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PERMIT APPLICATION
<br />BUILD ING/M ECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION
<br />CITY OF EVERETT PERMIT SERVICES
<br />3200 Cedar St.. Emett, WA 08201
<br />^A � ^Lle A or ACCEPTED FROM RAM T04 PM
<br />425-257-8810 FAX 425-257-8857 milAv.everettwat.org
<br />PE
<br />RAIT 4
<br />SITE ADDRESS: ROPURPY TAX
<br />J-I(:)cl ()(-AQL hc' rz t-k --3 6, 1-1
<br />98:ZO)
<br />LEGAL for now consln�cficn Sh0rtPI,1t/,,ubd1v,3roP Lcthlo._ (allqc� copy v! long Ieqm description)
<br />----�7
<br />E C—)k I TM N OLF N P�onolE�mail -
<br />I
<br />OWNER S71�—q
<br />3q*,.Dp-. sz� 01YISIOICIZID rill Ify+ 9000?DE,
<br />Add,.�- 11Dkt,
<br />APPLICANT: 0,%nor 0,Arer's 6��ont.wr—Corraerorf;Aganf —Tenant r,--sm—F L,:9. , �xne,too,-,� —
<br />—
<br />' "o ()(' . L & I Lic. �. Ct)QQF—kr(L) 11W) COE Bus. LIC. #
<br />CONTRACTOR
<br />-14:17DIA
<br />Addmr� E,4 (7)
<br />�IAI,
<br />-2 I FOR PERMIT CP-Aic- rniSrik-
<br />TENANT BUSINESS NAME l
<br />.�Zotv - 78tr Ll I
<br />PIIQW�-Mail
<br />BUILDING PERMIT APPLICATION 1CONTRACT
<br />RICEOF1,VORK
<br />HEAT SOURCE.
<br />Existing Use of BuIldIng
<br />Proposed Use of Building Erectrip— Othe"
<br />Building type: goingle Family Ou Town ouse —Multi -Family _Connnicrclal
<br />.
<br />imu! project: Now Addition Repair T.I. Sign Sprinkler DerpoitionCharricIff of Use
<br />DESCRIPTION OF WORK (addlional SP.9cP rnov;(fodor) 140 back): W&n VU1Yea.
<br />V,Qnvoe 0,0�fOFI-H`57)
<br />MECHANICAL PERMIT APPLICATION
<br />PLUMBING PERMIT APPLICATION
<br />Typo of PFOject! —Np.w —Addn _Alteration _Repair
<br />Iteration
<br />Typo of Project: —Now —Addn —A _Repar
<br />ShowNumber (di offlirfuros
<br />Show Number i of rXfUMS
<br />A/C —
<br />Toilet
<br />Sathtub
<br />piping
<br />Lavatory (wish bisin)
<br />Lon
<br />'A'at �r heater
<br />Shower
<br />Gis fironlace
<br />Kitclien sink & disposal
<br />GIs fringe
<br />Dishwashor
<br />210"'es drw—
<br />Clothes washor
<br />Water hoater
<br />&n,1,,(seW1Ce1bar1nnop/et(.,.)
<br />RTge hood
<br />ExtizILISt Ion
<br />Heat pu P
<br />B7_ flow prLventer
<br />Unit liciter
<br />I Urinal
<br />BoIIQT
<br />Drinking Fountlin
<br />Rofirlgcratlan
<br />"00' 1 ,,,,,n
<br />Woodstrive
<br />d�ease p
<br />Ductinal
<br />Roof drains
<br />Othe,
<br />Medical Gas
<br />SPRINKLER / SUPPRESSION SYSTEM
<br />Other:
<br />I NurrOar of Heads
<br />Other:
<br />I wrebycehili that I have te3d and examined this APPlwlxr,.,im Lee. tr,e some to astim sn6corml. Ni pm,inori, of In.sorKlonfl,o well gove,miql1hitlypo of "M wo M compiled
<br />with whether sovi hwelmo,nol. � gronting of., permit does not "Wrote ,,cq1thq 310 or �=11 s,, mgumnig coril
<br />That I smovlhe�rnrl h, y I he � of Intl PMPBftY 10 Priem, Via mix for "Ich ppPk,1H*ft � m,'JG And I Comply Win Vrei Stale COMI.Mor Lp . 19 27 RCW And 200.200A WAC,
<br />o . 61alx- /& 12101�3
<br />ized Agn"t silfnalund Date
<br />(Rcv1sed 6,2012)
<br />V4
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