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ft5i 05/:I�11 1 p:22 2L�66332202 PAGE Dl/02 <br /> PER11111T APPLICATION <br /> BUILDING/MECHANICA�IPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Evere�l, W!+9G201 •425-257-8810—FAX 425-257-8057 —�+nvw.everethva.ory <br /> APPLICATIONS ARE ACCEDTED FROM 9 AM 10 d PM � ' S ' I� <br /> SITE ADDRES3: ,t,i.� PRODERi�tAN B pE �T � �� <br /> ,2 , St c <br /> L6GAL lor nCw con�tracbcn Sho9 P'�1'tu:Jldsio�� Lc1 No Ut1ac^co-,y ol ionq legel tle:rip:c�i <br /> OWNER =�orN6meA <br /> aeo�ess C�r�sioic:Zlp <br /> CONTRACTOR 5F' L 8 I Lit.p ST L 7 C. <br /> Adlr�ss �� ✓iT'k� �.J � ?Inne�cmPJ� �(9- �'� /�� <br /> TLNANT BUSINE55 NAME CONTACT FOR PERMIf �e�p_.�y-�C l.tJ7LCS��l1"7 <br /> �� 1 pqpre�E��nA�(�i SY � Cf��� <br /> �UILDIN PERMITAPPLICATION CONTRACTPRICEOFWORK 3I�� �O <br /> EN.st�np Usn o10ui�dlnp �]�ICQ„�[Z— __ HEAT SOURCE: <br /> (J Gns E�eCnc OU:r <br /> PrnposeC USa o'H,:I'O�.ng, —_ <br /> 9u9ding rypc. _S�ngle Fam�!y ,Duplex�Tcnantiouse ,Idulh•femJy �C CommCrtlal <br /> TrFe o'proie=�' _New �Addilion ,�Remodel ��`epair_T.I.__Si�n„Sp�lnkler_Demolition_Chanpe ol Use <br /> 0^ etlpllorolWOfkl�eC�:�c.,�ispacep•�+�eedenihceack): , • � �U �� <br /> ���� w� �r ,2�c, �� a- ��„-, pik.,.. t�K� � <br /> riaveynus�artedworklnpwiQioutapermil7 �YES ,NO 6re,.�KQ worK� a�gy��9 <br /> MECHANICAL PERMIT APPLICATION PLUMSING PERMIT APPLICATI�N <br /> Type ul PrOi�GC _New�At1Cn _Allof?Ilon_R�Oa�� Type af PraJ�cl: �New_AOdn _Albration_Rapalr <br /> Show Number(MI ol Ilxtu�c! Shnw NumDorltl)al4riurof <br /> NC-airlt�ndllnpurds � � TOile� <br /> I �orr,ed�Ir,�cros Ba�hNb <br /> Fas o� �n _ Lava!ory v�ash bavn) <br /> � �YaMr hoaler Shov.er <br /> Ga9 firC lacc J Kltchen S�nN &Clsposal <br /> Gp�fOB06 � LlIF1WeShCf <br /> j CI01'1CStlq'6f CIOIhx9wT5bQ� <br /> Ram�hoJtl I YlBtOr healer <br /> Esnnusi lan / I Sink(sen�irr,lnatlm00%etc.) <br /> � HfJ�Pump Badnow f0'�Pnlar <br /> � Untrq�ter Udnal <br /> � Dol'nr �tlnkm�FOu�t�in <br /> Re�n rfal:on FIOO�OrJin <br /> - -- � 1':oMstovr Gr@06e trap <br /> �� DUCI'ng Rooltlrains <br /> � Olhcr �1ed�WlGas <br /> SPRINKLER / SUPPRESSION SYSTEM I Other: i <br /> i <br /> � Numbpr pl Nnatls �Ih@C !._� <br /> i 'ie�e_y�e91y inn i nn.�e reec en0 ��!:Inie epoi�cebo'�JnC Ar_N Ine aera IO:e Int�cd corrtCl Au prev'uo��cl iD�'.a:l�d a•dln�vc�5 povaminp <br /> '��.�5�r�'c���.�_�� +.I I Ca comN e Rn�r" �her;pc:Jipa nerem ar ncl Thn g•inll��ol�p�n.r.l tlont rot pnwma b v ve nul�orflv Ic�io'..t�Cr t�nal <br /> IFc N:,��IS�:n cl nry r,tYfr!i,ie�r Iccal b ff�V A�I09 CO'IiINUiO�C'1F�GlNJ'111��:G QI CO�SI^JCI'CII.Thll I D!T�W10'Ibd Ny'If0 CNOQf�I l�'I�P��pL`�Y <br /> CPr•;•^•P•.w. . r0.wn ct� ;p trc 'Is. �e n^C I co^JIY vnlh Il�r,c•.pe Ca9Potlorr L.'w 18".7 RC�V or7�tie���1YPC <br /> iwi��� uthn���eEAye n uH � 'J�0 (4m�itetlb':Of•� <br />