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<br /> PERM�:' APPLICATION
<br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 Cedar St., Everett, WA 98707 425-257-8810 FAX q25-257-8857 www,everettwa.org
<br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��7_�
<br /> SITE AODRESS: PROPEflTYTA%p
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<br /> CONTRACTOR , f-���t,� /i i�%1<<,�i�A�7�xl S sreo��:'1I L 8�Lic.#/�G�C�I/ S/(o�/(a!' COE Bus.Lic. k / Q
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<br /> TENANT BUSINESS NAME CONTACT FOR PERMIT
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<br /> BUILDING PERMIT APPLICATION CONTRACTPRICEOFWORK D .DD �"A
<br /> , '�st.ng Use ol Builtlmg �f5G/JC�Ji7/j/ /,�q.(�;///iL� HEAT SOURCE:
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<br /> I�'r:Fcsza Use ol Bwlding ���7� � e Gas ledric OtM1er
<br /> ^ ,: m�rype: .S/ir�gle Fam�ly _Duplez_Townhouse _ 1Wt6Family _Commercial
<br /> I?�..e cl cro�ect� !� New .4ddrtion Remodel Repair TJ� Si n S rinkler Demolition Chan e oNse
<br /> jDESCRIPTIONOFWORKiaca,;�ona�spu;epronoeticnmeoacw�: ���, ��1��.�- ,� 2G��.�-L7� �Ci11��C�C'
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<br /> MECHANICAL PE RMIT APpLIC TION PLUMBING PERMIT APPLICATION
<br /> ��,�,pe ol Pro�ect: _ ew_AUJn _Alteration_qepair Type oi PmJecl: New Addn Allerallon_Repair
<br /> � Show N�mCer(p/ol llriures
<br /> r---- Sbow Number(aJ all/xures
<br /> _ � A/C—au hantlling units Toile�
<br /> I Fcrced au s stems I Bathtub
<br /> I Gas c�pmn Lavatc �pvash basinl
<br /> � lNaler heater Sno��er
<br /> � Gas Irteplace
<br /> } ' Gas range Kdchen sink&tlsposal
<br /> Dishwasher
<br /> I I Clothes dryer Clcthes washer
<br /> I Ranae hocd Water hea�er
<br /> I Eahausllan Sink servicelbar/moD�etc)
<br /> � I Heat pump Backflow preven;er
<br /> � I Umt heatcr
<br /> Urinal
<br /> ,.__ I Gcd�er Drinkino Pountain
<br /> Refnceranen � Floer Crain
<br /> :^Jocdstw�e Grease trao
<br /> ,_ L',.a�,ng Roo�drains
<br /> � �Jit1ef Aledical Gas
<br /> SPRINKLER / SUPpRESSION SYSTEM Olher:
<br /> Numcer of Heatls Othe[
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