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<br /> �ERMIT APPLICATION
<br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION
<br /> CITY OF EVERETT PCRMIT SERVICES
<br /> 3200 Cedar St . Everett, WA 98201 425-257-8C�10 FAX 42fi-7_57 IIE357 �^ti�nv everettiva.org
<br /> APPI.ICATIONS ARE ACC[PTGD fROM B Atn TO s aM
<br /> SITE AODRGSS: �r��� I�,� PROPERTY 7p7(p P 6 IT u -2
<br /> Avt'. � G0402 OOoa, O )
<br /> LEGIIL!ar n��.v eonstruct�on Sheh FIaV:ubd�e�.s�on I.ol No._._ ;;.!iaen eoo.ei ienn iegn�tlesu!pUu�,)
<br /> OWNER ��Y�rl'�-"t'.f "'Gy� _ ancne�E-rrnn _ _
<br /> ���-,:�; �5�2 io�" � �,:y,s:���,,.� �� wA 9��w2
<br /> APP�ICANT: ��mer Gv:n;r';i�genl �C�nl�ualcr _Con;raCef3�17em ___Tnnanl:-.:ncrc.A^.nn...-.,.•_.-.,;.,-:_._,,,,....F;•;�:.,,.�.':,:,v,)
<br /> coNTRncrok (�Crno,r�k�-.� ��s9��---- -- �-p � i.�� s� _ �2T�C.�'n-- ;:o� e�s �� : 033'�4�_
<br /> ���«�: �-,ct, :�.4 ��-, �-' , l A `i�o��- ����r;_�a� 4a.5-�4Y�5� a I I I
<br /> TENANT BUSWESS NAME CONTACT FOR PERt-0IT �n
<br /> Gra��i �•� OoYY�(,r�rffrle,Y�uc1.�4o C�
<br /> r-.���e;:=�r1��� �e _ ��_ U
<br /> ktUiLDING PERMIT APPLICATION CONTRACT PRICG OF WORK�5�_1�Z oo _
<br /> Ex•.c;inp Usc ot BuJ9ing �Q_�G . I-�cAT SOURCE
<br /> Pr�POse:7 Use oi yu�Iding��Q'�'j,( Gae _ F�ecme _ o:Mr_ -
<br /> B�.n!tl�ng!ype '�Sin�ie Fami,y „D�0'ex_T:�.vn�uusN _�tituiu-Fam�'ry _ Commerciel .
<br /> T Cr cf:n::���_New AddJicn ✓Rer,re! _P.eaair_T I._S��,n Spn�k'.er__De.rel:tion Chan^e of Use
<br /> DESCRIPTIO N OF WORK fudd�ho�m s�ar.o p�ovlCed�^rne t�:4/: I
<br /> '�E�,�,av� �CrS-hn c_r,r*,�os-�ic�-, 6h�r�ies anc� re,P',a�� w�N, r.e�.� I
<br /> ca�,p��-�;� sh��3l,�s . I
<br /> MECHANICAL PERMIT APPLICATpON PLUMBING PERMIT APPLICATION
<br /> Typo ol PmjeeC _Ncw._AdAn _Alterahon_aep:ilr Typn of PmjncC _Nc�n�_Addn ___alNrnllon_Rcpalr
<br /> Show Numbor(uJ o/Ilrtumt. Show NumDcr(uJ o//irfurce
<br /> iI---NC -:+If htmcllinq uni;3 � TCC�; _
<br /> ___ .�--. F' � c`'� d�r SY5I�n15 __ 821nIUb . _ __""' '_
<br /> Gas .iPiCp y_ I:�vatory ;WaShba.^.�N ----
<br /> __ 1 b'Jp�er heAter Shr.s.�r `
<br /> _ __ � Gas freplocC , Kitr.l�.r.n sink 5 d�5p09B'
<br /> � Ges ra�qe D�sh�•iashrr
<br /> _� C101heS dp�tl' _ ._____ Ci01FC5 wA5'n�+
<br /> � Ranqe hccl LVntci�ralcr
<br /> _� Exhaust 1nn . S��rk lSon�iCr./barr�oprelc 7 _
<br /> -— ' �eut pumP -- -- 6�,ia9o�,v p�c�venter �
<br /> Un t h0aler Urin3'�— -
<br /> � F3oib:r Ur;rkiro Founlaui
<br /> Refrl erotlon F'�CCf�'31'1
<br /> �Voodstove G�ea,e irn
<br /> Duclinc �-- � P.00f d.aim
<br /> � I Other hActlical Gas
<br /> SPRINKLER / SUPPRESSION SYSTEM Other.
<br /> Plurnbc UI Heads Other,
<br /> i v:r..py cor,!��ha��r:,,,�rca0 0�'.urnc.�ned Inr,npi`o+:o�a^A hro.v t�a enme:o Ue ime.��tl ce^cct AO proNalons o`�ax�an0 atllnances govm�.np�n,iv C�c!Mc�Y.w:'i Gn ccrp4nd
<br /> wtn wMe:Fel s;eeGe��,pt�m or not TC piu�Cng CI n pem.l eee:not pmaJme lo Sa e�u11!001y lo vqiote or cartM Ine Drov�S-0:1 af etny a her atqle er k[tl liw ropc'nl:n�conr,tmcLer�
<br /> rhat I.o nmhorL•?tl eyNr o..r,..cl l!'.+p�upnny b terre.m t`.e�..cL b.w�•�n,pp::a:��n e meEe ontl I comptywU Ine Slele Co'.Uo::C:�Lmi IB2717C:v.ntl 29G 2COa Vl�.0
<br /> � l,F�{'1uo9�'L � � �2C1'i
<br /> Ownnr/ uth rl2ntl A9rnt 3�gnnturc C�te i�ov�setl rd?or7)
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