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Fram: 0512� /2014 12:55 a840 P.003/OG4 <br /> PERMIT APPLICATION GQ�� � � <br /> BUfLDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITIOM <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 4:!5-257-8810 FAX 425-257-b357 www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM 10 4 PM 5 � � r,..� <br /> SITE ADDRE55:�r,if �/ , �� �v� � vROP q Tqx M <br /> .J��.1 .q . PE IT N <br /> � b OS•- p�{ <br /> IEGAI�or new consWctlon; Shorl P1aVmbCivbbn loi No. <br /> _ (atlach copy o(long legal tlesvipilon) <br /> OWNER }'�'C� Pho�/E+neil - _ a 3a.- o �--� <br /> Address y a � u a �Q � Ciry/Su1rlLP YN Q_�lr � � ` O GC V <br /> APPLICANT:_Owner _pµnafsh?Bnl ��qnt2qOr _ConlraqoisAyen� �Tenanlfms.ipm.+e�����a�,,.•msomin.wl...ieen..a�,N.y.u� <br /> CONTRACTOR �a�'�� _ �� L 8 I Lic M�r`s(w W\'��-�$Qj�COE Bus Uc ArjQ�-�Lj 3 <br /> AtlQrese ��I1Y35 North c;reek Paikwa South, 51�C-106 Bothell,Wq 9g011 : ;�}�,.� L I' <br /> TENANT B SINESS NAME "�a"[c^.I�I S I L,)Q y,(�(�-{2(,( 'V\ <br /> CrO1NTACT FO PERMIT C7� �nCC • ' <br /> - �-t� ��� —U �Q <br /> Phon�-mal l ^�,r •C�l <br /> BUtLDING PERMIT APPLICATION "'�' <br /> CONTRACT PRICE OF WORK <br /> Exisling Usc of Bulltling 01 <br /> fiEAT SOURC[: <br /> Propos��0 Use o!Bulldinq <br /> Gaa _ Elcctr=�_ <br /> Building lype: � ingle Famlty _CupleY�Townhousa _Multi-Famil <br /> y _Commerclsl <br /> T of pro ect New Adtlition RemoUel Re air _TJ._Si n 5 rinklei �emoli�ion Change o!Use <br /> DESCRIPTION OF WORK(edonronn�epare provmod on me Doch): � <br /> i�o�v�,o•�� �.� �b�,�e. �c� �,.�o�a- ��p-� � r�,� <br /> `��Mn.2 (,� c n,9-t'c�, <br /> MECHANICAI PERMIT ApPLICATION VLUMBING PEYtMIT APPLICATION <br /> 7ypo ol ProJe[I; _New_Addn _Altora0on Repslr T <br /> Show NumEor YPo 01 ProJec�; _New AOtln _q�ratlon_Reprlr <br /> �������� S�ow Number(r)al fiAui¢s <br /> A/C—air hanGlin units <br /> Forced alr s stems 7oitet <br /> Gas i in � Bathtub <br /> Water heatei Lavalo wash basin <br /> Ges Itre lace Showar —"—' <br /> �as ran e Kifchen sink 8 tllsposal <br /> Cblhesd er Dishwasher <br /> Ran c hooA Clothes Washe! <br /> Exhaus�fan Weter heator <br /> � Meal um Sink scrvice/bar/mo /olc) <br /> Uni!heater k3ackllow�ntc� <br /> Boller Urinal <br /> ReGi eration DNnkin Founlain <br /> Woodstovo Floor drain '— <br /> Dudin Groaae Irap <br /> � Olher Roo(drains —' <br /> SPRINKLER/ SUPpRESS10N SYSTEM I Medical Gas -- <br /> -- O�her: � <br /> Number ol Neads � - <br /> Other. <br /> 1 neroDy caMy Nol l psve roeE enC enmh�0 NI�appM1cn�ion�nE Rnow Iib�ome m Ov Imn nnE wxeu NI omm <br /> M.IP rv�et�er fpacdba hrrein or nol.lAe pnnWO al�permd tleae nai pm�ume lo °�°°°�I""enE ortlnmcm povvrnlnp inu YGe ol wn w:i pe compfea <br /> Tlint I em eN/�orvr0 py I�e avntt vl l�b Oro p��v eul�oqry m vio��e ar cxnu�l Nv D�oW bq e�anY o��er nalo or iocai bw rop�ipp,�p�������.�o� <br /> peM lo perlorm Ilie wvM1 fo�Wik�eDDGcelion h rnaCe nnE I mmpN Mt�me Suin Convo�iay lew 18 ) <br /> �j �. i PCWqnJ1N610MWnC <br /> QW'fhYav�noriiooi.y„�,,,,,d,,,,,u�o � � Da�� <br /> � 1Rnviactl 6/10f7J <br />