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iV�r . , lli �!: , 7 ,� �_ �^.;i `�� L <br /> � � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBIPJG/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERUICES <br /> 3200 Cedar St., �verett. WA 98201 425-257-8810 f NC 425 �57-pa57 vrrr.v.everettv✓a.orc� <br /> si e nnnRess� I W i vaovearv rnx�G Ptkrair a� y <br /> L[GN. (or ne�+�wnslmdioo S`cii PlaUsuDalvs'en �ct No. (auacn copy e!long icgJl descnUlian) <br /> OWNER l?���1��/F C���/�}_ . F�cne!E�m31 USI � � v1 �vV� S I N � (yM <br /> �caress .I�/(� ' ( � �,J ' Gir�s;aieG�o <br /> APPLICAN7: _Ovmr,r ___Orner'sAgen! �Conl:at:o• _,CoNraelor';ayMl __ienanl�m„io�or..�,+ier�,e•umo..���u,..��.�,o.�vaeo-o+nvaecac«; <br /> CONIRACTOR �S� t!J ":.iN���� C SlatcLlc # �'��f����'CiP/Bus. LiC # �/� `�V <br /> ���«s� a.� E " ' v .,o,v � ' � � 2 �P��-A,r�,��� � Z�i• � � ' C-5 4�r�t <br /> TFNANT ElU51NE55 NAME CONTACT FOR PEH�d;I GvN <br /> ��}vrN �S7L�W^� <br /> an�:��.-av �li• ?S"L' `/GrZ D4wNk'�. �Sll' �/ . (L�-•. <br /> BUILDING PERMIT APPLICATION CONTRA•^.T ARICE OF WOR�� _ <br /> E��sh•ig U;e of�ultl�.rp o%�.Q� HEhT SOURCE <br /> Proposatl Uso ol 8u ICI-r, C � Ga, Fleclrir.�( OViar <br /> BUllaing lype. �5'rgle Famlly _Duptex_To.vnh0u50 __td�.:lh :-a;nly _Commeraa� �— � <br /> T pe of prcjr.cr � Nvw Addltlo^ Remodel v Rep2ir T.I. Slr.^, Spiinkler De���v'iCon Channc o!U,e <br /> DESCRIPTION OF WORK(nddtion,��spa:o pro�de�o�me bacK) <br /> ct�sf�-��(O� �7� �'l�'T, 1'JM� I1ti� {�1;1L.�dN��IQ.ilr <br /> MEC7iANICAL PERMIT APPLICATION PLUMBING PERAAIT APPLICATION <br /> Typeof ProJeeL _ Nnw__AJdn _Alleralinn,x,Rnpalr fypeolPwJect: _kow_Atlan _QlleruUon_Rapolr <br /> Show NumOc��ol fiafures Show Numhnr(RI n/faturns <br /> —� %JC—ar hantlhnn unlls I Toilet <br /> � ! Forcea air s stoms Rathlub <br /> Gas i m L3voln.rv v;�.h bpsin) <br /> b4',ten c�alc, Showr.r <br /> Ga.�Irepl�r.e hdrhrn s�nk 8 dispnsal <br /> G��s ranr,e P�sh�,vasher ^ <br /> Clntnc3 d c� Clolhrs wnsher <br /> Rri^,r,e hond Waler he3ler <br /> Lxhaustlan � Smk�servi[elb�dmoo��tc.) <br /> Heat pump BacK�low Preventr.r <br /> Un�t heafer Unrial <br /> Ooiior � Dnnk�ng Faunlnin <br /> Rolr�� craflon Flcwr tlrain <br /> PJoodslove Grease Ira <br /> Cludinp I Roo!drains <br /> olner � � Medlcal Gas <br /> SPRINKLER / .^iUPPRESSION SYSTE�9 � Olher: <br /> NumherofHead; Othe^ <br /> I�wxh y G�f.,F/Ihp1 I tldYC lCLE.IIIC upminOd Ih�6 dp�i',:1lilCp 0�4 kOEN IflB 9dTG IJ hc tr�n nctl wrtuY A'I p•orl�':N cl lpw9 BpC OrdindncC6 6o�Bf0in91711d 1}y0 cl r.qq�w:l LC W frp <br /> w.t�whCVtor pacifin7FniOnarn01T�t5r�Otip�o:apotn�Cnoan:14rn5ufn01oq`.CliL1�G�:�IJ�.ic�alOalclncaltheproNslonO�]nyo'Jir�9L9;C0/iOWlbwfOAu�3:ing[cnsttU=14� <br /> i'u la�tno':cl[e Y�nCOwnCrollhispmPnrtylopertomilnewCrvlolwn"OppD'�cnbc��cm.iConnalco�np'yw101no$WIeCCn;rt;a.LawiB27RCYlan�29L10CaWAG <br /> Owned ulhorl ApnnlS�pn�lure � � ���e (Hensn,7?�2at<) <br />