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�ERMIT APPLICATIO�
<br /> BUILDING/MECHANICALIPLUMBINGISIrNISPRINKLERIDEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 Gedar St Everett WA g82p1 425-257-8810 FAX 425-257-8857 �hti�nv everettv+a org
<br /> APPLICATION� ARE ACCEPTED FROM 8 AM TO 4 PM
<br /> SITE ADDRESS: PROPERTY TAX P P RMIT� (J/�
<br /> �3J1� II.IIT/l o� � ^Qi��n200 J�3�U0 `1V �-���
<br /> LEGAL!...i n�.:v-pn5lri:�l.�n �Part Pla'Jsub�l vision Lnt NJ (d'•O[tl CcpY of IanG b,qll r,�:;r.npliq'�i
<br /> OWNER �/�C� �/�. l'-'� rhoneiE�mail zG,ih - �Q'�- !i LI7 -
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<br /> ACArqss 2{j� h ���� {�CVC' �'/- � { . ��'� Cily�5la'ell�p �('j G� .rL)�.
<br /> APPLICANT: Onne� _O�.vr:er';FyF:�� Ca�trar.t:r � ..;nDa�i<r'sA,eni T�.n�ii.-. ..._..... �,,,.�..� �.,:,..�.,..,... . ...o,�_..•.
<br /> CONTRACTOR L h I Lic N COE Bus lic d
<br /> 4tlq re5s Pnnrn:t r•�aa
<br /> TENANT BUSINESS NAME CONTACT FOR PERMIT
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<br /> BUILO!r!G PERMIT APPLICATION CONTRACT PRICE OF WORK C� _
<br /> Ex�st�ng Use of Bwldm9 �_ _� _ ___ __ , HE�T SOURGE
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<br /> Proposed U5e ol��.ilC�r, _�C C_{_Ls�_�.1L=i� __ ____ Gas Eiecinr, Cmer
<br /> Bud�i�g�ype . S��ngle Family __Dupie� _To++N�ouse _ h1ullrFamily �,Commeraal
<br /> Type of pro�ec� New Addnion . Remodel F{epau T I Siqn Spnnkier �emohhon._ C�an9e of Use
<br /> DESCR�PTION OF WORK(atld�I�onai spacc p�ov�Cetl on tnc�ar,wl
<br /> �ti���'�1�E_� �Y.t-���� G�cN`� �'-��=il�c�1_` — �;LR'�+ _ _
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<br /> MECHANICAL FERMIT APPLICATION PLUNIBING PERMIT APPLICATION
<br /> Type of Pro�ect� New_Adtln _Allera�ion _ Hcpan Type nl v�o�cci�. _New ..Atldn ,_ Allcralion .Repart
<br /> Shrw Numbcr(9J o!litures Show NumDer(Y)o/%rxWres
<br /> A/C -air h;�nAhnu unds I T�det
<br /> Forced nv system; I �athWh
<br /> Gas p�pmq � !avatory pvavi basm)
<br /> Water healer Sho�.aer
<br /> Ga;hrc ildr.e Kit[hr,n smk 8 aiSPosai
<br /> Gas ranqe Dishwashr.r
<br /> Cbthr.;d cr Clolhes washer
<br /> Ran c hood \N.�Ier heater
<br /> � Fahnusl lan Sink(tiervic�s'budnmpletr: )
<br /> H�nt pump Backflow preventcr
<br /> Um,l hca�er � Unnal
<br /> F3oiler Dnnkmg Fourdain
<br /> � Re'nqnralmc I Floo� Aram
<br /> �.V�ccstu�e I Grease irap
<br /> �uC,�ny Roaf hr.�ms
<br /> i Olher � Med�cal Gas
<br /> SPRINKLER I SUPPRESSION SYSTEM �, othe�
<br /> i N�mber bl Hcads O�her
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