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PEFiMIT �PPLICATION <br />BUILDING/MECHANICAI_/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SEP,VICES <br />3200 Cedar St ,[verett, WA 58201 425•257•8810 FAX 425-257•8857 vrvnv.evereth•�a org <br />APPLICATIONS ARE ACCEPTED FROM 8 Ah1 TO 4 Ph7 � a. �'�� <br />AD�RESS: -Spo�l j2 pNOPERTY7A%p p Nh Ta <br />3) /�Ti AUA W. t.Vtl1�ST �il�264 �n9/.am/ u n i�w.� /� �� rin-C�� <br />lor new Con;;��.�pcn Sro�t PI�Vsi,bcwismo <br />G;� <br />_Lel No �_Z (allach Cep� tl icn9 legal aCSCnpi�on) <br />-7�- 3�57 �'� rv+ � � �� <br />APPLICANT:�Oarer _6.�ne�sAgav _Conlratler _Cenlrae'�'sPgent __Tenanli.,,�.,vro.ne.,�-�d«�,e,ix�i+o,-...,r�e:;..:.�,n,�c>:oi <br />� �K .y L 8 I Llc # COE Bus Lic x <br />717 L% �l%f�Yl i� � �Ji. !/ A/O.L/ PnanelEma'' �GD — � z' �� <br />USINESS NAME CONTACT FOR PERMIT S�t'�-n�Il/E7Z <br />HZ5-788-3357 <br />arc�.c'6mail Gr..,u.-i� M C w�rs�niY�ac f�n 12 <br />BUILDING PERMI7' APPLICATION <br />ONTRACT PRICE OF WORK ��c�"7 <br />ExiSt.ng Usc of Bui tlir,q �(i�. ��y�p(� I.c �tff�__ HFAT SOURCE' <br />Pro osed Usc of Budd•n N 4 <br />P 9���' _ Gas_. Electnc�_ Oihcr__ <br />�w!ding rypc ll Single Pam�ly __ Du��rx _TCNnhouse _ PAuI;o-FaTi'� _ Commercial <br />Type cf pro:eC� _ New A�.1d�cr Ferrod�l ReO��� _ T I Sign _ S0� ink!er Demo6hon Change of Use <br />DESCRIPTION OF WORK �:,,�:r,=�ar s�oce F�=�:,ted co ;de cace). <br />5er mo6u� ��►c o�►� x��- ZPxyO �985 v,v�r <br />MECHANICAL PERMIT APPLICATION <br />Type ol Projeel'. _Ne•.v __ACOn _Alirrallon _Hepalr <br />Show Number (aJ ol lr�fures <br />A�C -- air handling unils <br />i Por,;ed a�r svstems <br />Olhcr <br />Numbcr of <br />PIUMBING PER:YIIT APPLICATION <br />ol Pwjecl: _New _Addn _Altcratlon __Repair <br />Show Num6cr (aJ pl OYtures <br />I T'pilel <br />_ � Bath'uC <br />� Lavatc.y p.va5h basin) <br />Shov.c <br />� Kdchen sink R disposal <br />�� Uishv�eshcr <br />CloUies washer <br />Wa�er nealcr <br />S�nk ise�v�cc�bar/mop/etc 1 <br />B.i:klfcN preven�er <br />Ur�ral <br />Drinnmq Fountain <br />Floor drain <br />Giease trap <br />Roof drains <br />tdedicai Gas <br />I otner 1�i�.10 r Ca ,.,,,/ <br />I M1en•bY ttrtAy U�al I F.nve i=x f ui.^. o e.�nne,l Ins �CF''��.�t m� u�� � ncw i,�c ;aac !o Ce W C an] cnrtecl !.9 cmrivong of Iaw: and orC n3nces povcm:np thu qyo ol n�a�x �.��II Ce :on�p'.cJ <br />r.]hwOCPCfSpeof04pPlNnClno.' i�epr.m!npe�aprnnilEceirolpresrlmlopvom,dfic��H'O�ie�ieu�[a-celRiop:oh5�oqoln.',/o;�er;NleOrlo�illiw�epv:il�.�pmnclrtcbo� <br />i�al 1:�^ a�L^.on: c� �Y I�^.Orrn,•• cI P:::nnDet;y to PcriJ:m I�n nor% kd rvP o't eJcl<nbcn u maEi� nv] I mr�.Ci/ �Yb �^c clYc Gcr•IrdC-�5 Lurv 10 2� RCC: ae0'35: UOA'f:nC <br />\ �� : - -y�...�. g-,�s- � � ' z <br />�� .�ulhurized Aocnt Slgnaturc Oalc ;i-e. in9 N7^�:) <br />