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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING;SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, [veretl, WA 98201 425-257-8810 FAX 47_5-257-8857 �w✓w.everetiwa.or� <br /> O - � �`�� <br /> SITE ADDRESS: GNOPERIY 7AX p PERMIT a <br /> I 10 7 I�Jc-�c.�' �2 �Ic', f ( � O 7i <br /> LEGAL�or new construc�ion Snon aiaVsuemvismn �m t�o_ (aitach coDY ol long'egal aescripuon� <br /> OWNER l�j� C�L � POonc/E�mad yZ5-5o� -9�� <br /> l.adress Q� — — Gry15tate/Lp � � � <br /> APPLICANT. �Owner OwneYs�lcent Contrac�cr Ccnbaclofst.ge,:1 lenemi��.iv:�•�e.ir„e�oim�..�m-c�,r��..=��v,v.�+�,;^o+r�<�� <br /> CONTRACTOR - J�+1IJE/L Sate L�c b Cdy Bus Lic # <br /> Aad:ess �� ./� C. ' PnunelBma�l <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> PnonciE-ma�i <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK� 3,cc�o <br /> Ex�sting U<_e of Ouiltling�—�f�A/,�T" HFAT SOURCE <br /> Pwposed Use of�w!dma� _ Gas E�ec�nc ou,er <br /> 6u�,ding type ZC S�ngie Family _Duplex_Townhouse _Mulli-Famity _Ccmmercial <br /> Type ol pro�ecl Nev+ Add9�on Remod=l Repa�r___71 Sign_Sprir.kler_UemoliUon Change of Use <br /> DESCRIPTION OF WORK(aecn:onal crare F�ovided on me oackr <br /> A D I� 6� L�N E /��� Gg=3 /J767F��nJ F�vV T o� I-�bc.hhc� Tt>�Lr �L�"T/�+-+e. <br /> FoZ Tr/�rt�vlZr�oSE oF h,l�4T. �/JS-Dic.c_ G/1S U�J �T1-/r'�1�z. <br /> MECHANi�AL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoolProjecL New_n9dn _Aleeration_Repair TypoolProjecl: _New_Addn _Altoralion_Repair <br /> ShowNumArr(.q ol fi.mres ShuwNumbcr(al o//nturcs <br /> iL�C�-art hanonng urots To�tet <br /> � Fo�ced air systems � Balntub <br /> � Gas p�pmg � Lavalcry(wash basm) <br /> I Water heaier � Sho«�er <br /> � Gas Greplace Kilchen sink 3 disposal <br /> Gas rarge C7ishwasher <br /> � Clolhes drycr � Clotnes w,�s�er <br /> Ranqc hood Watcr healPr <br /> � Lxhaust I;m S�nk(service�'�ar/moplelc I <br /> � Heat Um <br /> P P � Dackllew preventer <br /> Und heate; Unnal <br /> L3oAer � Dnnhmg Fountam <br /> � Retr�gerahon � Roor tlrain <br /> Woodslovc I Greasc Irap <br /> Ducling � RoM drams <br /> O�h=r Med!cal Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM � O�her <br /> Num6erofFieads � Other. <br /> I�creby cenAy ihal I have rea�a�d e.amineA thls appliuiber onE V.npw ih!same lo Ce tme nnd wrrep.AU pmns�ans ol iaxs anC orC��ances govrm�eg tAls type al wod wi i�e wmp��eE <br /> wrn wnet�cr speuhea�emin o�nct 1Te gran;�ng ol a permn Jocs nol presume m one a�thonty lo ewlata oi wncci i�c F�ovis�on o�any m�ri s�ate or iowl isv reyulavng mns.rcd.m <br /> i'ial�am au;ponreC Oy RiC exne�al l�rs pepeny m pe�lcrtn�hc wotA lo�wmU apDii�'ren is maCe anU 1 mmply e*.h l�e 9ale f onbatlors i aw 19]]GC�Yan!:5G t00�.N'PC <br /> � /v 3i <br /> OwnurlAulhorized n15ignalurc Uat ii;c�:acJ,�Oi?I <br />