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From: 11 '^912012 09: 11 -97� P .003/003 <br /> �7 � J � � J <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everelt, W�1 98?_01 425-257-861U FAX a75-257-BB57 www.everetRva org <br /> � ��c� APVLICATIONS ARE ACCEPTED FROM 8 A�d TO 4 PM <br /> SITE A�DRE-55: PROP[NiY inx u PERMIT u <br /> -�5 Gi �oG �11 zit-D7 <br /> LECiAL�nr nPN COn51Nc1iCl� $IiOit PIJI;su'vJrvuC�� ____ <br /> lol No_ (atUch mnv at long In7al tlnsai'vl.on) <br /> OWNER ' '�� , PnonclE�mad ' .:J �� V � v <br /> Atloress ` L CiIY/51atc2io C vL �� "V �D l <br /> APPLICANT: Owner OHnersABenl 4.Contrac!or Contm:lu�sAgard _TenUnt:��uc•o�w.we.,=�w..�iovrv�o...,.�ma�+..,.�.�v..�.:.; <br /> CONTRACTOR -'�.T1� I�[�F_( � E.��'� -�'J� L �I Lic #i �S1 t"��:�i���� �B�-(COE[3us Uc 4�CI���.7_.� <br /> naaress 12�01 I:�z `lve N� ti�r�KIc3�1C/1 W4� ����'.S' � rn.ncie�„u� (�'ll� ' �v-\1�`Cl.:�(11:1�\i'[�'�-i�i�� 1�� <br /> TENANT�USINE55 NAME CONTACT FOR PERMI7 ��.�;� v�1 <br /> ��2`�-l[�J,n"ICF3-� <br /> Nr.one�L-mad °[ � ' J 1 �{ '�••'S .L�'7Y"ti� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_,_ O <br /> [�.ut�ng Use ol Duilding �� � �- HEAT SOURCfl. <br /> Propo5eEU50ol(3widing_._ Gas _ EieUdc __ Olhm_ <br /> Ouiiding lype: ,�Single Family _Duplex_Townhouse _Idutli�Family _Comrnercial <br /> T c of pwle[P New Addition Remotlel Repair T.I. Si n Sp�inkler__.�emol;imn_Change o1 Use <br /> DESCRIPTION OF WORK(aymnonai spaco provi�ed on me oacF)� <br /> ��Ew�,� � N � �?�p 1 a c � �-�����-,c �-.:a1-c�y I.��cl-��' <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Pro�vct'. .__Naw__Atltln __.411eration._Repatr Type ol ProfecC _,New_Ad�n _Alteution�Repalr <br /> ShOW NUIt1IlCI�Pf OI fll(JIfS Show Numbrr p)ul h+fures <br /> � NC-au har,Ohn untls � 7u��let <br /> i Forced air s slems ' daOiWb <br /> Gns pipmq i Levalo (was�bas�n) <br /> �� Walen c�atcr � Shower <br /> Gas(ue lace Kitchen sink&tllzposal <br /> � Gas ran e U'•shwasher <br /> i C.Icihes d cr ClJthes was�er <br /> Ran e hood Wator hoaler <br /> [xhaust Mn Sink(serv¢el�arlmap/Me.) <br /> Heal Oum � 9ac1:Bo�v prevenler <br /> Unrt healer � Urmal <br /> 6o�'�cr UnnAm. Fou�tain <br /> RMn eralion Ploor dram <br /> Wootlsto�•e Greasc trao <br /> �uC!�nq RoGf drams <br /> Ip„�� � Metl�cal Gas <br /> i SPRINKLER ! SUPPRESSION SYSTEM Olner <br /> Numher ol HeaCs Olhcr _. _, <br /> �.��.r.��ma�ir�,u.r.enean�a�amneClnnnGO�uton�n]�r,nneaameio�ettwu�:�.f<cneclNry ._.,.,�.e::r t��..��ir:.r. � . i� �.;.. ..uw.:e.., . <br /> ..�. •.� ,:��na:n.vuun�.� u:rim7na0ra�myWaParmnCaeanoi�;ae�:.eni.�c��m_�.a�r:nGauci.i.� .� ..•;. ,• ....� . . . .. _,�.�.. �, ..� �� . <br /> . .e+�u�inc�:edDY��'•ec.v�n�dTnDrvD��t�IODMoimll.ewa�lpiw�J�NG:*+TvenOmedeO+�lm�:�. .. . .. .. .. .. ... .. .. ..... .� . . .. <br /> .. `' ' � � 1?,� 1112.L,,2_ <br /> Jni�����! ili 4tc.:R 1 � �,:ac I i .. ..,. _ . ._ .. <br /> i <br /> � <br />