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� � <br /> PERMIT APPLICATION <br /> BUIl�DING/MFCHANICALIPLUMBINGISIGN/SPFcINKLER/DEMOLITiON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar S:., Everett, WA 98201 425-257•8810 FAX 425-257-8857 www everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Fj �3.Q—� <br /> SITE ADDRE55: VROVENTVTA%p PERMIT <br /> � 03a 6q- - 0 6- o I ( - , <br /> LEGAL�or newconstrucbon Short PIaVs��btlrv�s�on lot No �attach copy o!iong ie�ai eesc•io��on7 <br /> OWNER � � PnoneiE maa Zp6. � _ 5 '� <br /> nao«ss o�.{ 22 0 {�i1 S�—, $yJ c�iYisiaie�z�� (�O�v�F e y�µ A 9 0 ,3 <br /> APPLICANT: Owncr Owner'sngent Contractor COM�actor5�9eni Tenamtm�:��.o.,_.w�n.�o•�,;�.��eo.r��.�..,�o,ioa.,,,e�m�,,;o:,,e� <br /> CONTRACTOR I^� P 0 . NL'��/' ��OOI/ti L 8 I Lic t! /ly F, P P � /ZZU�OE Bus Uc.# <br /> Atlaress b 3� ��f� S l J� . �C� � S-I-��v�,,l�- Pnonei[mail yZ 5 5yS-z861 <br /> TENANT BUSINE55 NAME N^ CONTACT FOR PERMIT _ ��.� �Y� Muy�I <br /> �� (`-�zSJ Sy9- z£s61 � <br /> Pno�NLmaA <br /> BUILDING PERMI7 APPLICATION CONTRACT PRICE OF WORK 3Z o� <br /> [xisling Use of Dudding_�.�5�'L�p'��-�c�� HEAT SOURCF� <br /> Proposed Use o(9udding_ �Cs`�0.7` Gas [iecinc Oiner <br /> Bwlding type � Smgle Famiiy _ Duplez_Townhouse _tdultrFamily __Commercial <br /> Type o�pw�ect _ New _Addtliur �ftemotlel _Repair_T t _Sign_Sprinkler Demohtion Change o1 Use <br /> DESCRIPTION �F WORK(aAoimna�:pacrprov�dedon Ihebac�) <br /> / / / /� � //� ,{ g <br /> /�/Lin� D ''CeO� N9/ �^G,J Ti.�Y,�9e< � a.. �-. c11 c� o.S PJ�� �D <br /> D D <br /> MECHANICAL PERMIT APPLICAT:ON PLUMBING PERMIT APPLICATION <br /> 'fypr of ProjeU _New_Adtln __Alicrabnn_Repan Type ol ProJecf _New_Atltln _Alirrallon_Frpair <br /> Show Numbm(p)ol/trfurrs Show Numbrr(a)o/hrtwes <br /> NC-arc hanr,Ln imits Toilet <br /> Fo�ccd air s stem; Da�htub <br /> Gas p�.pmq Lavator lwash basm) <br /> W]IP.!hPd�C! Shower <br /> � �>a'��'��'p�a�-e _ Kitchen sint 8 tlis o5al <br /> ra• ��_� � O�shwashcr <br /> CIOIhCS drycr - CIO�heS wd5hef <br /> Ranqr?onA VJater heater <br /> Grhi�c.l ';n SmY.(scrvicclbar/moplelc.) <br /> 4e.�t P�����? Bactflovi preventer <br /> Un.�hr•ilcr Urinal <br /> �O'�"' Dnrkir� 1 ountain <br /> Rrtrir��ralmn I-loa drain <br /> Wqo�',lovr GrcaSe Ira <br /> Ouct�ng Roof tliains <br /> n�h�� tJed�cai Gas <br /> SPItINKLER / SUPPRESSION SYSTEM Other <br /> IJumbr:i of Heatls Oihef <br /> IM1crCb�cL•h�yRm111avr,r.uf:n�tlr..ar,i.,�.nnnvdPO���ai.unrnrlknowlhesxmPlobclnvxMcortMl Nlpmm:ionsnlinwtarbmEinqnt.esBoveminglM1islryeolworMrnllprmm�pn9 <br /> rn10 w1iH�N:0�•uLre hcrnim m�el llu.pnnbny ul a pnrmn Oor:nt�t Iu�shma lo A�ve dulPunty lo violnla o�r��n�rd nu,prr,vn�o�01 anY o1M•r;.Id!n,or fiutl I:�w rt�pii dM1qq mn;Vbrl�on <br /> Tpal I dm n W�nrii�.11�Y�hn tm•nl•�OI Ilut ymprrty�o perbnn�nc wuM1�or M�rti qppSUl�pn✓,ma,lu an.l I e v�iV'V weq ipr.�..�.�r�.�.����•�i�i�rt I aw t N%I��LVJ anrl�Bfi]OpM1 V//�C <br /> � _�__--�''--.� U G-3v- 2 o I'� <br /> O nAuthonm�lAryerRSynaturc Ualc <br /> (l+nv�scd GRo 111 <br />