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Illi�l/�i5/2011/'AcU 03: 20 P!d North Creek Roof ing Fk:i �lo. �25 487 6`�2e �, Illll/001 <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVIC[S <br /> 3200 Codar St., Gvorott,W1198201 425257�810 FAX 425 257-8057 wvnv.everethva.org <br /> 11PPLIGAT10N5 ARE ACCEPTED FROM B MA TO A PM (�—���-I y <br /> SIT�RESS: +�U1 � PAOPERTYTN(p P R / `D� <br /> � UJ <br /> LEGALIornowmnxlmcCon. Sho^PlWsubtliri.:on l.otNo. InttnchrnpYoflonqle9aldeecdpnon) <br /> OWNER ohn C� Phnna!'e-mml `��� � S � "� \ ' <br /> ddmse Z �(� � L'�.�� GtyIS�+trILD y�n <br /> MPUCANT� Umer OknMzAgenl Conhsetor Cen'ractofsAgent _Tenan�l.�=�,.n.�ese�ao�-.e.�i�.-.e.e�-w�eo.o..���u�.w�i <br /> coNrrtncroR OY Cf l �a i uc. a -OU COE Hus. Lic.rV UZ <br /> AdC�cas � � LD�' Phonn�Emal " ��3-' �b <br /> TENANTB 5 SS E CONTACTFORPERMIT�Vn ��`�1 � <br /> �1 e Vo � L� � <br /> PhonelE-moll '1�'u O�i �� l� �1�'(,vy'(���uF� .C 0�t <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK °n <br /> Easting Use af 8vilainp HF1�T SOURC�: <br /> Proposed Use of Building wc [ioa�c oa,m <br /> Bu��lding type: �Sinple Family _Dupiex_Townhouae _Multi•Famdy _Commerdal <br /> Iy�e of pro�ect: _New _ACai�on Rertwtlel _Repair_T I. _Sign Spnnkinr OcmoiRlon Clianqo ot U90 <br /> D SCRIPTIONOFWORK(udditrnne�npecep�r.cedon7Aene:k): <br /> �'�v b�-� �- � � t�sn.�o5�t1a.. tooFc,.� ,�..-�,t�Y;,,A -�..v�� r.t-�Sl,uGe.� V.�,k� <br /> W-*� Low.��c '�\i ur� �rv�-t�.�a:.-h\, <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typeoipro�ecl: lNew�lddn �HenUan^,Repalr Typeo}ProJen: _New_Addn _AX��ralion_Rupair <br /> Show Numbnr(A)oI tlxNros SMw NumM�r(M ol Nfu.es <br /> NC-ou ;;r,�tllmp units Td�et <br /> Forccd nlr c .,tems e�lntu� <br /> Gos pipinp Lavato wash Oasin) <br /> Wota hoaler Shewer <br /> Gas firepiuce Kdchen sink&tl�sposal <br /> Gas fanpe C115�7wa5hUf <br /> Cimhes d or Clothee H�ashei <br /> Range houd Watar heainr <br /> Eshousl fan Slnk cervicrJbndmop/ete.) <br /> Hmt punt E3�ckllow pfeventr,r <br /> Unit noalar Urinal <br /> ooller Drinhinp Fountain <br /> Retnpemtion Floor drain <br /> 4Vooacta�o Grensc trn <br /> Duclin Roat�rains <br /> Othnr_ Modlwl Gas <br /> SPRINKLER / SUPPRESSlON SYSTEtJI p�her: <br /> Number ol Hoacc Othcr. <br /> I naro0y cerCy Te�I nevo raoU ana w.emNaO ms a�olicemn aM�now Cn�wmo to ee eue ene coirecL AI p.rorobne o1lwre ena o:an�nae povemt�p UB ryye oi�ahW t�mmpird <br /> .thnhet�ersDeeFcdhan�inarnd,ThvC�'+n5ryolapa.adm.wforosumaloa�eauriw�ylovu�loaiwr.wlToew.nAnolonvo"�er�G;aorlxelmNmpua:npwrnW:Don <br /> Thal l em s�vartr.v!y Te awinr ol U.'�PraOerty io perfam+Jis rork hrw!Jci npqree�n Ie maae enn I com;+yw�.i�•.�51�4 ConYactars law 1B 31 RG�v y�d LM.2d0A WAG. <br /> ? wn. � � �...Y„`. b .ZS-Z�/`� <br /> U�^ ur/Aulhonxxd Apa w Onlu (RC'dsetl N'012J <br />