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r , � • <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICE:, <br /> 3200 Cedar St., Everetl,WA 98201 425-257-8810 FAX 425-257-8857 www everettwa org / <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 VM US � OO W <br /> SITEADDRE55: �' ,l"')�� f� PPOVERTYTA%n � PERA1�p O�y��(� <br /> v r�•- � ���/ �� <br /> LEOAL�ar new wm,truAron Shoh PlaUsuDCnision Y^'1ot No I�ttath copy a�bnp lopal descrp4on) <br /> OWNER `,� � Phonc'Email yZ�" � " �O 6 0 <br /> Add•a.s O I � � CrtyStitc2�P ' t � <br /> APPLICANT:_Owncr OwrofsAflcnl Cor�irador ✓Corrtroe!o�sAgeM TCnpRil^��D'a+��er�wdorwi�m��v+�ebCo•d��Aei�K�� <br /> CONTRAGTOH L A I Uc M l� L COE Bus Lic M VS� <br /> FCCress �� 7" (.���1 �� PlwnerEmail y�)— . ((J '���v <br /> 7ENANT BUSINE55 NAME GONTACT FOR PERMI: <br /> �,o��,E�,�� H2S- 3 't�- S�a� <br /> BUILDING PERMIT APPLICATION cONiaaCT PnICE oF woRK <br /> E.isting Use ol Building NFAT SOURCE <br /> Proposed�se of Buildmg _ Gas_ _ Ektlnc_ OIMr___ <br /> Bmid��ng type _S�ngie Family _OupleK_Townhousc _Mu1ti�Femdy _Commerciai <br /> T ol ro�ect New Add�hon Remodel Re an T I Si n 5 nnkler �emahlion C�anAc of Use <br /> DESCRIPTION OF WORK(eootoro�apacop�onoedanlnebecb <br /> MECHANICAL PERMIT APPLICATION VLUMOING PERMIT APPLICATION <br /> TypeolProject. _New_Addn _Aiteralion_Repair TypeolPro�ecl�. _New_Addn _AIIe�aBon_Repatt <br /> ShowNumbrr olflrtum� ShowNumbr/ ollrfums <br /> A C-art hanEhng un�s Ta�•e� <br /> for,cdeirs stems BalhtuC <br /> Gas i m Lavato washbasm <br /> Water heater Showei <br /> Gas(ne la[r. KAc�en smk 8 d�s :al <br /> Gasfan e Uishwa5hcr <br /> Clolhes tl er Clalhes washcr <br /> Rdn e hood Watei�eater <br /> E.hausllan Sink semu�Dar7mo /cic <br /> Heal um BacMOow revpntcr <br /> Untl heater Unnal <br /> �oiler DnnNin Fountain <br /> Rehi eration fioor Arain <br /> Woodslovr Greasc 1�0 <br /> DucUna Rool tlmins <br /> Olher MeAical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM other <br /> q7 NumDer of Heads Other <br /> i�r�r�Y u'�Y K'rl I�a�.p maE a�E�cimmM mn aRiea�nn e�C Ynaw I�x si mn In Oe W o dnE cartM M O�h�ns ea 4rws 0^�e o�d�nance5 Om'em��IM1 h0o���M w".Ce crr��n� <br /> wt�w1�eNer s{nc�nd Armin or nol T�e p�entinq ol e P'rm�O�e nol pmx�rnr b p�m eu1Po�lo vebte oi wncn�M!Cm�Sbn nl en�011.!�Sbk or 1xa'Ur m9nq]eq co�sln:cb>n <br /> �nal i em euMo�anE by I�n nw�r�ol l�n Roprrry lo podonn pin v.oM1 fo�v.�c�ep��calon n ma0a enE I mmpry wM Ro Sdtr Centm<M Lmr IB 77 RCW enA 715 70^�N'« <br /> �,�,Q-� sl�L� <br /> OwnerlAuthorlttd Agent Signature Datr (RevisM 6?OI71 <br /> ,l� <br />