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� , , <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Si , Everetl, !NA 98201 425-257-88'10 Fi+X. {25-257-8857 vn�n'� eve�etjwa org <br /> ��� � <br /> SITE ADDRE55: . rFOPEFir iAx a PERGair� ) <br /> �,3�0 ,NovsM_ 5 z� z��U�z�o� <br /> �EC.F�L I_� '�o:i mrslruC:on 51'Ort Pla9su�in.i:c't LCI�:o I•�Ilattl[G�y ol'0^.g'n'Ja�d^.CnCIiO�) <br /> O R � 1�,� /� �� �1�� Phor��E �na I <br /> � r,e�zs � .�1''jiC.(/lI G.P� �l/C Gnyisia'erz�v �.�,1C�' i t�i I.�G <br /> w � _ ' . <br /> A�PLICANT'. CP;i^e� _Cvmcr'ti�qer� _CnrUacbr _CaYr3elCr'SFgrn� _'rnanii��.�.�.c,a.�„�, c .. _ . �.:r..^:^:a:.._� . ...i <br /> CONTRACTOR Q �O f I YY`o' h.� �l� S�aD�Lic ; R,D PLUP"L�� C�tv E3u5 Lic #O� �g <br /> ;,���.,.,�z.IS., u� !-7�/'z' r Li � �� r�,;��e,r,� Z� ��12 (,�") <br /> TENANT BUSINE55 NAh1E CONTACT fOR PERMIT <br /> z c�c.. �z-t ��-7 <br /> (3�1 '`P. �E QG S e�� F�,�,,,.� ,,,�� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 3u6U ��_ __ <br /> f�,ist na Us�: o'Bud�ry _. __ ___ ___ _ Hf_Ai SOURCE <br /> P�eGosed U52 c�' �wlding_ _ _ Ga,_ c�eUnc_ CIOer_ <br /> 8uddmg type _ Smgle Family _Duplez_To�enhouse _N�ulto-Fam;l� �Commercial <br /> Type of prc;zci New Adtl�tio❑ Rzmccel Repa�r X.T I _ S qn __Sor:rk'er _ Demcl.t�on__,Changz cf Use <br /> __ — _ ._.. ._.._ <br /> DESCRIPTION OF WORK �ar:�:r,c�r•ai epo:c p-c..cen o•�r�c�acti1 <br /> i-1C�,S `Z�5 "�('�UY� (.,�.(�C',�SIG�1 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Pro�ect: _Ne�v_AAdn _AReralion_Repalr Type ol PioJect' _ _New__.Addn __C.Ileration Repair <br /> S/iow Numb:�/(XI o//i�fures Show Numbrr(p)ol l�rfurc; <br /> � A:G-a�r hantl���ng unAs i Toilet <br /> � I'orced au s'ys�ems BathluU <br /> Gas O�p�n9 / Lavalory (wash basin) <br /> Watzr heater I Snower <br /> ' Gas Greplace I Hrtchen smk 8 d�sposal <br /> � Gas rangc Uishv.asher <br /> Cbtl,es drycr I Ciothes washer <br /> Range hcod Water heater <br /> [xhaust(an Sink (servicc/barlmop/etc) <br /> � Heat pump � E3ack0ow prevenler <br /> i Und heater Z I Urin�l _ <br /> � [�oiler I Onnking Founlain <br /> ' Re�nqeraUon i Floor tlram <br /> �4'ocdsto:c Grease Irap <br /> pu:.�inc, I Roof drains <br /> I <br /> Oiher � Mea�.cal Gas <br /> SPRINKLER / SUPPRESSION SYSTEM j Other <br /> Idu�rter o'He�ds � Other _ <br /> ���nre0y centy IPdI I nBve rWd�n0 e�art'.meC I�is�pc!�cation aN Mnon I�e samu to Ce Ime an0 ro'tect FII provis�on:ol IawS and o�0�a�ces govem�r,�Ims lype el wm1 m ' . , ... <br /> niID whcl�^r sDeufmO hermn or not T�e granling o�a permil Cces ncl presama�0 9uo aull+or�ty lo rN�a'e er Wncel I�e provino^o!O�y:Ne•"a'R c•locai U,a�egdat•ng cc^.S^..^�.-- <br /> 'nai I am a�:nwer�ey mc orvner olm�s[�eGe^.Y m penorm t�exark lor�M�.cn app'cam�;�+uce ana i mmpty,.-in�,e;r:ne Cm."a:!cr::a..�tB 2t fiC•.M1�a�0 755.^0:.':..+^ <br /> � `, .L ,�^;� <br /> Owncr/AutharizndA9en naiura � �:;1^� . . .r_.:; �.,-.:' . <br />