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Jan 181303,06p alnamazi '058220801 P 1 <br /> PERMIT APPLICATION <br /> BUILDINGf MECHAN ICALlPLUMBING/SIGNlSPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3206 Cedar St, Everelt,lNA 98201 425-157-88'f 0 FAX 425-257-8857 www.evereltwa.orng <br /> APPLICAT70NS ARE ACCEPTEO FROM 8 AN TO�PM P 1T�` S _/ <br /> SITE nDDRE55: [I � (� � �;� PROPERTYTAXR <br /> .3 J S lc:(c�' /3 QG '� 7 1 "7�v 7 UUkCU <br /> LEG�1a're:�co�Nn.-��- S��r,PlaUsd�.'1Mscn <br /> Lol No_ lattaG�:o{�'/ct lon9 leynl aeSc��F'�w�) <br /> OWNER V I �, ��:r ��L'�'�SC�!^ Phone;E-raA <br /> �^ �^ � •,�,�-�- / w /} / ci o,«; - <br /> Ak�l�55 <br /> �ja � vJ S �i (i i ''�-� �V 1.% Crty5ate2ip I%��� •.� <br /> C.Op�IBL�ff CiOfl�fdC:Of51�aE]� ���EI18l1�n��I:NW'Y1�.110'tlf0".M�IkVnV.nCv�YUJoww\nCn•4o4'I <br /> APPLICANT:,_C�+*'cr _OwiePSA.°r: ._ — � -1 C' <br /> ; �S L 8 I Lic.# �Y� `' ✓': �- �1 �E''��E Eus. Lic.k i� � �%� <br /> CONTRACTOR r v\f L'�'� 1 eC.-�� 1 Ul U /��j S _ �2� �!j — /J I i i� <br /> f; ,f � fM PL PticixJEma '1( TJ �1 �1 <br /> dd�ess � I `� � C CONTACT FOR PERIdIT �l L ��'��✓�"��Z� � <br /> TtNANT BUSINE S Nf�ME �j -7` <br /> Prc�E-mai! `T L J i�l�1 y �y� I ! 7 <br /> BUILDING PERMIT APPLICATION <br /> CONTRAC7 PRICEOF WORK � ��' �^ �'' � � � � <br /> HEAT SOURCE__ <br /> cr.isting Use ol 6uiltling <br /> Gas Ebctdc X Ot'�er__ <br /> Piapcsed Use of Building <br /> Building tyDe: ����glo PamiFf _Duplex_TownhDuse _�•1u:li-famil/ _Commefdal <br /> T oe ot m ecl�. ^lew Addition Rertrodel Re air T.L Si n S rinkler Demold:on Chanae o(Use <br /> DESCRIPTIONOFWORKh�di!����sF��=Pti�^��cnthsb�c�� � � Sr � �.1.r <br /> ' I-::I� � '�i 1 I!i: L1�'.'¢Y i%:I M j� <br /> �N'> <br /> MECHAHICAL PERMIT APPLICATION <br /> PLUMBING PERMIT APPLICATION <br /> Type of Prc�ecC _Mew_Atl6n �Al�craUuo_Repair iype of P�W°<<= ShoweNumDea p)o!fi tures"on_Rcpa�r <br /> ShowNumbcr(kJolBrto�ns � 7eil�l <br /> {VC-av handlinq unils i patMuh <br /> Fomed air svslems <br /> � Lavato (w=5h 6asir) <br /> CGas o��pin � Show.r <br /> VJater he3ter K.bhen s�nk 6 dis osa! <br /> G:as I�rtF I:�ce qslrxasher <br /> Gas ran e qclhes washer <br /> Clothes d �er bYater hoaler <br /> � Ran�e hood __ ��g�sorvicebadmo 'etc.) <br /> � L=xhaust 1an <br /> B;fcknoW reventer <br /> � i Hcat pump � Ur,nal <br /> � Unitl:na;a: Orinkin Foun;ain <br /> f3oiler — � Floord:ain <br /> i <br /> � Retn.zratic� i Grease lrap <br /> �ti���s�O��� � Roof dfains <br /> Duct.no � �dedic�l Gas <br /> Olher <br /> SPRINXLER / SUPPRESSION SYSTEM Other. <br /> Otlier <br /> � NumberolNeadS <br /> li,,.-F;R�.:nqy:pailnarnreatlon�oraninedV'�5a�lr'tlione•.J'n�m't�cs.�mnl_OcwcaeJwrzcn.P�p�vlsionto'b,�'bot:in'yot�n'stalea1lm:alslaw�•y�k3�s,�rn� <br /> vr�t�v�ueoar speG'�,uo�e�eM or nol.T1e 6'aNc]d a Dn�mt Uas^ol Grmu-,e lo Ave:uV�or y lo rdat�w eincel l'm p'u+ <br /> "ml I ain acNat�r�py 1�:ourRr cf P.k poperty ln pNlom V e wo�l In wtiil�a0i�'cNal-0 m:�ne 2nC I wmp11�r��ILo Spto Cmli2clats I.ev:B 2)4C::anc 20G2004 V:TC. <br /> // � �j /) � ( � lf� / ZU13 � C; �� : AI f��' +�'�� � � <br /> / L (/ l q 7 5 . �, �i �( - �l I ! 5,Fz�,�bd 6��,z <br /> OwnorlAUlhonzedA<jentSignaWrc f 1 <br /> ��;.;, }r-c, �� ,���eti� ��— <br />