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� a.24 <br /> � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/FLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar S� , Fveretl, V/F �8201 1Z5-257 8810 FAX 425-257-3857 vn�nv evere�hva org <br /> SIT A (�ESS' �. . _� n � PPOPERiY7A%d P h11i� <br /> / � � - O � <br /> LEGAL lor neai ccnsi��uc;:on. Sno�t P�aJs�.00iv,mn lm No (aCach copy ol ion3�.ega'�dex�qru;n) <br /> OWNEF� �* QUS/N- �� O�� I� PnonC�L-m I �S Q� � � �LS�J <br /> �amess � � �� �L Tief4'( c��yisia;�iz o f T/— /r. <br /> APPLICANT:_C,:r-r _ ...u;'sAg=n: _CorUaUcr _ CcnlraUor'sAqcrl ?eoanl��._;ir�.a,,�oe�: _�,- . .��._o����.o....c. ,�r:.::::�. <br /> p ,� �' /J�� 90 RG ��� A�s ��� �: <br /> CONTRACTOR . �, S��I/`. ON�/PUC� iQp� S::�teL�.c = cf(/�) 1 <br /> / ,p / o M/��I <br /> aC��ess �0� ' 0 O .5� 7hone!:_ma�l�/�UC��42./LO.IiSTPUL�/OJF� l '�%b�p' <br /> TENANT�USINESS NAh7E CONTACT FOR PERMIT � <br /> �,/ n / / � L O � � p <br /> V�/G�/ /✓���" � QF`� � �n�^c;E�ma' /� � � �L/ <br /> i ' <br /> BUILDINGFERMITYI:°PLICATION COt�TRACTPP,ICEOFWOR _ _ <br /> F.���.ng Use or 8����ng ---__-- - --- H = r SoI;RCE <br /> PioGosed Use cl 6wlding _ Ga; _ Eleclnc_ Ctner <br /> �uiltl ny lype _Single Famdy _Dup'ex_Townhouse _Mulli-Famdy _Cammercal <br /> Type of p•�;ed _,_N�:i Htld�bon R_mo..el __ F2epar T I S�n _ �;:r�n�� ,, OaT`;Id�on_ Ch2rqe of llce <br /> � .— _ -- <br /> �SCRIPTIONOPWORKI�Ctl�f�ora�spaceprw�Ceaonprneoack) � �� /� <br /> �i»p l'�[ �jCi�s�n,-q �u2rJaC� � /� f� /�rc ti �/pc� 4�',.s G���F� �l�u) 1�,/lakrc f � <br /> d <br /> MECHANICAL PER IT APPLICATION PLUMBING PEE2MIT APPLlCATION <br /> iype ot Project: _New_Adtln Alteralion_Repalr Typo ot Pro�ect ___New_�ndd��. __ A�te�auon_Repart <br /> Sho�vNumAcr(aol/irfures Shuwflumncrj#/ollnfurr. _ ___ _ <br /> � iL�C-au handiinq unns � To�'�el __ <br /> I I'orcetl air syslems � Bathlub <br /> i Gas p�ping lavalcry(�'+aih basin) <br /> Watcr heater I Snower <br /> Gas freplace � Kdchen sink 8 disposal <br /> � Gas iange Di;hr�ashcr _ <br /> I Clothes dryer I Cbthes v+asher ___ <br /> Range hood � VJalar heater <br /> � Exhaus�fac J S�nk(service/badmop/etc ) <br /> � Heal pump I �ach0ow preveNer <br /> � Unrtheater �tQ�/aC i Urmal <br /> • � 6otler I Drmkin9 Founlain <br /> Reingeration Plocr drain _ <br /> Woodstove � Grease Irap _ <br /> Ducting ; Roof drains <br /> � Other f✓ledical Gas _ <br /> SPRINKLER I SUPPRESSI�iN SYSTEM I otner <br /> � Number ol Heads I Olher __ <br /> � _�ceP�•�t�J11na�..trCa�antle..�m��re]IrdJi.;'�;�b:nar]�no�.vR2;�i+t^U.^,t'Imean'JcoRetl AllptoviSonsollaws: �dorEnJncesgoYeminglNs�YPeolwa�xa�,:'_t:c:q'"f <br /> . , _�;Fnpl nCre�n cr nc1 Tfe gr�r��ng el///���LLL�prtnA tloes npl p'esurne R q�e oN�c�ly lo ol�le o�wnccllPe c 9n al iny cl. iil.o�I cal ia c -�3I r c0 s.' �.i�r <br /> ' i' ..��I�:�e ownef ol Ihrs Prop^-tlVJ�T�c[Iorm I�e x0lk IOf aR,[M1 dPp'ca1 pn s mac�an�i rn�p'��,.A �,i•Co.! . �,� �.� `i .� '•,a J:.J 2�S �.: C <br /> ` /�' l � � - � ` <br /> s oiy <br /> �OwncrrAulhorizedAgenl gnalure Da f��euse�'20iJ) <br />