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�ERMIT APPLICATIQN <br />BUILDING/MECHANICAL/PLUMBINGISIGNI�PRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVlCES <br />3200 Cedar St , Everett, WA 98201 425-257 8610 FAX 425-257-8857 wvn,v.everettwa.oig <br />fE ADDRESS: <br />a3 i1.5"sTS� I <br />GALlornewmnsVvdion SAotlPlallsu�tlrvivanf•iC1'-�Q�_n <br />PE$y117 C <br />__lotNo_n1. (altacAuipyollongle9altlesrnplinn� <br />'�o� F�4L 0(�1t j Vhor�c/k�mail7�'`1.7.5 -v��'SGCJ L(/1//'. •�t�t �I'Ip`7t S. Cc <br />l0 SW C�cr� 11�aI� lti�y $u.�'C �JO cnyisiaicrz�v F�1Vtti w4 q f5 ��i <br />IT:�Owner Q�vnMSAgenl _Conlraclor Conl�adot;Agenl Trn.ml,--,n:nr.r.ai.::ncirn�..mrtno�rer:.v.�o<a•r_+m�v:�pne� <br />TOR �Cu }�qt_ (�orR[S S�ate�c # IqT(� � QOS3u Ci �us ��c a(�o3 lo' <br />�Sw Euc.�H t�Lll W�u 5�..�e lo� ���.�� �..rA q�S��`i Phanelt`�r��"1� aB��ww.,✓ i�..n,.��...i. «�.� <br />BUILDING PERMIT APPLICATION <br />F�isting Use of Building <br />Prnposed Use ol ffwlCing <br />s��` <br />PRICE OF WORK _ _ _ <br />HfAT50URCE <br />f3mltling fypc: � S�nglc Famdy _ Duplex _Tewr�ousc _ Mulli-FnmJy _ f,amnwc�al <br />Type ol oro�ect. }( New _ Adddion P.emodel _ Repai• _z _ T.I __ S�qn __Spnnkicr Demoinicn �Change ol Use <br />DESCRIPTION OF WORK (aae;nonai spn�x prvv�dco on me bac.y <br />13a5; ��- � 61 S01 -vo�- <br />MECHANICAL PERMIT APPLICATION <br />M ProJect: �New _Atl�n _Alterntlon _Ropalr <br />SAow Namber (kJ o/ /nfures <br />_ NC - au t�an06ng unds <br />__� Forab a�r syslems <br />--__.1��_ Gas pipinq <br />__'"� I WBIPfhF�3�Pf <br />� I Gas firevlace <br />1 Gas range <br />-- � �' Clnihes drycr <br />�� Nangehootl-.- <br />� Exhaust lan <br />� Hcal pump <br />-� Und hcater <br />Hoder <br />� RP�fIl�PITIIOp <br />� WouA;�ove <br />ow �iny <br />� Oihcr <br />SPRINKLER I SUPPRESSION SYSTEM <br />INumhr:r ��I Hcads <br />PLUMBING PERMIT APPLICATION <br />ol Pro�ecP. _Now _,Addn _Altention __Ropair <br />Show N�mbeilpl al /irNms <br />Floor dram <br />Mo6� ;ul Gun <br />Olhrr <br />Olher <br />I��•ietry cefl/'/ Nat I luvc re 1C ene eum.nM I�n nDF��a'.an n��� Mn.v N� t.tmr lu pr Inic �M [D�tM �II P���an� W Ia�A nM aNrtun¢�3 9weming Il�p IYp� h rvar4 rn9 be cmn04etl <br />M9i wt�Me� spe[10ttl fivelfi or Iql fie qfi'INiy ul a pe�m1 Cvef �wl V�eiume lo gke au'Iicol� �o vqble o! untl� Cle pvVlllun 016�/ ONer fiele m IOOI I!w rtgulet[g vmwuuWn <br />Tlut I am aNnameE tr� Oie w,n� N I��s prppeny 1n pertortn IPe rm�Alor �Mitl� appl,ralbn ts ma�e end I mmply rriN Ne Slaie Cowxdon lew 10 77 RCW enC 798 iGOA W�G 1/ <br />�,�-� ��..e�.��- a- 3 -�s- Z <br />OwncrlAut�arized Agent Slgnelum Uaic p�thsrd.l?OiJI <br />7 <br />