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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32''0 Cedar St , Everetl, WA 98201 425-257 8810 f-PX 425 257-885% tvww everettwa ory <br /> a -io -'y <br /> SITE ADDRESS: PaOv[atr'Tax a PE�.7i�� la� .�� <br /> 2� vU�a 1 0 l� �� <br /> LEGAL to�ne,v conslrucron SPod Pla;s�br��-.s�on �ol,k �a�lac'�cop�U�ong'ngal Cex��F���^I <br /> OWNER � L. � Nnone,E�ma�i �} O •- ZOd'� <br /> r.dmess Cty�5litn�l�p <br /> APPLICANTt .xC.voc� '_C+mert d�p�i Con;ro�'c' _ _CcnhaUcr'SAqnn� __ icna��'n� .�crae>�•��, ., ., .-•.rr...,.... . ...n , ...� � <br /> CONTRACTOR �W N� State I.ic z Cdq F�> L�c x <br /> AdArC55 P�m�c.hma�' <br /> TENANT BUSINESS NAME CONTACT FOR PERMIi <br /> °hc"e E��nzil <br /> BUILDING PERMIT APPLICATION CONTRACTPRICE OF WORK �_ � i c.� � ___. <br /> k�,snng Use o(�u�lc�^�5ily[,�E EG.w [�—��j __ H[�T SOURC[ <br /> PrGOCseO Use CI BmIO�r� __._ Gas _ F�eUnc_ 01ner.__ <br /> E3u�;7ng q�pe ,�(Sm�;e �ami:v _DuP��"�.___�-�+�rY�use _t.tu'ti-Fam�ly _Ccm-r,cruzl <br /> 1 yFe ol prc,_ct FJew !1c'ddion Remodel _Repart_T I _5 en _Spriokler_Demohtion_Chan � c�I;;e <br /> DESCRIPTION OF WCRK iav�mona�soace p�oe,aed on mo�ack� <br /> • C��N\l�T C�o�,�r rv �p�� �v,zw����cz � nR-v� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> �ypn ol Pw�ecC _New _A�dn _Alteration_R.pair iypo ot ArojecC _New_ Aatln _Allaration_Repair <br /> ShowNumbcr(qolG�(ums p ShowNumberj#lo�li�fur�s __ <br /> A:C—art handl n,) um•5 ! To-�^t <br /> i� � � Ibrcetl art systems I Ualntub <br /> i Gas p�.pmg La.atory(wash basin) <br /> I VJalcn c�atcr I S���a+:er <br /> Gas lireplace I KiChen snk 5 d�sposal __ <br /> � Gas rang= i D�sh�+ashe� <br /> _� Clolhes Cryer � � Gothes waShC� _ <br /> Range I�ood i VJaten c�atr.i <br /> Cxhausl I�n Smk lscrncerbaNmoplcic) <br /> F�ea�F��»� I Edekfiow preventer <br /> � Und healer i Unnat <br /> i f3adcr � U����ing Fountain _ <br /> I Refuqcral�on I Fl�:or drain <br /> � VJtodsiove i C��ase aap <br /> � �u��.�� ' F1oof dra�ns <br /> j Uther i _ 6b;d�ca1 Gas <br /> SPRINKLER / SUPPRESSION SYSTEM 'i Omer <br /> Num6er of Heads � Olher. <br /> �PceCy ce^fy',4e1"�a�.e m:]arf c�an�nvd�Ms apG!'�������N�nen Ihe sa�ne b ee�:�.�^,na cortecl PII prm�smns ci 4ixa ar:o�ainantts qoveming�M1�t IyCe c'wo±e�f Ce�.o^D'��`d <br /> e;�wt�etncr:ue..P•J"..'^a c�nd 're ya�l'..�g o�a peT�t a:es�.G[resume lo g re a�,:".o�ny'o rlcia'c or earcel Ine provsion o'anr otne stafe o�bcal law wyd='..; . . r., <br /> 'f�ai i am n�i�araed�y t�e cr.aei nt i^.�s c'c[e'y'.^C"�rn iGe wo��'s'wfich aPJ'�U:on n mEae ena�comply w^fp tpe S�a�e Co�`aporo taw'B 77^n�W a�0 3F6[(`C^�•^= <br /> � �� ��-���. <br /> Own lAulhorixetlAgenl5lgnature L'ate �"�,�`���"r�" <br />