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9---1A, 6t -4‘179(A CAT.NA - 1 <br /> --' Ta53 rD6(2i <br /> ERMIT APPLICATIC:: <br /> iiiI_N/14P:)..":::A" BUILDING I MECHANICAL I PLUMBING f SIGN /SPRINKLER I DEMOLITION ' <br /> CITY OF L - MIT SEf <br /> 10.11.04 .4 '."1-.. <br /> 1.;C!OCF� e : T. =G- r r'F ;,V. ,;__, <br /> (P)425-257-8810 ! FAX 425-257-88x7 (E)everetTep3@everettwa gov j .awvt eve-ettwa gov=permits <br /> (Site ui. Stack ink Only n ri:d5r: PROJECT SITE Iri vnireTiO • t <br /> PROJECT SITE ADDRESS: c QOa L C( t..(1wal-4 'PROPERTY TAX z1t} #( y3gt q7 ?2Qj) <br /> 'LEGAL' r ix constn.t.'tior Start P,ar,sonoro Sier ) <br /> nn -.1 r.,-; ?-r r r ';nrg le9a1 o 7.11 •inn. <br /> CONTACT INFORMATION <br /> OWNER NAME. .TC P petty (.• I CWJfl TENANT NAME III Commercial):DJt h TAI Wee 1.). <br /> OWNER MAILING ADDRESS: 1(01/ 5-11\ AUen�e. 1.,S \� C( _,-___ <br /> OWNER' rl IoNC. c/Cal.P - 715`?-9 U(? "OWNER rMAIL.bole ski lee. @ rv,i, r co IIY\ <br /> CONTRACTOR NAME. a (.J '►[Jnc <br /> CONTRACTOR ADDRESS: �':-___-_* 1 ((p(�(e 0 G . SO r uiel&) cAcC1e_ 1 <br /> rrr Sj)QKlti1 e ; - (tJpr -r cjq ZO(.t <br /> ,.' <br /> ._,Pi <>acTOR PHONF• Oq - 951 — (T30 3 jitivTRACTOR E viisti. +ro�r <br /> efu3e,356 11 V , Wen <br /> CONTRACTOR LICENSE el:RIQURIDisc-AR.44555 QQ1 r'I P CITY OF FVFRFTT RuSINFSS I ICF NSF ritRFOU RFn', <br /> PRIMARY CONTACT! 0OWNER Yl PONTP..CTCR 0 O' R'Please Soecvfv} <br /> CONTACT NAME: CONTACT <br /> CONTACT PHONE: 501 — C(5 I - (0 303 <br /> M r I tQ��! 15a r CONTACT EMAIL-. r1 r-011CI r e of e 35(x t le . coy) <br /> BUILDING PERMIT APPLICATION �BoO <br /> ,.:;tir:;Use o`b.:;an}y Contract Price of Work. <br /> ----___..__ �. _ _ _ fir, <br /> Prc.pasoo Use E Idir3 �" "tl e, he�erne leS H e Gras Gr, _-_0 51 - <br /> Btiild'ng T_yt.=. fl R DcI,c a•,.1 D.,F R-Anacheu ❑Jr:;, :• ❑Mu.ti r n of Un'ts__ i_.- Lir ...>t.,, <br /> Type o f'roerf DNev. DAdd for ORernodel ❑Repa r Oil OS ri ❑G; ' '.-r ❑Demolition DC-large of Use <br /> DESCRIPTION OF WORK: i 11011 Oat <br /> 1 IA -t 1 .e etcU. 5/F' (kat s is f c <br /> "PVA-to ctrtpri.J6t. t -CTS-S et, vke---. <br /> ASSOCIATED BUILDING PERMIT c 4:.•. :..= -_ 1 <br /> MECHANICAL PERMIT APPLICATION j PLUMBING PERMIT APPLICATION <br /> Type of Project. _New Addn _Alteration _Repair Typo of Project. New .__Addn Alteration Repair <br /> of a of a of B of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures r ixtoms Fixtures I- <br /> A:C-Air Hand:ins Units Hea-Pi.. -•- —Tel let Backflow Preventer(Inside Rktg) <br /> Forced Air Systems Unit Heater 1Rarhtub Urinal <br /> Gas Piping Boiler 1t_avatcry tWasn Basin: Drinking f-ountain <br /> Vi er i-re3ie Refrleration - iSho•.oer F oor Drain <br /> Gas rrrepIa:e Woad Stc, t<trnen S?r-nt- e T <br /> " tiposar i ,r atiF waft <br /> 1---- , .._....._. _, . . I , <br /> Cyotnes Dryer tooxtps ()tiler Clothes Washer ';Mace <br /> ed c <br /> a ( as._.._._.�. <br /> ._�.� <br /> Range Hood Wate Fleeter tiv,' <br /> rxhar. lran Sir*.(So- ce.Bar/Mo.. _ <br /> it <br /> N.,-rn?• ..r Ileads I <br /> 7 1 ito P1; 4 �D/,II � t)� <br /> rr C.'Authorird Agent Signature. <br />