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( �: <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAVPLUMBING/SIGNISPRINKLERIDEMOLI110N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98207 -425-257-BB70-FAX 425-257-8857-www.evereNwa.org � <br /> �ppUCA7qN8 ARE ACCEPTED FROM t AM TO 4 PM .r " <br /> SITE ADDR T�� <br /> ! <br /> LEGAL 1or�ew oonftnctbn: Shal PIN�uEtllW�bn Ld No._ (NLth wDY a�q����) <br /> �� Ptq�WE�nWI <br /> �� CMyISIrIMZip <br /> CONTRACTOR � G !N � L 8 I Lic.• <br /> 6 $k PIiaWEmM G �F C:Ct .COw <br /> eg«S �:c< <br /> N k T r•. ,�wi i <br /> lUILDINO �ERMITAPrLICATION oNTw►CTwtICEOFwatK���nO <br /> Ezblinq Ute of BufMkp HEAT SOURCE: <br /> proposed Uss of BulWina � �� � <br /> Bulkfirp lype: ,_.,Sinpb F�miry _Dupbx Townhouta _MuIt4Famly _ComrterdN <br /> rypsofproJecl; _Nmv _Addkbn _Remodei _Repdr_T.I._Sqn_SprlrYcNr_Dernolitlon_Chmps otUss <br /> DMCfIPlbll ol W011t(MdINonN spts PmWded on tM Md): <br /> Haw you aWbd worlcinp wltAout a p�rmit4 ,_YES _NO <br /> MECHANICAL PERMIT AP�LICATION �LUMSINd rlRMIT AMLICATION <br /> TYP�oIPmJM: _N�w_Addn _Albntlon_R�WIr �YWdP��: —N�w.�1dd^ _AIM�tlon_RpNr � <br /> SAavNunMr o/16rtwu SfawNunCr o/llefw <br /> ac—drn■ndlin unils roiNt <br /> Faced�ir s tems ��b <br /> Gas I i lav�to wuh WNn <br /> Water M�ter S�� <br /> Gas fl lace Kilehe��ink 8 d I <br /> Gas ran s ���'�'p� <br /> ClotMa d r ��°�"�� <br /> / Ra e hood W�ter Mabr . <br /> Exhaustfan Sink �ervkslWr Na <br /> Meat um B�dclbw rownter <br /> unNheder Urlml <br /> Boibr Drink FounUln <br /> Re ntion Floor Onin <br /> Woodstovs 6nue <br /> DueN Raof dnins <br /> OIMr Madkal Gas <br /> EPRINKL[R/EUPPRlSs10N EYBTlM ahsr: <br /> �,�j NumberofMsWs aner. <br /> I haroby cerliy tMt I Mva road and ex�minM t�N�ppliutbn uW laqw IM Nm�lo W tn�rM corn[1.AN proW�bns of Wn rM ad�nMa�Y�^��Y <br /> t�is type of wak will bs complietl wit�whelMr�pscMetl hxeln or not.TM pnMinp ol a parmil0on nat ps�um�M Wra wMnMY b vbl�a anoN <br /> tM proWsbn of any otMr alete a bul lari rpulatirp aominiUbn a ths pe�lOnnNa M co^�tnKlb^.7Mt I r�wtlarlud EY tM own�r af tl�b D�°DKb <br /> to peNorm tM wak for wt eVWicNfo�b mWa and 1 comPN wIM IM Shb COM�elon I.wv 7l.27 RCW uM YYE.2001AY1C <br /> ! � �� Oal '�'Z (RMMtlY10if1 <br /> Own��lAutAorl=��Aq�n pmlun <br /> •�7' <br />