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i <br /> �' � <br /> PERMIT APPLICATION <br /> BlJ�LaINGlMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8657 wanv.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEAD�RE55: PxOVFRrvTA%p P�R���TA 'O <br /> L�1 �`-\nPle S�- OOS 5 0 <br /> LEGFL/p�n�n eo'�;IrucP;:,� S��o�Hli:'b�C[���is�c�� Lol':o la;lar.p c.ppy c�lo^�Icyal tlescnpDn�l <br /> OWNER �(.Q p I � PhoneiE�mail 92�•a� - 692.i <br /> naoress (p ( /-'�Q nIQ U 'T C�ty�Staie�Z�p e /,Q <br /> APPLICANT: XOanrr Ca"�e�sAqenl Cuni�attor Conlra:lo�'SPycn� _ Tev�a�l�.^,.�.io,c.�ae. ,��v'iu�.e•��.�ronrec.reme�.-:���� �ewa:.� <br /> CONTRACTOR �'n e � �� ���� k CCE Ous. Li[ = <br /> A�Oress ���one Em,ri <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �� D�,�,yL �K�u GZ/ <br /> �ka5 a4y-oss � <br /> Phone�E��+.�1 G �JL ��rvi�s�Crs :J .Lo�M <br /> BUILDINta PERMIT APPLICATION CONTRACT PRICE OF WORK��DDyQO <br /> Exis'my Use ol�uPdirs Pef O�Y !SL—��.�l�f�Q��� HEl.T SOURCe <br /> y. � <br /> PicpntieC Use o!BudtDn��Q7t�1 PC��✓7� �S!C �?��D • Gas_ Eieunc Otrer _ <br /> B.i I�in�)4,Ge x.S�rgle Fainr�y _Duplex�To����hcuse _L1ulfo-Fdmily _Commercial <br /> 1 pe o'f�o�ect New ntlnitian RemnAvl Repau _ T I Si ❑_ So�mAler ._ Cemebl,cn_Chacqe o'Use <br /> DESCRIPTION OF WORK laoe�no�a�soa-e o•o.:ac�nn mr p.�cki <br /> 1 ns�at� a Ua�1-i�.um s�csve a�n C—x�`s}��Y�� �' ct.�'h wG�l <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMtT APPLICATION <br /> iype ol ProjecC ,__New_AAdn �Ierabon_ftepatr Type o�Pro�rc� _New�+Jdn XAlleraUon_Fcpair <br /> Show NumGcr�tl�ol/iifines Show Nurnber(M�olliffures <br /> .L'C- at h;�rahnq undti I d loJc� <br /> forced au syc;le���5 ,� Baihlub <br /> � (�ia5 Dip��1q Wv810 wJSh b851f1) <br /> wa�er neater <br /> � Gas flicUlace ' Kdthen snk S d�spcsal <br /> Gds r:lnqe � D�Sha�aShCr <br /> Clolhes dryvr ! Claihe5 v.'atihcr <br /> R�ni�c hood � N'aicn c�aler <br /> E�h,lu51 lan Slnk (SernCeibNdmop�elC) <br /> Hcal VwnO � 6a[4flow prevrnicr <br /> Und henlcr � Urinal <br /> t3oilcr I DnnA�nr Faunlam <br /> Retn e�dhon Floor�ra�n <br /> I \'doctlstoac I Greas�Irap <br /> � D�,,cl�nn Roof dra�ns <br /> �i n;��,., MeJical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM 'Jlt�er <br /> Nun�bcr o� HeaC, Oiher <br /> I r,npEY cr Uh�Inal I ny��q���p��U e�J�.��'•a�l IC�s dpV=���.�'�x'�d�r�nn-n.r�a':.r U be bbe an0 Nr�ucl 1111 U'ovivon5 ol ldws JnJ orC�n�neve Vovem�n9l��s typu o'�.oix w,�l Ce�r�u�.��r:; <br /> w i i wfi^IYe�.pPc��CJ na�cin or nal ine Q�Bnt n,l ul x G`�a.,l Jaes nCl D•eSumu'o 9�+e dan�onty I'J�.:�A'.•p•�J••�^I IM1e C'a�ttn.�'Jny c:0er slutv oi lu�dl Idw it7cli`r.j ce�i�uC�c�� <br /> ipp'Iin.lulhu�4e0bYIt�Cow�rCr�Iln�Sp�OCc'1y1pDP^Cmlhvw0��lyphi:hdp h:diJn�S�dif •I.., . . I '_ �i. _'rP�J. Slnn'N 4 � JnJ.° 'dC=\� <br /> �`I'�'--e�-7� ��5 �,�//r'! 7���7 ��. <br /> OwnerlAulhorimd Agent Signe we �ale �F�.rsetl E':0�=1 � <br /> � y <br />