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PERMIT APPUCATION
<br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3?00 Cedar SI , C vercll WA h8201 42 i 25i f3R10 f AX 425-257-8857 Nnvw evereltwa org
<br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO4 PM � ' �( / I �� �/ �" " �
<br /> SITE ADDRESS: I �� ( I 1 I 1� � � � �'ROPfRTV 1I1X p ` PERMIT 1 -�_ t ,
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<br /> OWNER t���ll" l� l�� l �`�� (,i,'� 1
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<br /> APPLICANT. uwnei X tiwn�•i'sAn���e �.���ma�i.n r,�n�iarinr�xA�lr•nt Irnnnl,�. ,.y. , ... � .... � - .. .�. .. � . . .: , ... .., ".
<br /> CONTRACTOR jl�i 11 1 . �-. �, U i � _�� I. A I I ic k If.A.�L h/� i `�'( �.�-. ( r;pl Hus I.ic N ' . , _
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<br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �� Q,\\y i��'�' �� , � �
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<br /> BUILDING PERMIT APPLICATION coNrRncr PRice oF woRK _ __ __
<br /> I risun�l Usr ol Nudding f� !, � HEAT SOURCf
<br /> Ihupasrd Usn ql llutldinq. ��_� ,i � � . IVus I I�cbic ��Ib���
<br /> f{i�ddinU�yP�' .7, `���qlr�(amily _ _ Uuple._lownhouse _Midli-Family _Commetcial
<br /> I pe ol no rct � �� New AAdihon Remodel Repair T I Sian Sprinkler_Demoldion Chan e ol Use
<br /> DESCRiPTION OF WORK io_i.i�nn�arspecaprovrdedonmehecai
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<br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION
<br /> Typc ol Prn�erl J�.�Nnw, _Addn __.Allcralion _. Ropalr iypc ol Pro�ocf yNow__Adtln _Al�orxtlon_Ropelr
<br /> Shaw Number(M�al hrfures Show Number(M)o/frcfures
<br /> � NC au hAndhn� �un!, loJe�
<br /> � I orceA au 5 slem5 Ela�htub
<br /> Gas i in Lavator wash basin�
<br /> 1 Wale� healer i Shower
<br /> G�s irte�tace �' � � Kdchen sink 8 di5 osal
<br /> Gas ran e Uishwashe�
<br /> � Clothes d� er Clothes w2sher
<br /> Ran e hood _ Water healer
<br /> ( Exhaustfan Sink!service�barlmo �elc
<br /> h1ea1 .um i Backllow revente�
<br /> Ui�it heater Urmal
<br /> �; Puiler ( Dnnkm Fountam
<br /> Re�rigeration Floo� drnin
<br /> � Woodstnve Grease Ire
<br /> —�--- Rnof tlrams
<br /> -- �-` - ' Duclinq—_.
<br /> - � ���i��,� MeAical Gas
<br /> SPRINKLER I SUPPRESSION SYSTEM Otlier
<br /> � N��,�����-� ,�� �i, , r. Other
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