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F�a�� 02/Ofi/201A 12:00 #194 P.002/002 <br /> - - 6� 3 D �fs <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERlDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everettwa or <br /> APPLICATIONS ARE ACCEPTED FROM B AM 70 4 PM a. �-�j �� <br /> SITE AODRE55: + ��.� � 1 0 ��� GqOPER.iYj(�x � 2�� Ot� n pI RMI7 � � <br /> l �'� sJ oC <br /> LEGAL lor new conslmction� Snpn PlaVsu:�tlrvision lot No. (allach eopy oI iong k�yal tlesaiptien) <br /> OWNER �� � (� P�eneiE�mail p� � 8S � l � � <br /> aaaross �j Ip CilylStaleJ7ip �1'tf'O�{;, (��� q gpZ� I <br /> APVLICAN7:_Ovmer _OwneYSApent �Conlratlor Contradc�sAgent Tfnanlfmmto�o.iae�eneio�mnumimm�vo.nvecaw�N�n��wu� <br /> CONTRACTOR '�a�� CZ� r \-, a L 8 I Uc.tt I S1\'J W t\�I $vt-COE Ous. l�c.a Z <br /> �"J�J <br /> Adaress �Y1ri5 NorthCreeKPa�kwaySouth, S1�G106 Bothell, WA98011 :m„���� r ��-�,,�n z.CG1PQ'1='-1,(�� '� <br /> TENANT HUSIN[SS NAME CON^lAC7 FOR�E/RMI; ��(i k�/�. _�"�.�h n� <br /> �� � •.u-adJ <br /> `-�L'� va-c n[� 1 <br /> PhontJ[-ma�l -� t , l r� �S s •LQT•-�� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK � <br /> Exisling Usc ol Buildmy HEAT RCE <br /> PfoOased USc of Building Gus F.kanc ' U1hcr_ � <br /> [luil0ing typa: �Single Family _ Uuplex_Townhouso �MultfFamily _Commercial <br /> 7ypc oi projecl: _New Addition Remodel f2epair T.I. Sign Spr nkler Demol tion Chango ol Usc <br /> DE CRIPTIONOFWORK(u4Jif�onnispnceprovidoeonfnebacHj: p n <br /> ��1�Wv p �� ��`aL°1� ��°�t'V1 G C�.7 C�IJc'CP'�' �� <br /> MECHANICAL PERMIT APPLICATIOM PLUMBING PERMIT APpLICATION <br /> TYVroIPr0lr.r.1: Now_qUUn _Alleratlon_Nrpalr TypcolPfojucU _Ncw_AOJn _Alteratlon Hepalr <br /> Show NumGar p)ol/Idores Show Num6er(kJ o/OrNrex <br /> NC-nlr hanalin umis Toilet <br /> Forcetl au s slems OathluD <br /> Gas i in I Lavator <br /> (wash basin <br /> Watcr hoatcr Showcr <br /> Gas fire lace Kdchen clnk& tli� osal <br /> G85 fan C Vishw.lshcr <br /> Clolhes dryer Cloltres washcr — <br /> �'.tange hood Watr�hcater <br /> i EMIIAU6�Idll Sink(scrvlcc/bai/moplelc.) <br /> �iCO� O1^ [3ackllowprevenler <br /> Und hcalcr Uunai <br /> Idoiler _ UrinY.mgFountain <br /> Refn orallon <br /> Floo� tlrain <br /> I WooAslovo Gieasc Irnp <br /> � Duthny Rool Atams <br /> U�h���— - -- - - � Mcdical Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM ' Olhcr. - <br /> NumGer ol McaAs Othcr <br /> I�ercUy crnPy I��nt I�nva me0�r�U ommYiaO��h Mplcallon an�1n:m���o�amNn Oe IWO�n�tprOcl.NI Dtcvifun�ol ldwl ll��orCi�en[c�Ovvmnm�I�n 7D�OI..�A v.il Do:um{nuU <br /> wiN w�clhrr�pecdmU�e¢in cr mi �pf p�dnLnp ol d Osilml UwR i�ot 0�C{umf 10 0���OeWvn���p r¢ble et C�nCN NO proelimn CI xny OIOG finir ar bcnlUv.mpuul�npcensln�nnn <br /> i�n�I am evJ�onta�DY I�e vwnw ul lblf OraOerq in penorm i�e wcr�lor WiL•�npf�:cmbn m m�le an01 comCN"�•1�Ipe iinle Gommaon l ew 10 7)IICW antl:OG]Dp�WAC <br /> �. <br /> , �g��.�x_ ��Q�� �" <br /> QW;kM/Aui�on>no Nymu e.p._.u�x Udlc <br /> (HCr�SCtl G/;01:) <br />