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I�ERMIT APPLICATION
<br /> BUILC�INGIMECHANICAL/PLUMBINGISIGN/SPRINKLERIDEMOLITION
<br /> CITY OF EVERI:TT PFRMIT SERVI:.ES
<br /> 3200 ��u�l,�r St . i_verett, W A D8701 � 42` -257-881C � PAX 425-2 i7-8857 —wn�w ever��iwa ory
<br /> APPUCATIONS ARE ACC[PiEU FROM 8 AM TO 4 PM ��-"Y? �/ Z
<br /> SITEADDRFSS: I-� I '. �I� /1.. � �NOPCENTVTA%p P M�T �-
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<br /> �iiil . .n ; i !n /.. i •j' I iu�r� � � .
<br /> OWNER �l /1�1( l�l �1 .�' �' ��1� � ( �1 'honNh matl , n�.,
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<br /> CONTRACTOR �i : l. �� l � ��t �.; N�� �� I P. Ilic II � L /�/,. -1 /� � � �. � � (�(--
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<br /> TENANT BUSINESS NAME � CONiACT FOR PERMIT
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<br /> BUILDING PERMIT APPIICATION coNTRACT PRiCE oF WORK __ __ _ ._
<br /> I�xis��nq I lvr u�13udainy �L�(_ � _ _ _ Ii�AT SOURCF_
<br /> PtupnaedUtieolliuddin9_y�s��/�l. _.�lL' �L� �..J-�.il_�'.�.�� . �� 1 ��•as x I �rr.lnt_ _ n�hri
<br /> f�uddini�lype �(' ,Singla Pamily _Duplex_iownhouse .. _ Mulu I a�ndv �:nn�nicrcial
<br /> iype of pro�ecl �New __lldddwn _Remodei _ Repa�r ___ 1 I _ 5�9n ___Spnnkler_OemolAion__Change of Use
<br /> De9f.nphon ol Wafk IFldddmrr��l sP�ce PmndM on Ilre hacM f,'A`'// 'L L/I /
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<br /> Have you slarteJ warMin��wlthoul n perndt7 YES ?` .NO C �� V ( 1 � ` ( , ; �
<br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION
<br /> Typo ol Prn�crl ANew . _. A�7dn .AltoraUon ._Repalr iypo ol Pro�ect�. �17ew__AdAn .Altoratlnn_._Ropair
<br /> Shaw Nurnbrr(MI OI III IIIfCS Show Nurnbcr(M)o/lixtures
<br /> A.�C :ni h,indlun. untls ---- . Tnilet
<br /> Fo�ced an s stems � 13alhlub
<br /> �. Gas pipin I.nvator �wash ba�in�
<br /> � Walen c�ale� Shower
<br /> � Gas hre lace � Kdchen smk 8 d�s osal
<br /> � Gas ran e I Disl�washcr
<br /> Clothes Ar er Clothes washer
<br /> � Rflnc e hood ' ef
<br /> Lvhausl lan S�nk�sevice�6arhno le�c)
<br /> lieal pump Beckllow revenler
<br /> �nil healer U�inal
<br /> RnANr Drmhin Foun�ain
<br /> I Heln�eiaUon Floor tlram
<br /> . ;+1�-�.i<tnvn Greasetia
<br /> --1-- � ��- Rool drains
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<br /> � � � -- � - � ,.., . I Medical Gas
<br /> ,rKINKLER I SUPPRESSION SYSTEM � O�her
<br /> �--.. - -- ._ . r������d ._. . , ii.: '.��� . .--- -- -- Olher
<br /> .n.�icby�o�bly II�,�I I hauc�cdd.�ud r•.u�nned Ihc,dyylu.�b��i�,���d Anow thr slme In be Illx!Nld folreCl All pwVismns ol lnwv and mdin;mrns q^w•nw�q
<br /> rn„IYPr nl wm1 will hrt cnmphed wilh wlmlher specihrtd hrioim m �ol ihe gionling al a�:unit does nat Presume lo Il�ve aull��uny I•�w��l.�b-��� �,u����i
<br /> n�, p�nw•aon nLury�,thri �,ctlr m lornl Inw�equlnlinp cunsl�w:t�on m Ihi-prdonnpirn ul conslruclion fhal I am authnrvrtA br P�����„vn�., .,�n���pnq�..,i,
<br /> �. i��,i������in��w���M tw ami,+.»� irnlion Is made ard I cmnply wilh Ihr tilalc Conliaclms I.aw IB 27 RCW nnA 2�J8 400 WAi.
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