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. o ���o��� <br /> G� �. <br /> ��;;'.a ii , �u14 <br /> PERMIT APPLICATION � , ,, .-, ..- -, � <br /> PU.�L�., �- <br /> BUILDINGIMECHANICALIPI_UMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvr.v.everethva.^org ,/ <br /> APPLICATION:i ARE ACCEPTED FROM 8 AM TO 4 PM S "'�% �I Y <br /> SITEADDRESS:�C�� ���FIC /JV� oo43ryo69 D Oo PE ' p 5�� <br /> 7 <br /> LEGAL fo�new conslmUon Snon PiaV.ubd�.islon Lot No._ �a:lach<cpy ol long legai peswD��on) <br /> OWNER �J�16 KClrDA PnonciE�mad '� <br /> nae��zs o C �-�v VE ��loo Cny15taielZ�v -VLRE7t wA 9L' 0 <br /> APPLICANT: O.�ner Owner'sAgent Connaclor Co�ira<IorsAgent Tenanll.Tc+ico.+eearss�o�m�u��t':mm�ec�ncuaawninme:ra-�1 <br /> CONTRALTOR SIGNS pLJS LSILic.tt S�Gr-�sP��s7� lw COEBus.Lic.kU �2 <br /> �aa,ess 76b (Y�prL��.+eor��v� BELLw�an,., w� ggl�`G pnoneiEmaa 36d-(�71-71loS <br /> TENANT BUSINESS NAME CONTACT FOR PERMR <br /> U�P i,p �SANK. ✓nIKC LINEBn-�tiK�SIcF�S �L✓S <br /> PhCne�E�mad �,,,�sNWGOM'� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK P3000�° <br /> ExislmgU5eof8u�,lding OFF��£ HEATSOURCE <br /> Pwposed Use ol�uild��ng OFF/eE Gas Etecinc Otner <br /> 9wlding P�pe�. _Sh+sle Pamily _Duplex_ToNnhouse _Mulli�Family Commerdal <br /> T Oe of pro ecl. New Adm6on Remodel Repair T.t. Si n Sprir,kler Demolition Change o1 Vse <br /> DESCRI PTION OF W ORK(admronar sAace pro�mea on rne Dacw): <br /> channel �all Ie�-f-e� � lit) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc o�Projett: _Hew_AEOn _Allerallon^ReD��� Typc ot Pro�ecL• _New_Addn _Altcratlon_Repair <br /> Snow NumDer(a)o!firfums SAow Number(n/ol/irfums <br /> A�C—ah handl�ng UnitS 7oJc1 <br /> forCcd a��r s slcros Balh:ub <br /> Gas pi inq Lavalo (wa5h ba,in) <br /> Walen c�aler Showei <br /> Gas Gre lace K�IUen sink ft disposal <br /> Gas ran c D�shwasher <br /> Clnlhrs dryer Clotnos washcr <br /> Ranqe hoo0 �Natcr healer <br /> E�fiaust fan Smk(5crviCelbdUmopletc. <br /> Hcat pump BacFflow preventer <br /> Un;l hei'cr Unnal <br /> �o�;cr DnnAin Fountain <br /> Rcln cralion Floor drain <br /> N'oodstove Grease trap <br /> Duct�n Roof Arains <br /> Othcr Med�cal Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM o�her: <br /> Number ol Heads Olher: <br /> innanar,rre.ninawm�amdcw�ne� o �.+w. bDOtrtqudmrta.PIWwRLRodMnatlaEivmmtO���OCbA➢otl�kMDomn��N <br /> MrJiW.ieCierspeu5e0�ereinoroolT� an�ngoL rtnilCoes rCSumCI00M1C0uL�OnT/InvioLtteotuvKClt�Ppmvtt�xiOla�yoNf�SIdICOrIOUINw�<B��NOw�WCon <br /> ��dl�dT d'.f."01VP4�y IIIC OwT�PI 4 pIDOC f�OT�I� fo�..ticn anv�at�m s maae ana I mmpry»an ne S�at Cc�tratlors Law te 27 RCW ana 29G ioon wAC. <br /> y �p ,��,<� <br /> yZ <br /> OwucrlAuthonzed Aqenl Signature Daie (Re��ise0 fi?012) <br />