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<br /> PERMIT APPLICATION
<br /> BUILDINGlMECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 Cedar St., Evereri, WA 98201 425-257-8810 FAX 42E-257-8857 vnwv.everettwa.org
<br /> /o�aa--�y
<br /> si re.ndoRess:5408 1 ST DR W raoc�arv rax d 00816600001600 P h��T a
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<br /> LEGAL fot belvcoM1SlNCbon ShOh PIaVSUC�rviston lo;No (atlau�copy oi long legal tlescupuon�
<br /> owr�eRRON & PEGGY CH�MPAGNE P„,,,�,�.,,,,,i425-355-5294
<br /> n��,��,2315 CLEVELAND AVE c�iv+st.��c/z�uEVERETT, WA 98203
<br /> APPLICANT: Owner _O�vmr'>na�mt _Contranor � �ortracmr'sA�ern Tenanln��.aNnm�,�n�,ei.��:e�iuomm+�w�.��,ae..,��mino:p.,.ri
<br /> CONTRACTOR WESCO siat�uc. �Wl1SHIES�?1 OB cnv��s. ���. n41349
<br /> ,�,,:���3909 1961h Sl SW �,,,,,Q;�,,,,,,80U-398-4663
<br /> TGNANI tlU5WES5NAMt CONTACT FORPEF2M�T
<br /> n:re�rcv cur�.i.�o:ro nn,.no.��[ern.tu.xrew[w•,ur me
<br /> �=hOfIC�E-Ill.l 1�
<br /> BUILDING PERMIT APPLICATION CONTRACi PRICG OF WORK j595.40
<br /> Enstmg Use ol6udclin9 RESIDBJTIAL HEl�i SOURC[�.
<br /> P�Oposetl Use P���''iltlntg ,x, � F.IcUnr Oinr
<br /> 9wltl�ng rype. I♦ Gmgle Famdy Dupler ovmhou;c � ul�-Famdy 'r,mmercial
<br /> T c o1 ro�ect. Ne++ Addiuon Rumodel Re air � I SiQn Snnnklc� OcmoLlwn Chan e of l�sc
<br /> DESCRIPTION OF WORK(add�tionalspacoprov;d�dcnl�ticDacA�:
<br /> Rf.f'L�CL 60K G�1S FURIJACE
<br /> ['ECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION
<br /> iypeofPm�ecY _HCW_AAdn � Ifrrallon_Hen:�lr lyp�.olProlecT _Nnw_Adtli _ Itrratlon_HeP�lr
<br /> Shaw Num6rv n o!llrlwrs Show Nmnbcr n ol lirlures
<br /> �!C-�u handlm unqs Todel
<br /> Forced nir s stcn�s Dalhtuh
<br /> Gas i mq Lnvato (wash bnsin�
<br /> 'Nater hCater Sho�a�er
<br /> Ga. fir� hcr. V,i!chen sink F. diS osnl
<br /> Gos rnn c pitihwosher
<br /> Clnihcs d rtr Uothes vntihcr
<br /> I?an n hooJ �— -- -Waien c�aler
<br /> IirhauStl:in iink scrvir.r.'badnio�/r.ic
<br /> He:lt lum) BaCkllnw ne:en�er
<br /> Un�i heatcr Unnal
<br /> Boiler DnnY.mn �������ai❑
<br /> Rr,ln �ration pinor dram
<br /> N'ooJ,tnvc G�c.isc Ira
<br /> D�.itim� Rnol drains
<br /> Olher RietliCal Gas
<br /> SPRINKLER I SUPPRESSION SYSTEM o��,�,
<br /> Nwnbcr ol Hcads pihcr
<br /> I P•�epu�.nn,lv 9w1 I h r re�r.�tl��id r..ur.�nntl N�..r:.eLca4r.0.nq�ra.w Iho�.n+�n lo tn iru�untl corrtl P!W oNciav al lavti nM oidiwnce;povewn.�Inr.:ypn ahvoil cr�be c��np
<br /> �mi .uibvy.r,���.An-.•�.��n,r��.i t!vfp:mbn��nlnpeimndre.are,ipr.e.nr�ng�v nu0¢.fyluv.al�I:erwneJthcOroNs�o�ulan emvnr,�tcnrlocalbwir
<br /> V QiA�tnqr.ar..lrvctsm
<br /> i t�a�I a��:�inm.rnd 1 v'�'^.��.�'ni n!i�,..p.00eny w Perlenn Ihe wah q�rR��cn acObr�ipn n m,Ce en0 I.umply w�h ine 9.xo lonf r�Gon lan 1^_2]RCV!arE'1'9i]OJ�WFC
<br /> Jenniler Cuvello - -'...,..-.,-..__..._. ,,,...,.
<br /> Ownedllulhonxrtl Aprnt tiipnaWn^ f).dc �Revr.cd9/201JJ
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