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h4ar 02 15 1247p Washinglon VVa�=r Heaters ^�57461563 p.l <br /> PERMIT AP ICATION <br /> BUILDING/MECHANICA PLUMBING/ IGNISPRINKLER/DEMOLITION <br /> CfTY OF EVERETT PERMIT SERVICES ' <br /> 32GD Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �wr�v.everethva.org <br /> ITEADDRESS:r-IOO (I,OC�-C�I�Gf' /7" PROO() TN(p .�i/ /L/'ZGO�� PE vRa �7 <br /> "i U V <br /> LEGAL kr nr.v ans`ru:aion� SMrt Pta:/snhdivi�on ln7 No._ (d���Gy ollong te�al CescdFnoN <br /> OWNER \�CL(/l'i.f',S •Ji'U UJ/') PhorvdE.maJ t��'7Z;"7%—�i �� � <br /> tiadress 1� �� .�f'��! ��(/u� caris�,�«r�o ,�-��f i 1 /i�J/? ��j� <br /> PPUCr1NT:_Onne� _W.noY.Agent Co+qtxiw Co-.tru,-�ora.z9ent Tciunt(m.u�m.ae��.imracn�eninarmewrcrioao.sMnncy.su� <br /> CONTRACTOR j� Q�hrnc�h� ( iz+-�� 1-�t'�� State�c.R j.Uf}-,51-7 � X U City Bus. Lic.# �✓.�J�/ <br /> rdre;s l���i' �Cl�iIC.Y�S IIG� J k. {�� ��`�..VL(-t�.�� �G U PAonclEmal �0 7��SS� iNu��v2c�! <br /> TENANT BUSINESS NAh1E CONTACT FOR PERMIT / <br /> ' � � l .. <br /> � ;,',, -� J a c�a r,�.v��5�' <br /> Phwvi/E�ma'�I � �Q^ <br /> BIJILDINGPERMITAPPIlCATION � CONTRACTPRiCEOFWORK � �J <br /> Existing Use of Buildirg �� : `i�' .�i'v !�� HFICTSOURCE: <br /> i <br /> Froposed Usa of 9uilding Gas �F.ti�r�c om_w �i h <br /> 6uiltlingp�pe: _Siagiefamily _Dupiez_Tocrnhouss _M1lutti-Fami;y _Gommercial �, '��(J�s �(i _ <br /> T� e of o'eIX: Ne�v Aatlition Remodct R air T.I. Si n 5 rink�er Demo4tlon Chan e oI Use <br /> DESCRIPTION OF WORK(adymono�spscu prov;ecd on ms 6ecN): �-' <br /> / <br /> �j�fio��e � 2-�nlc�c�c i -e ���� � �a�Ye�- ��ec..�� r s <br /> MECHANICAL PERMIT APPLlCATION PLUMBING PERMIT APPLICATION <br /> TyFo o/PraJacC �Now_Addn _Altaratlon_Rapalr Type of ProfocC _Nori_Adtln _AlteraUon_Repalr <br /> Show Numbor(OJ of fiztures Show Number/dl of AxturQs <br /> NC—airha�blin uNLs Toibt <br /> � Forcedairs stams 6a1h1ub <br /> Ga, i In Lavato wa�ti ba.inl <br /> � Waterheater Shower <br /> � Gu:Brcplaw Kitchen sink B dis csal <br /> Gas ran e Dishwasher <br /> Clolhes dner Clolhes washar <br /> Ran e.hoM Walar heator <br /> Fxhaust fan Sink sorvice(6admn r.tc. <br /> � Heac oum packflav evenler <br /> Unil hoater � Unnal <br /> Boder prinkin Founlain <br /> Relri aratian � Floor diain <br /> Woodslove Grease tra <br /> �udin Ra�f drains <br /> ' Other MediWlGas <br /> SPRINKLER / SUPPRESSION SYSTEM Othec <br /> � NumCer of Heads � Ottiec <br /> 7�a+c�y c�y N�I I nove mad anC e+.mineE tlls oppkal�m and Imw Nn ame lo be I�ue and mnocl.AG pbNi:v�s ol Lxrs an0 aN�naice:Bove.�nnp O�is lype ol worA wJ De wnp <br /> jMi��vnoNaspoofictll+Crohornot.TTac�ranilipofa�x daoesoot{ae olo9Raeulnaraylo��cntnmunccllnepvvlebnclaiyaTerswec�ioca:lw;mg��atinperosVudnn <br /> �11wII�m��NorixoAtr�Nemmerol i�urode�lqb A�inNov.chbr ay{Ha0'onkr.oCean0lmmpNK��mA5lateCaNaporclax�eZ7HCWarb2961fAa1YAC. <br /> ,�',�'�iu�c;( ��'t'r r,���� �,z_f 5 <br /> ; <br /> OnnarlAuthorizetl Agent Signatura ' �ate (RewSM 9201a) <br />