br /> GRE AODRG59: /^nO � T, I DflOVEPTTTNf N P R tl � _un� <br /> d r( ` <br /> LEOAL lo�now canaWctbn: 9hort PInV�ubOivleion� lol No.�_ (attucn rdpy oI lonp IaOd dettdptlon) <br /> OWNER Phon�IC•mail <br /> ���a. o �E cmism��ac 2E <br /> CONTRACTOR , L81Uc.d <br /> Aenrese K� � �q �+ Si' SW PhondEmoll <br /> B I 0 A FO E I <br /> IPhorw/E.mell <br /> BUILDINO PERMIT APPLICA71pN COHTMCT PRICE oF WORK �}�F' <br /> Edolinp Ua�ol BWlding � HEAY SOVRCE: <br /> Pm�oaed Uae at Bulldlnp,,, � � Oee UxMc Omsr <br /> Bullding rype: �B�npla fomlly . ..Duplox�7ownhouno _MuWFomlly T CanmorclW <br /> TypeolproJoct: _,.,_Nuw �nddlqon �Remodol ,TRepnlr„�T.I.�SIgnrSpdnkler„Demolltlon_Chnnpe oNee <br /> Doacriptlon of Work(nddabnd apoca DroWded m�hs beck): <br /> G AS luSE¢7 �Nto FX�SfiNb Fi�QEIcAt� w1��:5 {���,_��,:3 <br /> Have you�urted yrorklnp wllhout a D�milt?I_YES _,NO <br /> MEGHANIGAL PERMIT APPLICATION PLUMEING PCRMIT APPLIWTIO?i <br /> TYMo1ProJ1c11 ....N�r,�Addn�Ahamtloll�R�P��r Typ�dProl�R: —��—�� �All�Uan�R�palr <br /> ShowNumhv ofltrtures I SlrowNumbr atrtmwr <br /> A/C—ulfhendlm unite Todet <br /> FO�COU Llf b 1Et116 tlalhNS <br /> Ge� 1 In I Lavnto waah Uaein <br /> Watnrlwoter I 6howof <br /> Gu firo laca I Kitchon aink 8 dia nl <br /> Gar,rnn e Dlc�waahar <br /> Clo�hoR d er I Clothes wosher <br /> Rnn ehood Wntnrhonim <br /> Gzhaun�fan 1 SmN BefViCelCef/m0 e�C. <br />� aecknow evanter <br /> Hnrl um I <br /> UNtheeler I Udnul <br /> Ooilor I Dtlnkln Fountein <br /> Roltl a�etlon i PooO�Ornln <br /> WnMetove I Oronvelru <br /> Ductln Reof tlralns <br /> I Q�a� Metllcel Gne <br /> SPRINKLER I SUPPRE5510N SYSTEM Other. <br /> Numberoflieeda � OthOr. <br /> �����yy�eryfy�fiet 1 heve mM�nd ernmina0 ml�ap`+Ilutb�onE know I�e o0me lo be tNe.M CORM.AO p�wl�ima uf IYVA eM 0101nanCea pm'emllp <br /> ode Iype ot wo�N w.0 be compl' � Wth�iatharopaGAM heroln or nM.The pnntlny ol o pennll doee not preeume l0 0������Y�o vlNo�a cr uncel <br /> Me prov�lon af ony other te �ocd�ow ropuloWp�conetruNon or tlu Dadormnnw al cq+awpla�,YhO��Om BUM011id Ey Iho oNTief of thb proparty <br /> to peAortn t Mark 1 r th iCallm la maee andll c«npy Wlh Ihe 61a1e Contre�M(s Law 18.71 RCVJ anC 2GB.200 WAC <br /> i � <br /> py,,, n� o na a.M n+tur� �I ob (R��1�W7R0111 <br /> I <br />