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,i6,C^."J15 9n 1i 13: J9 F;,x rse t. wa tel H:ee r.er <br />0002/003 <br />PERMIT APPLICATION <br />29 S 3V <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Ccoa• SI. Everett, nA 98201 425.257.8010 fAX 425.257-8857 www.evoreltwa org r± <br />APPLICATIONS ARE ACCEPTED FROM & AM TO a PM (O . �2 Z�I7 <br />SITE ADDRESS O p I 1� <br />p�clornivT %v <br />CJ <br />iff D <br />rt �O <br />w rt <br />LEGAL for nbconstwon: SnoPuveumiyullloon_ _ Lot Nu.—, (albeh Color of lotngg bpeldesellpul e <br />OWNER F <br />Phonam-mall = •- <br />ddrear ClowC1111Stelamp <br />1N 9 /V <br />APPLICANT:_Oenor _oerfera Agand -KColltratlot _Contlacto/a Aganl ^Tenent l'n.IdpePee eawdrnMNetnaei roes wdhiM selsq <br />CONTRACTOR 'Fa5�" /VCR Qs LI:. 0 �. Y' 055C COE But. LIC. M D Cj 3 <br />Anoints I i1Y15 Nortn Crel:k PSfkway South, 51FC406 Bothell, WA98011 and S� IJp lies fd(� <br />TENANT BUSINESS NAME CO T PIOR PERMIT <br />Qj(3-tA0- o24 _ V1Any <br />BUILDING PERMIT APPLICATION <br />CONTRACI PR1CF OF ORK <br />Eetetlrg Use or Buhding HEA G <br />Proposed Ilse of Build,@Ieeuk CMne� <br />Building typo. Single Form _ Duplex —Townhouse �Mulli-Family _Commercial <br />Type of proloet over Addition _Remodel _ Repoli_. T.I._Sfpn Sprinkbf� Demoblmn Change Cl Uee <br />DESCRIPTION OF WORRTK' (addslonst speed Ateddad W lhP bscc*)! <br />�C1✓✓VV1Il7V� r� � CJ�Yi� y'C :/�9ll�n �0 �^" f <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type 0l ProIOCt: _New_Adds _Albratlon_Repah <br />Snow diameter (0) of erturee <br />Typnof Projeel: New-` Addn - Andranon-_knnah <br />SAow Number (q ct lWwee <br />A/C - sit handling units <br />_ <br />Toilet <br />Forced elf a olenu <br />Bothlob <br />Goo piping <br />_ <br />Loyn'o washbasin <br />Wolof hooter <br />_ <br />Shoarr <br />KdOlen sink & dlop000l -�-- <br />Cos Tla lace - <br />Onrange <br />Dlshvieshor <br />dryer <br />Clolheo washer <br />ood <br />Water hooter <br />Ian <br />Sink (sofvoelbsrlmoplolc I <br />Beekhow provenler <br />er <br />Urinal <br />rinlunp Fountain <br />llon <br />floor dram <br />I <br />Woodslovo <br />Grosse trap <br />� <br />Ducting <br />- - <br />Boor dams <br />Other <br />_ _ <br />MedicalOss <br />SPRINKLER <br />I SUPPRESSION SYSTEM <br />_ <br />Other. <br />Number of INadi <br />Other' <br />I totally "" Mal I nave rood end evomb,od Mto abdication end ana r Ma eaaa 10 be IND Ind dertadl M pmAlllns of Ien1 and trineNA1 p.p'nhp Into typo of Mfrs M be I benplod <br />MillWneltar epecded tnlN 0, Mt. The renting al a gaining does not presume tog" middle, to Aetole Y sevld� IM pr",, DI an/ ,he, We o,"M as leguia••ro a %"Xdon <br />That I am WCoaed or Me I'enY d Mls a(OeMv b oeneml iM M)O lot rMikt aDdbtbn a nwee end I FmDi/ W'.t Me Stale CeMndon 1 e+ la 71 nC W YID M.200A W.AC <br />1�AuihDna�u � ,) �- <br />bOtis (Revised 670121 <br />