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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT S[RVICES <br /> 3200 Cednr St., Everott,WA 98201 425-257-881D FAX 425-257-8857 www.everettwa.org <br /> APPL�CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM p I " oZ� `�Z <br /> 31TEADORLSS: PNOPEH1YTAl(M U'tUU P�I�TI \ � /� <br /> 23mo Q,ffi L �- ��L6ElG FK W�" 28 C4 02oo�a ,.y <br /> LC-GAL�or rnrumnslrtictio0l Short PiO�subdivi510n <br /> Lot No._ (attarh mpy ol lo�g Ic9oi OeuriP�b�) <br /> ONMER L� �' i F FS �-LG Phone/E-mnit <br /> AddrPss Gity�SletefLp <br /> APPLICANT:_Owner _U^'^b'sl+Aent ✓camrador rCa+treaorsfWent _7a�ont���r.o.:�+e�da��,�n�T+ha"""°°°'°'�"'^°°o°`°� <br /> coNrrucroa 5 C—C�i-f RNtCF11� L 8 1 Lic # 5� ��m� � � � COE Bus Lic.tt <br /> dress � � � G7 J �L'2`�D � v-�'`� W Fl q5�3 Pn�a[mni�`.:ov-575-752J1 <br /> TENI�NT E33 NAME CONTACT FOR PERMIT <br /> '[3vu t�-os�t'ea.mA N <br /> J � �✓I�?N��1t�lt/2(r/G'7 PhondE+nn�i �L���J�✓'�J'�Z <br /> BUILDING PERMIT APPLICATION CONTRAGT PRICEOF WORK <br /> HEAT SOUf2CE: <br /> 6ciating Uco of Bmltling <br /> Freposxd Use of�widing Gas� El�r�c_ Other_ <br /> Building type� _Single Fomlly _Dupiex,Townhau.se ,�Multl-Fomlly �Commefaal <br /> eot ro'ecl: Now Atlddion Remotlel Repair T.I. Sign S rinkler_Demolltion Change�Av��Y3 <br /> ed on rne oac1Q: 0 t��-�' � N"`'`� �V���• 3 � <br /> DESCRIPTION OF WORK(addrtional g+ace 0/%�� �N� <br /> /' y,l'�I/_1 and (t.l:��cct �iP�v��,- <br /> L <br /> MECNAN�CAL PERMIT APPLICATION <br /> PLUMBENG PERMIT APPLICATION <br /> New Addn _�Ilorotlon_Rapal� TypeMProJoct: �New_Aeen _,Alteratlon_Repa�r <br /> Typo d Pro�ect: _ Show NumMr A of fixturas <br /> ShowNunttrer b u����n'�s Toilet <br /> NC-nlrhnndGn udtc I3athtob <br /> I ForCed air s slems �n���a� wash hesin <br /> GJs Vipin t Shmv�r <br /> Wnt.+r heatnr � Kitchen sink&disposnl <br /> � GaG Greplace p{�hwn�ha� <br /> Gas tange � Clothes washer <br /> Cblhes d er Waicr�oatcr <br /> Rnn o hood � <br /> � Smk se�v�calharlmo eic.) <br /> � Ezhausl tan gackOoW ceventet <br /> Hcal utn � Urinnl <br /> � Unil hcator � Dnnkln Fountain <br /> i Boitcr Floor drain <br /> Relnperntion 1� Grcaso trnp <br /> � Woodstova RooltlrDins <br /> i pur,lina '� Medicol Gas <br /> Othcr <br /> � OU�ec <br /> SPRINKLER 1 SUPPRESS�ON SYSTEIVI piher. <br /> � Number of Hentl, <br /> I htteby fRfL�'��I i�d+e me0 eM eAmFla���ia rDv��n end knmv E10 Oame N Ue W e�md CcrttC•Ap CR"�'�9��°Bn4�Nllenue govemin9���e hD�d^'vr1�'"��nbD� <br /> rrts wneVror s0octlka nen�n«nM Tne grar�LnO o/a pam��Jw wl prczume W Oko mNM4'N�iolale W�snwlMe vuon d anY otl�er etnte W bc.I Liw�M W�^B <br /> lli..l I Bm O�1hOw.d by NB aNntr of Nb DiOpMY m PoAMn M!vroA lof wfi:�9PP�����f TBGo Bnd I COTON wM Ne Sl�le Ca�CdGC+R l8N 18:7 FiCW a�C 408.7��WAC. <br /> i <br /> ���������� � l l zv 1z ,���;s��:o,z, <br /> %/ '^P� Dale <br /> (TrrfortAutltor¢ntl Pycm Sl�lnalurc <br /> �'.II/ZII �9'.�d <br /> �dJINt7H��l�! 31ti1'_; 6Z,SLSLS90Z h� �60 ZLOZ.1l��/Zi <br />