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p2ln^!2012 10:30 -352 P.002i00? <br /> from: <br /> 57Z�77L{- <br /> PERMIT APP�.ICATIDN <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKL�RIDEII'iOLITiON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 •425•257-8810-PAX 425-257-8857-vnvw everettwa org <br /> APPLICATIO�S ARE ACCEPTED FROM B AM TO 4 PM <br /> PROPERNTAXu P� NITY� .� r <br /> SITE ADDRE¢5: � ) (�O 7 ?�OCJC�CC?�(��Z, Z OG. -Ct.-'� <br /> 7t� 5 V - C�-(� ��l �- <br /> I cl t�c (atluc�mpy of Icng Icgal J��uip�ion) <br /> LEGALIornewcons;iudlon $ho�iPlaVSuDCIvivDn_ -- — �7 <br /> OWNER �Z"C�' fC�I�-�C1V '--`"` ( Pncnel�tnan GJ�•� � �'" '� ` qI q <br /> naaress�J''7 V , %,� 1�,,,\��. 1; l� Ciry/SWfeRiP —���� W� 1 O��i�J <br /> CONTRACTOH �'VQ Q � L81Lict7 1�G '� Yy ' 1 �� C <br /> A�d«�, l?�o0 132 A�e N� lr cU�d W U3� ���o��;�„a�� -. �.7 <br /> TENANT UUSINE55 NAME GONTACT FOR�E�R� M"IT 'I '7 <br /> �ulie CaS�"i �r2S (a3(o�•f. <br /> rhonelL�mall �� `YJQ 1��Q�•C'�� <br /> 6UILDING PERMIT APPLICATION CONTRACT PRICE OF WOHK � ���L'— _.___ <br /> L, H[/1T SOURCE�. <br /> Exisiing Usc ot Building � � ��' �— --- <br /> 1�'� Gos 8lecfnc_. Olnel _ <br /> Proposod Uso�o/f l3uilding � <br /> 6uJding type: p�Singlo Family _Duplex_Townhouse _Multi-Family _Commerciel <br /> Type of projecC _New _ntldiUon _Romotlel �Repair_T.I._Sign�Sprinkler_DemoC�ion_Chango of Use <br /> Uesc�iplionofWork(edtld�onaispecepmvitletloniheCecq: C`��r `� n (\�� <br /> ��.���I ��p�a« CIeC,-�-�,G ,� < < �-� <br /> Havc you sWrtod working wllhout a parmit7 _YES _�O <br /> MECHANICAL PERMIT APPLICATION PLUYIBING PERMIT APPLICATION <br /> Type ol Pro�ec�: _New_AJdn _Alloratiun_Repalr Typo ui ProjucL _New_Atltln _Alleratlon 9opalr <br /> Show Numbw(M ol f/rWros Sbow Numbcr(CJ olllrNres <br /> NC-auhandlin umts To��e� <br /> I Forced air s stens �athlub <br /> Gas ; in Lavato (wash basm) <br /> Weter heater Shower <br /> Gas llroplacc Kitthen aink 6 tlis osal <br /> Gas ran o I Dishwnsha <br /> C'cthesd er Clotheswasher <br /> Ran e hood Water heater <br /> Gxhausl lan Sink service/Umlmo 1cic. <br /> Hcet um I Back(Inw ieventer <br /> I Unil heatcr Unnal <br /> l3oiler Drinkin Founlain <br /> Relriqcration Floor drain <br /> Woutlstovo Greasc irap <br /> Ductm Rool dr�ins _ <br /> Othcr � tdedical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � other� <br /> i NumMa of Heads --� Othcr: <br /> i hereGy ce�llty Ihut I�avo read nnE�xaminnd Ihie aCViiwtion anC know Iho same lo Ce Irue antl corred.All pmvisions ol lavrs anC c�Cinan[e.povemin9 <br /> U•,is ryGe c1 warA�NII he compl:a'�.�•n Nnetner spec(ietl hereln �r nol Tne gmntin�0l0 permil tlws not presume lo glve auttwu!y to vioiale or wn:cl <br /> Ihu piorision ol�ny olner Yalo cr In.at law regulatlnp conslmcCon er l�e pcAormanco 01 coroW�ion.TIIDI I Om aul�oiixad by Ihe a�ncr of l�ls prOperty <br /> to peHo�m ihe wurk iorw'ilcn npChcalion is mn0e anE 1 wmplyvnU�lhe Slete COMmtlors Law iB.27 ftCW anC:P620o WAC <br /> Qir_�� ��Z� 12-- <br /> netlPulhorixutl Agent g��alurc ���s�n (Rec�scd°':Gf t) <br />