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P D' C11 GC' � S�n <br />i;o�- ii�13 i:37�r,i ,ERG�,��h 'iE HEA? P, %+C iJo 29`,7 " 1 <br />� • <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL.IPLUMBINGISIGNlSPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SI., Everelt. WA 98201 - 425-257-8810 - FAX A25-257-8(i57 - www evere�iwa.org <br />APPLIGATION9 �RE ACCLPTED FRon9 a Ah7 70 4 PM <br />LEGAL for neH carslrucuon� Short PinUsuboi�ls�on_ <br />oWNER �1M 1r;0�rYcl -�u-i <br />4do�a�� ��c � N� l,lnti� A� <br />r,ONTRACTOR C � �t�JJ <br />4tldrosc ��70 `RGl 'IL <br />fENANT BUSINESS NAh1k � <br />BUILDING PL°RMIT APPLICATION <br />Phonc�[-mad <br />C'�.IyISIdle/Zlp <br />LBILIc.k <br />1 YV l l'� 11 � <br />r.__,__, (allacAcopyaflcn3legeltlescdUUanj <br />1.��¢�,—� 1�.1'1- Q`6201 <br />i <br />Fhanoi mail }(pi pQ�,P55/'�?u.d <br />�1.0 M� \4-•'-� Z�2"'3( I� <br />4a SS��tw+z.C+G9M <br />PRICE OF WORI �j 7 �(�, � <br />ny USd ol Cui'�ding HEAT SOURCE: <br />��6CU U:n of ��Iltllnp Ga�� Eiec!ilc Olnor_ <br />ng lypu. _ Sinpte Femily � Ouplex _Townhouse _ MUIIi�Farroly _ Coinmo�ual <br />ol proJect � New _ AJdil�un _ Romodal ^ Repalr_ T.1. _ Slpn _Sprinkler_OemollUon,Chanpe of Uxo <br />'IpIl0i1 0l WO�k (ada!6onsl specoFro�/dntlon fnc Ao:r). <br />,��ANGC� �Li �151�1–�Q i'utZl�-�fiC`L'' <br />Have you slnrted working wilhout a permit7 _Y[5 �NO <br />MECMANICA�. PERMIT APPLICATION <br />tyn�olPro�eel: �Now_AAdn ^h4arallon�_Repai� <br />Sltow Numbur (4J of !i� (un�s <br />NG – olr hanaing unity <br />� Furced nlr 9ycloms <br />� Gas i ing <br />Walor nco;cr – <br />_ Gas fLc ��_ _ <br />Gnc rango <br />Clulhoc di ci <br />Rmiqe hootl <br />fxhBUGt lan � <br />Hent pumP __� <br />_ Unit hcolcr <br />Hu�lcr <br />-- -- Rclrir,ci:dlcn <br />- — Woods�ovc <br />_ �ucGnp � _ <br />Olher <br />SPRINKLER ! SUPPRESSION SYSTEM <br />PLUMB(NG PERMIT APPLICATION <br />Typo of Pro�ect: .�Ncw_Addn ,_Alkralion _Flopalr <br />Show Numbrr (M) ol llxfures <br />5 Wp5% <br />hcoter <br />�nr ai <br />ea�e <br />Olher <br />L�_ t�um0erofHuan; �f _,j_ <br />I h�reby cetlly Ihel I ho�o mad and exsm�ned lnls applicallon nnd knvw Ihn s�mo �o be Irue Bn0 corrocl All provL•Ions ol Iwws end oidhiance; goveminp <br />lNr, typn nf wo�k mll be compl��d a!Ih wnelhrr spea0ed hcreln or not. The granting of a pemill daes nol prosumo lo lllve auUioMy lo r�otalo af cancel <br />Ihe provislon ol any olher slato cr �0 4 re�ulaling canslrucilon or Ihe pe�toimanw of conslmulon. That I em ew�od:ed hy Ihe owner ot ihls piopeily <br />lo pertonn I�w .�Oi I lor v,hldi apl �calion mada and I compfywdh Iho Siatu CoN�aclois �ow 18.27 RCW anJ 295.100 WnC <br />- � l�- ��� <br />ownedAuthnrizeA Agont Sipnaluro �alu (Rnv�sed 1?/10101 <br />