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From � 11 /�2013 09: 11 k621 P. 002/002 <br /> �� �� � b <br /> PERMIT A�'PLICAT(ON <br /> BUILC�ING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEI�IOLI'i'I(�N <br /> CITl' Of= EVERETT PERtJIIT SEFtVICES <br /> 3200 Cejar SL, Everett, N!A 932U1 425-257•8810 FAX 425-25%-8857 www evereltwa orc <br /> APPLICATIONS ARE A:;CEPTED FRO�A 8 AM TO a PM I �l q�vG `� <br /> SITE ADDRGSS: �I O r� I 1 r7� � �� PPO,[H7`inA p O ho C � P iT �, _ � <br /> OC. 'Y V <br /> LEGAL Ic:new tonslruceon snon WlaVsunCDiuion �Q�No_ �a�l�ch caCY a��c�g ICB��d��cnplicn) <br /> OWNER 1/�.�� �7�� � � �honrJG-maii V' � — � � ` J � S G <br /> Atlaress "I��� I 1 '�� I V V Cifyl51aIL2iP `fi1��.U �l.l ✓� " C� p GV � <br /> APPLICANT:_Ovmer _Ownef,l�qent �ConVactor _ConU,:clafsAgeN Tenant�m„�iop��e..i.,nc,�«o�.�.��uomm��v,�,v��uuwn���me.p�:.�� <br /> CONTRACTOR �C�S-I'�l�I�e.,C I e��-� � s i��� a��5-CY�1 W���I�-�$P�C coe u�5 ��c n��(Y- �3 <br /> nae�os, � �11T'15 h'ortn Creck'Paikwa South, Sl EC-106 gothell, �VA 98011 ma cv. �,1 � I � I�', <br /> iENANT BUSIN[SS NAME CUNTACT FOR PERMIT�rnI� 'I G'A1t� 41P4'F-��<<� � <br /> U2y �� --�5'a �na _Tn�x,�c�. <br /> f'honnlF.�m.11 � t ��l.t i•1/�l.-.�f'�yy7.W�, .l_Q'Jfl�l <br /> L(._'"�� Ls=� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK __�� <br /> [xisOng Uso ol Bwlding�1iy=�.S HEJ�T trE. <br /> PropoSetl Use of 9uiltlm9 Gas [Iecirlc Oiher <br /> Builtling type�. �Sing�c Family _DuDlex_Townhouse _Pdulli-Family _Commarcial <br /> Type of p�o ecF. _New Atltlition _Romodel _Repair_T I __ Sign_Spnnkler __Demoldion C�angp oi Use <br /> UESC RIPTION OF WORK laed�r�onar sparn p�o+Motl cn inc GucN): <br /> '�_��c�woV � �' '��(G+� �-�N�+vl c. c.�a�-e� �ti��-E.2r <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> �ype ol ProjucL __New_Atltln „Allcr:�tlon__ ReV�ir Type o(ProfecL• _New_Atltln _Alicralion__Rcpelr <br /> Show NumDar(UJ ol/irlures Shm�NumAnr/dJ o//tr�uir.. <br /> NC- au hantlling unds l'oilct <br /> ForccA,il slem+ fiathlUb <br /> Gas iwnq � Lavatnry(wash basin) '.. <br /> Watcn c�alcr Shuwr,r <br /> Gas hre lace _ Kitdizn sink&disposal <br /> Gas ra�n e I)ishwasner <br /> C101�e5 dryef Clolhes wash�:r <br /> _ � Ran9C hood —� VJatur he:dcr <br /> —T'—Fxhauct lan - S�n� (;urvicc/ondmoG/elcJ -- <br /> Heat pump (iackflow p�evenler <br /> I Urul heatcr � U��nal <br /> ? lioilcr � Grinkinq I ountain <br /> � fiefr�gcrolion � Ploor tliain <br /> "'— I Woodtilave---' Crea;C irap <br /> Duclmq ftool drain; <br /> Other MCAical Gas <br /> SPRINHLER / SUPPRESSION SYSTEM pthcr. <br /> Nu�nhrr o111ond� Olh«r - <br />� Ir�pnlrycril?y11vJlh.�vmm�ennu....u,umv��L�. rypnu.bnnnm:�nawmo:omn�oUouon:macareel /,up��vvioruClla..;nrnnrt:numcc�qori� Ipnt aalwMvni <br /> "�nu ro : uccom�e���i <br /> w:V�w�elM1c�9o��e�iou lirrn n u�no! Ilin I:wnl�n:�cl u nannn Oun.nn10��'+mnc lu pvu aul�on�y lo vmLnpo�cunm�'.nn�nnv3iun u� rny uinr,:iaic nr:ocnl�nwmYulntnq eonz�:uclon <br /> Tlioi I an�uuRwtleeJ OY�r..:��.����:r ul l!�b pioV:�41c p.rtorm i�r woA Im.I��en nppltnlnn�:mnJr�mJ I comyy w�Vi Inr 5p�iv Gan�.rbi!we I n�n III 11 PCW und l9G ICOA YlPC <br /> . �y« � � � <br /> Q�1'�.�N/Auihonien����v���..�y.._.orc ���_"-- � U.rie (ldrvrtntlG?01d1 <br />