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�7/i�/2J12 rUe t5: 5t eAx �J42/J03 <br /> PERMIT APPLICATION <br /> BUILbING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32oD Cedar St., Everett, WA 98201 425-257-[Sti10 FAX A25-257-8657 www.everetriva.org <br /> ppPLIcqTI0N8 ARE ACCEPTED FROM 8 AM 70 4 PM <br /> SITEAODRE6S: D� � vROVER7YTAltiy �U P �I ' U � ' I <br /> LECaALiornewoonelruqion: ShalPinVau6m�abn LotNo._, (aliachcoqN�a�Blepolde���plbn) <br /> UWNER (L1l J50. �"cQi1 YY� ✓� �✓1Q Phone�L�ma� l� " ��i l <br /> nedMas �� ' aw�stote�va tlQ.f��' <br /> APPLICANT: O�nor ���ABM� Cont�actor ConWtlo�sApenl �Tenanll�.iuw�+•��.a�.emneninee.nwuae+.en.MnnK�l <br /> CONTRACTOR Gl. L 81 Lic.1� LUGFC-� A7G:L nW1�E�J6us.Lic.M y �ZAS� <br /> ACdnss �� � , SYV � 1 I�l�u�fll/-KG, 4 W/T (�✓7J yI✓" / I����3 <br /> CONTA.ICnT��FOR PEH (�ZS..�-� � —'�� 7J si <br /> PhonolE+rwn I TV <br /> BUILDIN6 P[RMIT APPLICATION CONTRACT PRICE oF WORN �F �S <br /> Ex16tInyU6eoTBulltling al.Q HEA750URCC: <br /> Pfopoged Use o(Ouilding Gns Elecltic Other <br /> Buildingtypo: �SingleFnmlly _Dupbx_Townhouse _Multl-Fomlty _Commr.rcinl <br /> 7 oof ro'eci: New �ddllion Remodel Rc Air T.I. Si n S nnklor Demditlon Chan a olUse <br /> DESCRIP710N OF W ORK(eddifiunor apeca provWed on rhe becl�: <br /> O�c1d S�,i�l�, �2vn�e rJ�u�-1��5 her� p�� <br /> MlCNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypaofPro�oct: New,�(lddn _,Altarallon_Rxpolr ryp�olP�o�ect: _Now_Addn J�IdreUon_NePelr <br /> ShowNumAar N o/Nxfures ShnwNnmAer lo/Ilrfuiu <br /> NC—elrhandll unlls Talet <br /> Fotrndoir0 etCmc Delhlub <br /> Gas i�in Lavala wBsh be9in � <br /> Walxr hnetxr Shavtl� <br /> Gas 0 IXCF Kdchen 5ink 8 dis osnl <br /> Gas re�� e Dl6bwa5her <br /> Cbthesd er Cblheswashe� <br /> Ron e nooa Wafer healer <br /> Gxhaust Pon Slnk soMceNarlmc elc.l <br /> Heat um Oackflow reventer <br /> Uni�Aearor Unnal <br /> 6oiler DrinNin Founlaln <br /> Rofn eration Floortlrein <br /> Woodstove Graaea tre <br /> ❑unN Root Orains <br /> Olher Medicst�as � <br /> SPRINKLER/ SUPPRESSION SYSTlM olner: <br /> Nurnhor of Honde Omer <br /> I i+ero0y ennrty inq I Mve reea eml e�nmhad ihb wGkNbn riE Rnow me ieme 10�a we and camcl M pro+l+bn�of Bwt and orahiann�panmhQ IM�ryp�ot eoM wM C�can04e4 <br /> wM MidMr f 0<C�'DE hOroN Ct net T�e pieNhp d e peiml tlaca�wt Dmun�10 pN!�YMrry b vblNo tt canpllM proN�bq el niy delr tlela n b[nl bw npWe W p cme W Non <br /> Tnnl I nm aulhatioC EY I�e ownM o(tJl ProD�Y b O�olm 11e woM1 lur whkh e{picalbn u m�C1 MC 1 eempN win the'Jten Conlr�<Iorf Uw iB.27 RCW MM 200R WA WAC. <br /> 71��� 1ia <br /> �vnedAuthorlied ApaM 6ignalure Dnle (Revlsed&2vi.",1 <br />