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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMfT SERVICES <br /> 3200 Cedar 51.. Everett,WA 98201 425-257$810 FAX 425-257�B57 w�nw.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO�PM Cf — / <br /> SRE ADDRE55� PROV[RTV TAl(N P 'I a � <br /> LEGILLIormwcort.b�reon SMrIP4�V5uUC��S�:n__ LcINp �apaCh�Opy0110�9@CaIOCH�D���) <br /> OWNER � Pnore�L�na i r <br /> AaOress C tySL�ie�Lo <br /> APPLICANT: Pvrr Ow+r�'r./yr.n: f Ccntranor Coninr�o'sAcenl TvrWnli��.�r�^.-n.r.,or.,�.-.2•�0�o-�....-ca-..:+re.�ur.� <br /> CONTRACTOR � l 8p�I L,ic ++ COE Bia.Lr..a <br /> Pn�ms[ `�,� VMncli.^�art <br /> TENANT BUSINE55 NAM CONTACT FOR PERMIT���� <br /> i'hone,E+�a�i <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �41�1 flD <br /> EasLry Use ol Buldirr� _ _ ____ ______ _ .__. HEAT SOURCE <br /> Pmposetl Use of Binld�rg_ Gas_ riecmc ounr <br /> BuIC��r.�lype� ._S rgle Fartuy _D�plex_Towntnise _Mu:U-FamJy _Commeraal <br /> Type c(Vro ecC New AdG�uon RemoCcl Repar T I. S�gn Spnnkter Demol�Uon Chai.3e of Use <br /> DESCRIPTION OF WORK/aomrowi snvice vm�mev o�me aac61�. <br /> \n`��o,.\� �o� v,�.x� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJoct. _New_AOAn �Atleratfon_Nepalr TyOe ol Pro�ecL ___New_AOEn _Alteration_Repair <br /> Show NumDe�pJ ollirNms Show NumM��)ol li.t�r�s <br /> A�C -art tvrt!L urtts To.let <br /> Fmced ar s _tems BatMib <br /> Gos O�D�� Ld.alnN wash basn <br /> W21er healer � Slqwcr <br /> Ga�firaplace H Ichen sinA fi drs nsal <br /> 6as raigc D sh�asl�r <br /> Clolhe;Or �� C1ctl�ey w�sin�r <br /> Ra e tnod Waler tr_atcr <br /> Edw�lhn Sin4 srrvi�v/b:�rlmoplelt <br /> Ncai pump Dadllow prem�rricr <br /> Un 1 ncalrr Unml <br /> Uo�lcr DnM.rt Founia�n <br /> I Reh� eraUon Flnor dn�n <br /> � Woodstuw Grcase Vap <br /> Dud�ix Rool An�ns <br /> Other Med��u�l Gas <br /> SPRINKLER I SUPPRESSION SY:7EM ouz.: <br /> �umber ot Ncads OiMr <br /> I Icm�Y�^��N tivl I 1 W�ma0�n1 e im�.rr�J Vis apOSUwn ard Irrnv Vc s�^+e b tk t-s artl rolm�t RO pmNs»�a of pws rml oNimrt.es pevemrg�t�s ry,�ol v.on wI W�comP�ed <br /> wIM1 W nVci SpepFeC tCm�n or mt lln B2�Lrg cl a pCrm�t Cpes rC I O'�'s�me lu g�w aiNunry lo moti@ or 4i¢el0o pmus�nn o!ar�y oCcr s44C a�lxal ktw m9�<<9�rnhtcUon <br /> 1`Lil I a^�a.Nu.�:�.d�Y�"owmr o1 Ih��m�e�Y tn perFjrn�wpn lor v.h�a0plratnn is mrne��d I mmpN x'C'Vrn Sule CarYr�Mrs L aw 19 2 i RCVf a��0 79L 100n 1YRC <br /> r,,,,,,,cb~��'�— i1-, ► b- i�1 <br /> OwnedAuMcrixed Agenl SignaNre Date (RerisrC��701.) <br />