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42;-75:-7666 CMHL:�IitiG J2�5711pm C9-1d-7075 3/4 <br /> P. :MIT APPLICATION <br /> BUILDINGIMECHANICAL/1'LUMBING/SIGN/SPRINKLER/DEMOLI710N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., [verelt, WA 9820t ,25-257-8810 FAX 425-2S7-B857 va+nv.everelhva.org <br /> SITEADORE55: ;N \ � PPOPEqTYTA%N PEnMI�D7/ � '�L/ <br /> �1 ��l i��.� O <br /> LEGAL Ir.r new eonslrunlon'. Shorf PIaVm.dlJslcn Lct No.__ (altaeh eapY ol lo^p Icgal descnplicn) <br /> OWNER �� Ph�ne/E-mu!I Z �2 � Z <br /> AdCmss � Qty'Slale2p <br /> APPLICAN7:_O�.mer _Owna�sApen! �Cortra:lcr _CcnVa:;orsA�ert _Tena�ll���fc�weamamaac.�at-s*m�c+*.c�m.�tma�.�� <br /> CONTRACTOR � L SW:c Lic.X{,1�1 � J.7P 5f1 Gil Dus.Uc.���p/� <br /> ACCroSs `"Q �'e.rL w� qgI✓1 PhanNEmall. �f� Z5 �IL� <br /> TENANT dU51NES5 NAME CONTACT FOR PERM17IT . - <br /> �}25 25�f�b��, <br /> F onrl•_--map � •�� <br /> 6UILDING PERMIT APPLIGATION CONTRACT PRICE o�woRN la 93 �IZ <br /> ExLtl.ig Use ol UuCding H[iS SOUHCG: <br /> Propose�U.c of Bui:ding �ns Elac:dc Olhcr <br /> 9cil9ing rypr. �SIn51c Famlly _Dup'ex_Tov:nhouso _I.1�I:6Far.,iiy _Commcrcial <br /> T� c af ro ecl: New ACdilion Remcdel Rena!r TJ. Sic� Sorinkler (�erno'iPon Chan•e of Usc <br /> DESCRIPTION OF WORK(aeef�one�spernpme'leden�no6ack): <br /> I ns}�+.�� dv��1ess h.ea,f.�� <br /> MECHANICAL PERIVIIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol ProJacl: Now�1ddn _Al�orallon__Rapalr Typo o(Pro)ocl _Now Addn _Allcrallan_Fiopalr <br /> ShawNUmDor a)ofqrturos S�owNumbcr q o/�+Wms <br /> NC-air handlinq urlls I Toilel <br /> Forced air a sloms �f1alhluS <br /> Gas Ioin Lovato Nash basln <br /> 1'Jater healer ShaH�cr <br /> Gas fireplaco Ki,chun slnk 8 dis �,al <br /> Gas ran o �Olslnvasher <br /> Cialhes d cr Clolhes washer <br /> Rance hood Wa!er heatcr <br /> [xhaust lan SirA servlcelbar/mc �elc. <br /> Hcal ump �ackflow rever,lor <br /> Umt hcal�r Urinal <br /> Doilci Ur!nkinn FouiLiin <br /> Hefri emtion Flaordraln <br /> W oodstc.va Grease Ira <br /> �uctin F3ool dralns <br /> Othor tdedlcal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM olhcr. <br /> Numbcr of Hoads Olher. <br /> I Ac�ehy ur�lp Oinl I Rm�e metl nnE omminod IN�oppCtnlian nnd)new P,e fo.re to te Vt.e vmf mrretl!�➢pmdAan�ef law�and ard�on:ee povurnLy U��a lypo cl wcA av'Lv amp <br /> vELh wheNer�pecifmd he�o'n a�n ol.7Te prenL'r.0 oi n perm9 Goe�r.ot O�e�ure lo C��e oulhnhy U Nclaia ar urcel tho�mmlen cl ony cPcr etnln or tecal Inx mpwd.np mne W cmn <br /> Tl�ol i em auU.vrtxed hy IFe owner ol lhi�pmCe�y�a Ferto�m!�a vmiY Ic��N.ch npp7rp,lon b naCe nrd I coiiNy wl�IEe Sla!a LonUecten tn�n 18?7 NCVt an�750700A WAC. <br /> I�,hVJ1.�, �au.usLC S I� l5 <br /> Ownar utharizodAgont gnaWro Oato (FovLed9201a) <br />