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� <br />PERMIT APPLICA�iON <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLI i It�U <br />CITY OF EVERETT PERMIT SERVICES <br />320G Cedar St , F..verelt, WA 98201 425-257-8810 FAX 425-257-8857 www.eveietlwa o�g <br />ADORE55: P <br />; ,i5 t`— .St Sr F.��,�fl � <br />1Llornewcon�.rud�on� SnanPiausul,dms�rn�•iCl'���.�.u_ �_C <br />Tq%N I PERMIT <br />rs��ra0000ay� c� <br />�._lor No �(anaU cepY ol long Icgnl Acscnpuonl <br />OWNER�t�a I�a� OMtS Phonc/E-ma�17�'YSS'O��S��WIiIW.'��4C%��N'1�S.0 <br />naa«ss O 5W �✓cr� 11�y1� l.ti.,y Su,�� �JO c�ry�steicrz�v f_UC�ct1 w�; °I ��0`1 <br />APPLICIINT:�Uwrei _OwnefsAgenl __ConVaclm __ConlractoYSAgent _Tenant�muiv�+ce��ernmciu�azem:nec,�M�am+.c.+�vz�wret <br />JNTRAGTOR,�fq Y4L �joMC> <br />a«SSI�oSw �uc,�1 rbN w�y S�..i� loc <br />:NANT BUSINESS NAME <br />UILDING PERMIT APPLICATION <br />Staie�c n I�Tj'� 00513u C� ous ��c n�po3 <br />cT' 1JA °����Y rnnnnrtL-iRar�-y� J'���wa.,.�.,e..n.. �c,..<. <br />m���yas s�s-a,�� <br />ACT PRICE OF WORK <br />Enis�ing Usc ol Bwlding __ _ � NGAT SOURCF <br />Proposed Usc ol [imldmg Gas_ E�ectnc_ Utner_ <br />8uiidmglype �SinglCS�amdy _Dup1l•a TW+riTwse _MuflrF;nruty _Ccn+.a�eic�i� <br />Type ol pro�ect. }�_ New Addition Remodel Rcoair _ T I _ :;iyn ._Sprmkier ,__pemolqmn� Changc ol Use <br />DESCRIPTION OF WORK ��ae�r,mar sp,,ce p�n��eee c� Ne DncMJ <br />s ( u0 L <br />� � � <br />ol Pmjor,C �Now _AdOn _Altoratlan _Repalr <br />Show Numerr (M) olli�ums <br />Nf. - air handlmq unqs <br />_� Ibrccd uir systems <br />3 i C;as P���ny <br />� I Walef I1PaIrf <br />--- �� Gas hrepiacc ---- <br />�_._ ._" CidS fdf1QM_ _. �__� .— <br />� �'- �--f.lulhc; drycr ---- <br />I Nange noo0 <br />Exhausllan <br />lical pump _ <br />Unit Aeater <br />Number ul HcaAs <br />PLUMBING PERMIT APPLICATION <br />ol Pro�ecl. _New _Addn _Alfernlion _Ropair <br />Shaw Number IMI o! lirlurns <br />wnshnr <br />drain <br />Mcalwl Gas <br />Othec <br />Olher <br />I nnrtby cerMr Il�nt 1 pavv 2ad ena emmineC IMf o0pbuv'o� ontl Inmv ine feme ta Ee We �ntl arRtl Rp prwlslone pl lewa �nil oidwmrns gm+mmg Ipn lypn W r.vd rn7 be rnmpL�n <br />xiVi wnelnn speariN ne�eln a na lne y�arnmq at e pam9 n�e> nat �ue�ume ioyNe authmny to rb�eR m cenrei Vie prvrifian a an� oner sum or rout un �egumimg mnmuctlon <br />Tnaf I Bm eN�OmM �y Ne m.ne el Nu p�nDwh lo peRorm me warA lo• �Mkn epDnatbn If maCelntl I mmpp wtl� Ne Stole COnVadon Lew IE 27 RCW +nE 29B 200A W�G <br />-7�7u� �-fla--�-��.�- ll - 3 -/�. <br />OwnerlAul�orized Aganl Slgnature Uale <br />��� <br />(RcvisM YlOr,p <br />