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i rcr • 09102013 12: 10 /164 P.00(221002 <br /> 65'—? (.0 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St . Everett, WA 98201 425-257.8810 FAX 425-257.8857 www everettwa ory <br /> APPLICATIONS ARE ACCEPTED FROM a AM TO a PM <br /> SITEADDRESS: PK)"fi vTAXN —Mm <br /> MITA <br /> 611 59 S ^ w I _ oD <br /> LEGAL to,now eamlrucl'On Short PliVsuDOHluon L01 No. (apaeh copy at long legal eescnpllon) <br /> OWNER ?0V) U-00 <br /> ^' (J S-'` U Wl Pm <br /> he(E-mail A e _ yr ' 2D CO) <br /> Address s'1 1 ca cdyrshallizip 7�l/P — I+� I-T- •l �� <br /> APPLICANT:_O-e7ne�r y_O"^are Agent _KConlractor _Contranors Agent _' Townt 11.11K•W e4lxMnnumunn N[e.m•n ep.a•r ern.[p[[q <br /> CONTRACTOR �(�•J' _ r�"-� L 8 I Lot e i rS-TV,4gC_COE Rus. LIc a <br /> Addrep, I'T1735 North Cre6k ValTcwa Sotilh, S1 EC-106 Bothell, WA 98011 oma j S{"W(l• 11Pf1 ,CI <br /> TENANT DUSINESS NAME ICONTAC7 FOR P RRMMIIT �Sl� yr as-on <br /> PnMHE+nail a 't ,�� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Ensbnq Use of Building T SOURCE. <br /> Proposed Use of Gas Eleclnc Other <br /> Rwlrbng typo Single rams _Duple._TownhousD _Muth-Family __Commercial <br /> Type of rD ecf Cw �Addition ,Remodel _Repair_T I _Sian_Sprinkler Demolition- Chane of Use <br /> YL PPS--— <br /> DESCRIPTION OF WORK(aeddrdnu apace p.owded on the Dight <br /> N,wt o�� 2�1ac e a� w ak-e Y h 6-a-k r <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TYpecf Project.. -_Naw_Addn -_AllendonRerUl Typeol Pralect: _New_Addn _Alteration_Repair <br /> Show Number e)or hrrures show Number(e)of nrfuns <br /> AIC-en handim units Toilet <br /> Forced au s slams Bathtub <br /> Gas PP.09 Lavatory wash basin <br /> Water heater Shower <br /> Gas fee lace Kitchen Sink 6 disposal <br /> Gas fano Dishwasher <br /> I G10111es0at I Clothes washer <br /> Ran a hood Water heater <br /> Eahsuat fan Sink senncerbaNmopletc _ <br /> Ileal pump I Rackllow preventer <br /> Unit heater __ Urinal <br /> R011er _ Dnnkm FounUin <br /> RCIrI station ' Floaf tlram <br /> Wootlstovo _ Grease lra <br /> Ducting Roof drains <br /> Omer Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> Number of Heads Other <br /> i heraOY wary Intl I bare reM and apam✓iee mit llDpp[albn en0lnaw me tame to 6a INe 11ne<pnetl /11 Om.gpnT al levet eM artlYienfet gD101nlna Ihn MOO Dr wen Wi1011 COTDAIe <br /> wlln wllelhx epaOed hamn or not Tne pbnena al adenmi da00.1 11111ma 10 an'e aulhWit 16.wltla M""al she whet to.w of b[al Mw ma.14wo fanlv.clbn <br /> Thal I am DUNeNld DY Tne owner DI mM1 D•dDalry le p[RMm Ib wDfa lar"10 appdpalipl Is made end 1 WMpl)w1h it,ebb Clwni,an I sw 16 21 nC W and 216 200A WAC <br /> 4u ,',J,—,dAg-1-t Signature �� O Date (Rlwied 607012) <br />