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Fran: 71 �"�/2012 08:36 �75/ P.00;S/005 <br /> � I I �� �� <br /> PERMIT APPLICATIQN <br /> BUILDING/MECHANICAL/PLUMBINGlSIGN/SPRINKLER/DEMOLITIOtJ <br /> CITY OF EVERETT PERMI7 SEP.VICES <br /> ?200 Cedar Sl., [verell, WA 98201 A25-257-88'10 FP.X 425-257-8657 �+�'�tiv.eve��'.v'e��9 _�.� <br /> APPLICATIONS ARC-ACCEPTED FROM 8 Afd TO 4 PM �� <br /> SITG ADURESS: PHOPERTV TA%N 4��r T� —"C�� <br /> � ) <br /> ' �.p���p_ WllaCh ccpy ol I�ng legdl tlesulpUon) <br /> LEGAL lor new cen^,1wGicn Sbnrt PI:NsubJlvi:ion _ r ' ` ' <br /> OWNER '� . � �,� Phonc/E�inail �� nr�'" D � 6 -' `'1 Y ��) ._ <br /> ,,d�,�:, 3 o c Q-�i I v�o �` �„Y,S��,�Z.P �_ �x F��1-1- , I�)A �g 2.0 <br /> x Coniractor GONraUOY,� ent Tecnnl���.�iv,uraoM��+r�i<a�.�mu�+�m«.n.,•,�n,w�r•ne.oac•i <br /> APPLICANT:_O�mcr _O�mei's ABent g — �j <br /> CONTRACTOR � (�S'� \n1c� "�'r E����� L 8 I Lic Y 1 S�LY��'�I������`��—COE Hus.Lic.N C�' �'.5 <br /> �\ ' �/ J , ` p fYllf� �� L I 1. <br /> 12�J�, ��Z Vf� �VL. ��� �1�c�RC�I 4V�\ � UC�3� Pnone�E,*.�ail�, � ZI�I �,�:�l�A c�E'(r�P-1,�b 'V� <br /> n�-icss � <br /> iCNANT[3USINE55 NAME CONTACT FOR PERNui ��j1(A �jp�r�� <br /> u2� ��-� <br /> m,o�ar:�maa '�'Y�ri� . �.�.Ft; � �a��2#�s'h���ht'S .CPs'�� <br /> E3UILDINGPERM(TAPPUCATtON CONTRAC7PRICEOFWORK _��.�.z-OO_ <br /> H[ATSOURC[: <br /> Existing Use o(�uiltlin9. _ – � <br /> PropoSetl Use o(�ullding _ Gae _ _ Elc:anc__ Other_ <br /> B�iiding lypc�. �Singte Fumily _Duplez Townhouse _Multi-Famtly __Corrmcraal <br /> Typ o P oiect New Add�lbn Remoticl Repair T.I._S:gn_, Sprinklcr Demol�Loq _Chanqe o'Use <br /> �ESCRIP�ION OP WORK(adtlinonal spacn A�o�itlod on mv boc�.)�. �����,� �P��` � <br /> ��'-'p-l/vlp�t'. �',� �R�''�1a C �. q OtrJ <br /> �J <br /> MEi.CHANICAL PERMI7 pPPClCATION PLUMBING PERMIT� APP�IICATION <br /> Typa ol ProjecL _W�w_Atldn __Alleration_Repalr Type ol Projucl: __Now_Adan _AI!4ratlon_Repair <br /> Shaw Numbcr(N)olllYfums Show Num�ar(p)ol lialwas <br /> � A/C–�irhandlingunils Tailet <br /> � ForceA nu systems �atMub <br /> � Gas i m i Lavatcry(vrash basiN <br /> Wute�hcaler Shawer <br /> � Kitchea�ink&d�s osal <br /> Gas fi•eplace piamvasher <br /> Gas ran e Go!hes washer <br /> Clolhes drycr - �'Vater heatcr <br /> - Rar. o hood - <br /> Exhaust tan Sink(servicu:�.,r/moplet[J <br /> i Heal pump �ackllow pievenler <br /> —'�Unit heotet Urinal <br /> Boller Utinkiny Fountain <br /> Retn erolion Floor tlra��n <br /> Woodslove ' Grease Irap <br /> Ducfin Root drains <br /> Other li Med¢al Gas <br /> � SPRINKLER / SUPPRESSION SYSTEM Olhcr. <br /> Number oi I leads Ot�er'. <br /> 1 i nernry cr';nv���e�i un..n reaJ dm o,rnnre ncs nc���m�,n .�n�now rw na�n�io c.•vue en�¢nect �VI D�onvana cl lawa on�aitlnancae pcva�mnp mn rype ol wod vnC[o c�mpb0 <br /> ndli v.nul�rr aLocLn�I�ur��n nr f,oL l lu,ycnitri�J d cennn tl.es nU p�esume U G���•T��Inwily IU�'�Obla Ot w0[el Ipn O�ovifbn ul anY uU�el qalo or beYl Llw rpOuleLop<MiVdlron <br /> �n ol 1 am eullmi¢rtl Ly Il�e uwnm ol lt,f I:�:Vmry U I'^,�o�m Ihc wwk Ipr w9KA oFV'd'alon�s ma�v na0 t wmpM^^���nv Sb:r Cenl,aqm�Len f R 1]RC W ar.0]Hf.:00A Wn� <br />� I � � A � � � +a._ u� <br /> '"�1I�'L�"' �- <br /> n:,�,�� d.��.,:�•d r:�_-^i <br /> (�v7id�'ni.�:,�i :�=��n,a�rt signa�r.�� <br /> lr <br /> / <br />