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f <br />09 1 912 11 18 #306 P.0051006 <br />PERMIT APPLICATION U(DLkj?�� <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Ceder St, EvereO, WA 98201 425 257.8810 FAX 425-257-8857 www ever/etttwel of <br />APPLICATIONS ARF q ACCFPTFD FROM a AM TO 4 PM — 1 ii —v- <br />SITE ADDRESS: <br />PROPERTY TAX <br />PERMITO 7 <br />i <br />Ol <br />LEGAL INYhhew mnatrumien 9ren PlN/au .v,Stpn _ Lot NO__, (aRech COPY otda,g legsl,des"p I <br />Y1 �W�GYl�'(1/�. <br />E'—�ALI <br />PhablE.nae <br />OWNER <br />r <br />�` LZASAZ_ <br />ClryrSlnelLp lam', �Q. <br />Add,eea i�TL//"�-1 <br />APPLICANT' _Owner OWeeea Agent yCommeov _ ConirvirVi Agent laon Pww Yew,arMrM wen YN s+wrn ce.w.ua rwul <br />i_Tartu <br />24 4 e - 61?1-m N 1 STW T �— IL SBC COE Bus Lic <br />CONTRAC77T11OR <br />6r, (� pL 1. / <br />AOMefe l2ke 01 I:�z - N� t an W'1 L)3 PW*/Ems ml � Qfk 11'1Pfl -Y ,�t <br />1 N NT BUSINESSWACT FOR PERMIT cC Co. �Q�1 <br />LI.-631C9�4" <br />vhone/EmPI Y �J LII�r✓� <br />BUILDING PERMIT APPLIf.ATION <br />CONTRACT PRICE OF WORK 'Z _ <br />EX*tmg Uae of 9ulaing _ __ HEAT SOURCE. <br />Proposed Use of Building._ __ Gas E*Mrte _ Other <br />Budding type _ Single Family ___ Oupfex xJ owMouse _ Muhi.Famlly _ Commercial <br />T of red. New Addmon Remodel Repair _ T 1 __ Sign _SprinkMr Demolition Chan a of Use <br />DE8 RIPTION OF WORK (seomanel "ce pmr,ded on Ina earl. <br />y �e.r ��a+c� <br />er�lwe <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of PrOlacl _ Nuw Addn _ Allmapon Repair <br />ly,ralProl¢L <br />Shaw NlrmM or hYtuM <br />SnowaNumeeddnr r1l) O-Allorstion_RePalr <br />f f4finvs <br />A/C — uT nandkn units <br />Toihl , <br />Forced au systems <br />Bathtub <br />Lavnol worth Dsslf <br />Gas IINnit <br />Water howler <br />I Shower <br />Gas Inc lace <br />1 Kitchen sink A disposal <br />Gas rings <br />Dishwasher <br />Clothes urye, <br />Clothes washer <br />_I <br />Ra hood <br />Water healer <br />EXhautl fan <br />Sink senlu/bar/ etc. <br />I Heel ump <br />Backflow reventer <br />Unit healer <br />Urinal <br />Wrier <br />Drinking Fountain <br />1 Ref rslion <br />Flow dram <br />I Woatetove <br />Grease trap <br />Duding <br />Row drams <br />ONer <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other <br />I nPwv rMYY Ma, � nwa nN aM erAmnae lnY ppY.alan Mel Yr,M M awm hf M IrW ane rarsel M prrnnane d 4wa weld aan•nnY aM•iMp M• Ma ar wan rnl eA rYTpIN <br />wVrwMMe aOACeM MrAwpnq IM PMMq Wa parlM poaa nil Pawmabewa duwMy bNelMe er tlapl Ml PdY'w,M rddM pewr YlMe arYVL I•w npWYng mnseuedn <br />Thw 1 Am aWMruM dY Ma --I M WY POP" b PMerm Ma Y,YMY br whet, &"F"Ynn q Maaa ane , t.M Yldh Me wrr c."scia, Lw ,e }Y ill: W Md }ee jean WAC <br />0NnorlaW Ai•nt Signature II <br />Dole <br />(Revs W 6401g) <br />