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From 04/ �2014 1J:04 +503 P.0021003 <br /> � � �q' I `11C) <br /> PEF�MiT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 w�vw evereltwa org <br /> APPLICATIONS ARE ACGEPT[D FROM B AM TO 4 I'M 4 �� .i� <br /> SITE AC'�RESS:��0^ hA VNOPERTV T X 0 � �O� PE MII� -�r <br /> � � <br /> LEGAL Ior newconsbviceon� Si�oH PlaVsu�alvision lol H0. ��tlJc�coDY o�bng legal aesulpllon) <br /> OWNER G�'Y Pnanc/E�mnll ��� �" �j ' � 2, � �Q <br /> n0aressq�� l `--�YIL,� �'� C�IY/Staln/Lp CY(�Q�f'l,lT (�'� '�l0 2(� <br /> APPLICAIJT'_Owner _OvnorsAgenl �Cantract0� Conirector'S/Bent Tenxnl�m,uo�Neeeie..�crm,�,mwnm.o.+�+n„oo.o�u,i.e.c.ui <br /> CONTRAC'OR �as-�" �,1-�L',: t{`a L 8I Uc. N� SCY�W t��1� , E�jC CO[Ous. Lic uCj �-j,5 <br /> naoress �71TI5 Nortn Creck P3�kwa SOutli, 51�C-106 �Othell,WA 98011 ;ma��ml � 't1S`t'�JQ z( ,1P0.-�'-�.C� 1^ <br /> 7ENANT BUSIN[SS NAME CONTACT FOR PERMIT <br /> U25 lt�-3-{ -cs'�L IYIC� _(Yl.Of�2 <br /> Phnno/E�mail � 'i �d 1 S' S •L�iy\ <br /> BUILDIfiG PERMIT APPUCATION CONTRACT PRICE OF WORK � <br /> Exisling Use ol 8udtling <br /> E�TSOURCG. <br /> Proposed Use ol Budtling r„s_ ��ecmq_ Omer <br /> Duild�ng typa _xSingle Famity _pupicx_Townhouse _Mulli-Famdy _CommcrUa <br /> T e of io oa�. _ New _Addihon Romodel _Repair___T 1. ___Sign___Sprinklrr_Demollhon Chango ol Usc <br /> DESCRIP710N OF WORK laadir;onni sParn pmwdoo on rno o:�cp. <br /> '�o�V�w� e � IZe�IL��Z °J � w aD-e� Y1�O�Fe,'�' <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Tyne ol Pro�at�: _Naw_40Ln _AllpreUon_Repalr Typn ol Pro�a4: __New_AOdn _Altorutlon_Rapalr <br /> $haw NumDer tlf Ul/IY/U�C. SDOw NuTbm(Yf Ol IirfwC. <br /> i NC-auhanUlingumts Tode� <br /> Porrad nir s sloms BaR,tub <br /> Gas i mi l.�ralnry(wash basin) <br /> Watm honlcr Showc� <br /> _ G:�S lue Ipcx Kiichnn cink 8 msposal <br /> G05 falt l' l)i5llwB5hCf <br /> CIOI�Fls tlr�, CIOIM1ca Wx:hc� <br /> Ran ehootl Watcrhnat�.i--- — <br /> [zh;msl lan ----�—�'Sink(zorvicr/bar/moU/olc) <br /> i Haal pump Eiackllow pinvunler <br /> Unit hcalcr � Ur�nal <br /> t)ml�r � Ddnkinc�FounLun <br /> Refilperntion Floor dr,in <br /> Waotlslovo , <br /> �� GfC.lSC Ir.1� <br /> Ductin i Rool J�ain; <br /> otncr__ _ i rduaica�cas <br /> SPRINKLER I SUPPRESSION SYSTEM ' Oumr <br /> NumGmoiHra�s � Ol�er <br /> i•�ciat�y candy mpl I n,we rmtl nne n.uminvtl Jils nooKman nntl�now Pe f omo lo ee imo nna cu�m4 nil nru+haiu ai inws xn0 o�o.nnncos Puvernmp..n�e�ype M wu,�n+�oc cnmpne <br /> w.l�wl�l'I���)011:�1.I�OM1�'IfNOfl101 TF.1!piU��l.����r:n��mi!tlor^.nclpro)VTCIV4ivPYul�On'ylOuMIU190fCnntl�l�lixp�OvisiDnO1B�V�l.�fltl���:ury�.xliawrep'��nlinptOn..4�[rv�n <br /> i��,p I:iT nallmrue0 Oy t�n ownar ol Nif p�oO��Y�D palunn Vin wp0 Ip!h1u:p i0p4CnLnn I{m0�0 xn0 I[Omply w'llq Ipl•SIpIC�OMNBOff I nw 10 11 OL W pn�$U4 1G0/�W/�C <br /> . � ( I. <br /> ph'�4M/Autnori:na..��'�.�111....�.�._.�u n `� ��I���.— <br /> (PonsaO ti?f i il <br />