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11/'_5/'_013 nOti ! 1: 53 FA% G25 78) G526 ::or:crce'r. kcofing �00�%003 <br /> • • <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar S� , Evere;t, WA °82G1 425-257-8810 FAX 425-257-b�5- :•;J.v�evereth.tia crg <br /> APPLICATIOMS ARE ACCEPTED fRO�d 8 AM17 TO< Ptd <br /> SIT[A�DRESS: � PROPERT'TA%p fUdlTa <br /> � .�� .� �) � V � •' � <br /> LEGAL'u ne��conslruC.ierc Sho't P�aVsuO�rvsmn Lel r,o_ (ana7�eopy c7�onq lepa�desuia�ic��) <br /> \ u (� <br /> OWNER P 1 f'� (�-� 1 S Prone�6mai � <br /> ,:tl]res; �,�o�, `a � —�v�l�'WO _ � �I� � L GtylState�Z�p �(�M11 '�� �l � 1 � C, 5`�_� �,� <br /> APPLICANT:_Owno. OwneYsi�geni ��. C[oCvlct Cumractersngenl _Ten�nl�mm�c�:=�=e�aie�va�oveci�cv��oec�-.e,ae ��.un. .s,_ <br /> i c <br /> CONTRACTOR � r `"f �� ' ��.0 � ) � L E I L�c # ���OJ � ' �U COE Bus. Lic. a ' <br /> adsess � ' � �I,GJ ri � ��.�1 Pncr,cirmri 4�5_'-�83: 1��� <br /> Cn-� <br /> TENANT HUSINESS NAt�1E CONTACT FOR PERMIT <br /> S1�5(,� ��r�IL,��L�'l, I 1 �' <br /> � Pnonc�E�ma�.i � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK `I ol� g 6L <br /> �6:otin:�'�;e cf t3uitd r� HEAT SOURCE <br /> FrGfC59�Use\cf Bu�C�nc Gas_ [IE:Inc_ Olnpr__ <br /> Bmidmg iype �y\S�n�lo Family Duple Townhouse G1cIb�Famdy _Cc�nmeroal <br /> '�ce d c�e ec! `Ne:v AoCilion �� fiemodel��, R= au__ _T I. Sion_Spnnkier_Oemoliuon ChanCe of Use <br /> ��D[SCRIPTIONOFWORK�ao�r::ner;;:a:ePm��r.edon2eeack� , � ' r i ' <br /> j_ �L' Ll. v Y� ��'. Ib��i (l� �OIY)UC�Si 'ic <br /> � �„'[`,c \t �[l� c ,-� r���L� 1 lt����`i-,h 'n� , • , 1 `Y> <br /> J � �� Cr:rn,op.5 rt��r�, ruc,-�- <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICAT�ON <br /> TyppotPro;pU ._New_Addn _AlleraUon_Ropalr TypeolProJoct' _ Nmv_Atldn _Altnnlion_Ropair <br /> Show NumDer(p)of fi�rures Show Number(d)o/Ii.fures <br /> � NC—arthantlLrgumis � Toilec <br /> Forced a�r s stems i Bathtub <br /> � Gas p� m ' Lavato lwasn Uasin) - <br /> � Waler heater Sho�ver <br /> � Gas Lrealaw Kdchen;�nk&disposal <br /> ' Gas ranpe � Dismvashcr <br /> � CIOU�es dr �e: Clothes�msher <br /> � � Ra��qe hCctl j VJaICt hed(Cr <br /> I F.Khausl lan I SinM(sCNiccPoar+mo ICic) <br /> j Heat pum � Backllow prcoenler <br /> � Unit heal0r � Unn.11 <br /> I �oder I Dnnk�ng Fountam <br /> � R.InpO�JfiOn � R00ldf�l� <br /> �NOOdS�OVC - I Grz�se Vap <br /> I Uuchr.q ftoof tlrains <br /> Other MeJical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> >li,mber ol Hcads Other <br /> �ni��rpti a-���It�y,:I a.e�e u]ar�0 o.ti:c eu:l I...:.�lq ��.�i nn]1 qcrv IYc sJm„:o�r INe una ce�cU.NI Provislpns ol larvs ana erarnan[ei govemine IMs lype ol weM1 an i Le«n C rC <br /> w.n..nrmnrspe:5?aheremornot tl�,ugrd�in�pl]pertnl0:ebnDlG'e5umP109heJUlnon:ylov:o�dleoffAnG¢Ilbep�m�iSanolanyO�Ifef6laloaflCWl1]wle�ulaU�gGo^^i�c'.e' <br /> 'b�l I ar.i a�'no��te�Op Ihe enner ef Ini;pmOf?�lo pedo�m Ibe wo�k lo�wM;A app!l'aLon Is mJOa and I cAmply wL�Ina S�ale Conlmclors Law 1817 RLW anE 796.'.00A C:4',: <br /> ����,�,,,�, r� ��, �1, �.��� �, � -���-1�3 <br /> �Cu:novAbinodtedAgenlS�)na�ure , Datc (HeviSr-;1�!;":. <br />