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Dec 2� 14 1 i 18a P 3 <br /> PERMIT APPLICATiON <br /> BUILDING/MECHANICAUPLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wonv.ever�e�.l�g. <br /> � <br /> SITE ADD S• PROPERTY TA7(p PE 11T �-O � <br /> ���-rd' '1 vr��o r, 4 u� <br /> LEGAL I��nt�•`enslru�rn: Shc1 Ral�aiMir�.vo�_. lot�c._ (at�c��pY of lony�eg�i d�a�ptanl <br /> OWNER �G1 �l la 1'� l, � s P��nalE-nui dO�Q ' �v '-��� O/ <br /> � a�ess ��35� O'��TUI'1 �"I,� crtr�s�;�fao z tI�✓ e.N � ��, 1 �S�C� � <br /> PIJCANTt OHnCr O+.ncr7�mR CO��aQCr CCnt2UP'SA5cn1 1'tnarr,l�vmro�ceerr.wn+sua•�•.e.r�ema..•a.nv..ae:el <br /> eoNrnacroR C�. cL�» 1- � State�c.ul�O�dSI�RG�Sk�'1 c�:ve�s uc r 1.�`a l <br /> AS.�Css <br /> �'1 1`l �1 '''�'` /-�u-� �� ���,��: <br /> TENA T BUSINE NAME CONTTAC�T FOR PERMIT <br /> V-c-l� � �S- �J-35 • `f�"�-Gl <br /> anorc�E+*w� ' <br /> BUILDING PERMIT APPLICATION OrtTRACTPRiCE oF WORK �0� ' <br /> EwsGng Uso ot Bui dirg HEAT SOUFCE: <br /> Proposetl Usc of Buiking __ _ Gas Eietcc Orer <br /> 3uAmr-y ,ype _Single Famdy _DuFlez_Taw'nhocse _Mul:i-Famdy _Comrterual <br /> T e ol rc�ecC New Adtlition Ramoeel Reoair T I. 5� n Sonnkinr Camclitian Chan o of Uw <br /> OESCRIP710N OF WORK(a�CtbnaispcxororcMcn!r,u�erl�i' <br /> ��,� l,vl K-�r�cJ �l l,�-r�G-G� �J1.�� IC� C��-n.�:ti7- <br /> v <br /> MECMANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo o'PrqxL _Now_Addn _Altoratlon_Rapalr TyOo of Prcjoct: _Now_Addn _AltaralmnlRopalr <br /> S�ow NumEM olfi4urCs Show N�mDa OJ ol firtun:s <br /> /1�C-air hancli un�ts To�s; <br /> Fac«1 art c•ste�ts Batl+Wb <br /> Ga; i lca Lavato wash b,isinl <br /> Waler noater Sln:+cr <br /> Ga; hr� �o K�tclen sink 8 dis s�� <br /> � Gas ian e Dishwasher <br /> Clothes C er I Clc�zs v:asher <br /> i Ranauhoad I WatCrDealcr <br /> 'r�haustfan I SinY, servicerDadmo 'etc.l <br /> � HCaI um I Bn�kNow mwnWr <br /> I Unil hcalm Un^al <br /> I O�ibr I Dri^�ki Founlain <br /> I Relnnorenm Fbor dr,nin <br /> lNaodslove � C�easelrao <br /> � ����� � Roof Crains <br /> i OIAcr � �Aod�ral Ga5 <br /> SPRINKLER !SUPPRESSION SYSTEM ; Cther <br /> i Num�er of tleads � O;her <br /> 1�n�c�y rarh�'�'I Aaru rv.d anC r..i�nn W Nls appleitm aa�uwr ttw bame w Ec I.�un.mC c�n W.�L D�vnbnf o•�rrs m!ocnig�rr�go.emmg V e ype o'w�.n v.li Ic wm:� <br /> vAT v.Ttllra¢ovf�d h�'�M n not 1 nc 0'���f 0^���"^�avns f.ol p�nunP lo g�rv 2uEm�ty lo rdiM t+o�K[�An POvi�n ol any aMmr s41p d'orJl bMleg�81L^p mnSL^Jq or. <br /> Taltamw � Noo.w�ero�mtepr:pmymF<ib^^Urc.w�trnAOhaxiadnebmnSeenEleonprywl:+ma5ioteC�ncau.'aiu.is])IiGwma?SG:OJnv.'�G. <br /> � G��►'l,titi I a�-� -� �-I <br /> Ownei�AulhorimC F9Tnt Slgmtum Datc I�o���se]9/N1aJ <br />