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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Sl., Everett, WA 98701 425-257-8810 FAX 425-257-8857 �+nr+w.everettv✓a org <br />/a —OU `��I <br />r�i <br />an rnx a <br />im new mn;l �clmn� Shorf PlaUsubdrvislon Lai No <br />� <br />�i7oo�ooi J�r��i- <br />(, Uach Copy ol long le9al descnOhon) <br />: . �u4 _ 75394 <br />_Owne� _Owneis(�9enl �ConVac�or _Con�ra[IOiSl�9en1 _TCndnl�m�•.���ov,a000-nrrci.u�a•rUrrnirorw�-ernro.�rx,incspace� <br />R <br />i52a� f2- .S�•.J. L <br /># C�C)1- <br />�Q. IPhanMFm,vl 20� •�ih •99 <br />p <br />," ...............�..........._ �.�„�p i2. �eNNi� 2oto-��� •9R19 <br />Phone/[-ma�l 2 a� M Si.J • CO��� <br />BIjILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ��_OQD __ <br />Exis6ng Use ol Building _�F �'��}_�C.,L�_✓�L�.__ HEAT SOURCL. <br />Proposed Use of Butldm9 �i'QaG�E _ � Gas_ Fiecuic_ Other_ _ <br />13uildmg lype� _ Singie Family � Duplex _ To���nhouse _ Mvlti�Family _ Comme•aal <br />Typc of pro�er.l Ne�v Addihmi x Remodel _�[, Repair __ T I. ___ Sign _ Spnnkler _ Demolition___ Change of Use <br />DESCRIPTION OF WORK (ac'o�ho��,ii : pacc nrowden on �nc bad�) � <br />cnCntioor� o�' � L-?�Sl'7r.SG 1�1-".-c� iN N�iJ ar 1�'r�s4�✓� � n)7o cv�e <br />�CI� �.J i-rt-E S�n4�� �Nc�HSL- � r� SGi. ��iC�7r-1GL <br />MECHANICAL PERMIT APPLICATION <br />ol ProjccC _Ncw. _ AdAn _Allcration ._Ncpair <br />Show Num bcr /p) nl Gxfares <br />AiC — au h�ndhnq unils <br />Rchigcration <br />Wondstove <br />� Uucim�� <br />UII`�rr �"—"—' <br />SPRINKLER/SUPPRESSION SYSTEM <br />� Number nf Ne.+ds <br />PLUMBING PERMIT APPLICATION <br />OtPro�ecC _New,_ Adtln _N�Cration__Repair <br />Show Numbcr fq) ol fixfures <br />Kdchensmk <br />iG <br />Medical Gas <br />olher <br />I �eiaby crie'y inm I�r�+c �cai nn�l arcim:ncA lin�, nVGI calion anJ Y now Ih�� ;��mv to ba Iruc ar,d cmroci Ap piovisions ol lpw. �nA o�alnances qovcmmg U;s lypo ol wprk wip pc mmpl nd <br />wtlp wnolne�'.praM1cif ocmin or not lhe granlmq M a primil C�e: nol p�e5umq lo ni�e anthmily lo violate m omeci ine p�ovision ol nny olher Nale o� lowl I,lw reqolalmp ronamc��on <br />Tt���l l am nmhoi rl ^Y ���� ��.unm w C��y in pr�lorm i�c v:arA Inr wp�cl� ,�, p�.u��mn i: mariu antl I comGW wd0 i�c `1n�.e Gnnlmctors t:+w 10 il P.CW an� )9G ]Of1A WAG / <br />�/1/"� • ` �' �1 L <br />OwnedAUlhurfzeJ A u I Slynaturu � U:de p+rvi�.�•d'+.7i11 �� <br />