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4?i-?52-766h CMHi�T��`1G 02 145Jp.m. 01-;3�:0�5 <br />PE�MIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/S(GN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everelt. WA 98201 425•257-d810 FAX 425-Z57•BB57 wvnv evereltwa org / <br />55: <br />LEGAL for nc�n cor„Ir�ci�on. Sd�tl PU'l;uh7�v�;i�n <br />ON/NER �jQ�t� CQ�� <br />ddr�;; <br />/� ��� <br />4 6 Z�,� PpOPENiY ialc p PE ,11' �� I.O <br />Lcl NJ _ ( tItJU� taOJ cI ion� 1e3t1 Cd'.Clipiionl <br />�honc:E�rtU�I ��J '3�5 7La3 <br />APALICANT:_Cv.ner _Uwre�s�g�.� �Ccnlq:t�r _C;]n1�JC�Jr:F3�ql _id•Vnl'-_us:.-:��eee�:�=ne'i`»ca:.'�,•.r..v.+rc�,�.+ <br />CON7RACTOfi �'(l�'� i lllil 1�(� 5l�I_lic d���r� 1'%�.(-�=L.��1� �1�'/Bus L�c k����C`I <br />�� I 1 i ) � � / Phar.e�Ema'1 r � <br />.:aa�_�;�`tl�) �_nCf<'i��r � 1 �'il C�- I`.�\ ���5 �� Li_i:lik.l�( it�lii:�lil�� C� ili <br />TENANT BUSINE55 NAh1E ,� CONTACT FOR PEHM1IIT �`+7 ���� /_ C_�: �'. <br />I i �� <br />�r (.1111� I <br />?ho�e:E�ma.i ��: i l�li i�. ! l l\ I1: ��Il 11 [i .�iJ/1 � <br />BUILDING PF.RPdIT APPLICATION CONTRACTPRIGe OF WORK R�J-TJr � <br />Ea;!�ng Usc ol Au'dmg NcAT SOURCE <br />Procosed Usa o( B�Bdmg Gaa Eiectnc Ciner <br />B�dd�ng type _ Smgl� Family _ Onple� _To�,:nhcus� _`.I�I!nFa^uiy _ CommerGal <br />DESCRIPTION OF �YORK (aedronai sp�ce F�•,dc,i on me cacK1 <br />in�a41 cl�c�le�ss hQa%P�� <br />MECHANICAL PERMIT APPLICATION <br />iypc ol Pro)otL _Now _Addn _Allarallon _Ropair <br />ShowNumScr�Ol olllaturoa <br />I NC - al� h�ndlinq unds <br />I Farced air s�/st^ms <br />I Gas Diping <br />I bValon c�afer <br />_ I Gas LreFlace <br />� Gas t�nqe <br />I Gclhes dryer <br />i Rancchood <br />I Ezhnus�f�n <br />_ t ' Ilcat Pmnp <br />I Unit hcaler <br />I Bo�ler <br />I Hc6iqeraLon <br />I NJccdstove <br />I �uctinq <br />I Othcr <br />SPRINKLER / SUPPRESSION SYSTEM <br />PLUMBING PERMIT APPLICATION <br />of Pra�acl: _Now _AAdn _Altorapan _Ropalr <br />SnowCr <br />i Kitchen sinF <br />! OiSh�v�sher <br />I CIOIh25 w:15 <br />' Waler heale <br />i Sink Iservi[c <br />9ackllow prt <br />Unnal <br />Drinkina Fou <br />� Ploordrain <br />� Grease lrap <br />• Rool dra�ns <br />I 6!edi�a' Gas <br />i Olhet. <br />he�ebY ceN� V.dl I hS: u �CSd ]n! OqVIDn W Uh dOpFelten etid N.^.v InC f]TO lo CC N�0 ded canecl q1 ppvlf an � et'l:n anJ �ryrmitL� g>nCR:nq p.�a t�pe [I waih x9 Cn x�+'C <br />mN .he:her �pe�eA ne:c.n or noi The gt9nCnp ol a FertN'foef rcl pre;ume I� pno autPorK� Iv ve��l^. or rancN Ine prrmmn �I an! olf.ar flale Jr I�cv1 Ws �e7�.1n4rg:cm!r :tan <br />I+at 1 a�n auCmnleO Oy I�o �wnur ol N�l FTDeR� IO Fedc�m Ne noNln n��rn aC�-�n n ma_c and 1 qm� � n4� Ne $�lo ConlraR:n W x 1? 2� RL'!f a�a 2S7 i00r Ylar <br />�P.�,1�4,�LL1.12 �•a . � <br />lwnodAuth IzadAponlS�naturu p�;,. IPcrund9:ON) <br />z �n <br />