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12/IS/aJ:d NON Ia: O4 FAx Feat water Rester r�;009;025 <br /> 0 g3oc <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett. WA 98201 425-257-8810 FAX 425-257-8857 www.ovoreltwa.or© <br /> SITEAUOR ESt..tfL _ SW paor�o a 3 pt: It 2_Q�� <br /> LEGAL Iar now wnatr iion�. Short pinYeueClrl@lon _ _ Lnt No _— Winch COPY Of 1mg mom dose P-on) <br /> OWNER 0A9J EW104.'71 L(25 .— �1�p ^_ZZZ <br /> Addrase -';L&10 59 I'1I ST 5vv efly/StetMbp L;va-c t WA" 61 Z03 <br /> APPLICANT: Ownnr O�«rnreirs Agani C1ohlllacler _Conlrattore Agent / ❑mOnl l+e,..:1m♦ar.�.l erg el eomwn s.n prw e•wda'504 <br /> n+v,,.L.eOnwl <br /> CONTRACTOR T f1G �U M& ltcA 1133 .ntutulle a RG WV`rll '14�V_CIIy Buys Lie. q ' 73 <br /> Add:e11y14. CfWK PKWY SU &IOU PONULIWH (im tTcn mile' 7- 4fl 50fis Vf tinccpl let- Cm <br /> ILNANT BUSINESS NAMC NAMCONTACT FOR PERMIT <br /> rNll X tn'nZ, - y?S U36 10 <br /> ftl5 tn'6Kf✓1'K�f r. Cti`11� <br /> BUILDING PERMIT APPLICATION ICONYRACT PRICL OF WORK__�(� <br /> Esbhrg use of Bulltllnp , A'��e MEAT SOURCE: <br /> Proposed Use of BulldlnpGw Electric 011ier <br /> Bulldlnp type, -tom S ngle Famdy _Dupes_TownhOlreo ,muni ramdy `Commercial <br /> Tvne of runiocl. New Adellon Remodel Repair T.I. _ Sion Sprinkler De tokilon Change of Use <br /> DESCRIPTION OrWORK <br /> .(7ed�d/ranm.�pe,{aproMamonrnoyeecq�:., <br /> y �` 1p <br /> (,IK ��1'•- 11C! Glu— IIV u�Is,nNL, UCATIL <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Pcojocl: _Now—_Addn _Anera110n_Repair Type of Noises , New_Agdn _Alloeallnn-_ ROpeh <br /> Show Number of nrrureal Show Nuirl(e)Of drrmu <br /> Avtc-- _ Todol <br /> Forced air rtslnme _ alhtub <br /> Gas i inp Leval wash basin <br /> Water hdater shown - - <br /> __ _ Gas flrooloco It Kllchon sink A,difinnsaf <br /> Gas tango I I Dishwasher <br /> _ Cblhas dryer11 lathes Washor <br /> T_ I Runge hood I Wetorheater <br /> Cehausl fan _ Sink eerviea/Oar/mo ate <br /> I BlaCknowplavanjor <br /> llnR hosier __ I Urlrel <br /> BnilerI Orinkm Fountain <br /> Rain erallon I FIOor dram <br /> WOOOdIOVO Grosee trap <br /> Duclin Rndf tlrema <br /> Du+er __ Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM other: <br /> Number of trends Other. <br /> I Mniry On/r WI I have and and uamined this Opplodbn and maw rhe soma to be Ins @M conal Amprovkem of laws end Wdyiencer,9&owv this hoe of vpn or,be tame <br /> vih whelhar speclrad hereto m nol.The greniNg at a esrmd dote nol prsenma to go*sulhe,hy so vials,@ or Cents,sit revision of any ethet its%@ or ideal law ngulaMe e,ojwcl.On <br /> TrIarl am euerao0 by ere 0M^01 of the r'o@wfy le pedarm flue%01a fw whph applte0on he made eN I o4maly wkh the Wig COnbaelon Lew1427111 Cw 10162ge70eA WAC. <br /> Owner/AlrthoNted Apert Ipnsture ( O (BawdAr7011J <br />