|
PERMIT APPLICATION ' I �J �
<br /> BUILDINGIMECHANICAL/PLUMBING/SIGNfSPRINKLER/DEMOLITION I
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 GCdai 51 Ever��tl VJA 98201 4"1_5 ?`,/ 8t?10 f /1Y. 47`� 7S� A857 vwvw everet�wa ofg
<br /> APPUCATIONS ARE ACCEPTf�FROM 8 AM TO� PM �j � I � _ I �}
<br /> SI7E ADDRESS. rportatr rnx p PERM11 �
<br /> (0 1� � Q\ �E ,�� � � _�o � Uo , i o� �oy3
<br /> �Eli/1� L- �inw -m sl�.irhnr 4'•,r�1 I Y�,ip�!�n.r,•i i� �N�. .d'.uJ�- :.� r ����� r�ldl�li��.�.iipP�r��
<br /> OWNERg •�Ve ( �__ 1-Ur_f1`-��-�.� r �t-�_— :��., ,,_r ..�, �.l"L�✓ • ��t�)=e'�ln 7 - -- --- --
<br /> �„�,-�•�..Cr�`-� 10 1r, `� l �C ��y �,�:,�,..�,��� Ever� ti W!� ��l " U ` I
<br /> ApPL�CANT� ... � ..-i�.i.. ;,,, r � r� � ... �, .i , r.ncri �..�.u��, � . . , , . .,. . . . . . .� . . i
<br /> CONTRACTOR n��� (�ll��I'�IIZ�I ti��ti I I'.��1 _. —I '. � I i-. u i�I\�l_.(1\�nIl 'r i�I�•I i,� rf H�� l�- b __
<br /> .,,�,,,,..,., IHIU] M1I 6Hl li ti1 , (:-200 R1 1)�II1N1) 4R11;2 r,,,,.,, , . ., I'_S RRI �420
<br /> TENANT BUS�NESS NAME CONTACT FOR PERMi�
<br /> I��!�P'I l I I1 1 tJtl \
<br /> ,� i ,,�� 125 RNi 79'11
<br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OP WORK __�'�_0 l�_
<br /> L• �.i ,u u�c _' F3.ntrhna r1Lhi SVUI:CI ��
<br /> t'r,:�--- � �.)sc _'Huc9ioq— � — --� --�- --- ----� �.i, � b.- � oG �t�r, ��
<br /> Ru.�d��n !v{� � S,nq�efa��ily _ buDleK___lowr�euse _ M�IIi�Famtly _Commerml
<br /> I ie n`p•r.e�-� Ne�. �AAdiPor Remodel He ar T I Si n SpnnFlr� Llemyd nn Chan,e o'i���-
<br /> DESCRIP110N OF WORK .�•",,c,w�y�..a,e r"n,m��•.,, r,..� �.�
<br /> =T���, . � c,1\ c� �����1�e hPucA �1�> �-� 1� �.`_, Y�ec�i y�urnV�
<br /> ��I��� M ,
<br /> MECHANICAL PERMIT APPLICAYION PLUMBING PERMIT APPLICATION
<br /> Type nl Pro�ocl _Naw�Addn _Aqaralian_Popart lypr ol Prn�erl _Nrw _AtlAn _Altmatwn_Rnpav
<br /> Shnw Num�rr IMI n/brlwrs Shnw NumDa(�I ol lutures ___.___ '_ .. .._
<br /> !�i d' hd�'Alin: lul�S Tn Ir`•
<br /> I nn rrl r�1 ��ti•r'n5 f1dI41.,U �_'�� __
<br /> (id5���� Q _ �dl'JIV' {WdSh Udirt11
<br /> bY,ilv hp�lei S�owN
<br /> Gnc 5in��ld::�� k I'hnn c�n4 d dib�n.Nl
<br /> l ia5�,n,. r f�.,,hwas'iri _
<br /> cior�rs ar e, c�o�hes wasr���
<br /> _— Rnn �+hnnd WriCfhralnr _—
<br /> — L.nausl lan SmF �s�rvur'trnhnc letC 1
<br /> r�eutp�.�m ------ [�a�bnuwp,evenler
<br /> -- Ilnilllraler U'�ral
<br /> PoJrt C'�'Mirn Fnunlain
<br /> f+rir�<nr�lmn R.�n• Ar,�in
<br /> — _' 6V�,��-Pn�vr -- (,�rdse Pa{,
<br /> 1, �...i �.�— '—_--- .. - _' Pnot AlainS
<br /> ___ _ _' q'n.,'_ — _- __ MeA�c01 Gds
<br /> SPRINKLER / SUPPRESSION SYSTEM � other
<br /> .__ _ .__ .L. _. N r �,�.� -,�H.,,�,t. _ _ Other
<br /> . . 1 1 - �T'1��t`�1 .. •�••'� 11' � .•�a��•.1� �I.1'.n�1'�� . t` 11/f . 1A1f'���c. I IA' a � �1 •7�v1 II�. ��1�('..) 1J. .� � .
<br /> + �.�-i µ., . .)� 'ri Ap ynrl.nanlqqrimitOWSnOtOremmele9 ce m. �i. �� � � � . . ' . �• ^ - � i . � �
<br /> i ^.j�uV[ t � e oene�; 's e9v��pMo,m Ine wo�ller w�c�aYM Wt on ,rve:e u�] �� . •. � o� � � w i . . ..
<br /> / �(, � /
<br /> �" - �� � � � ��
<br /> __ �
<br /> � _`— _— iLutued-�Qont Signalure �..�.�. . � . . .
<br />
|