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13 08 21 <br />0732 P 003/003 <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />•.700 Cedar SI , Lverett, WA 98201 425.257.8810 FAX 425.257-6857 sww eveiellwa erg <br />APPLICATIONS ARE ACCEPTED FROM R AM TO A PM <br />SITE ADDRESS. O� r' PR P[R y R R P RMIT a <br />LEGAL foI (ahach copy or long legal deaenpllon) <br />OWNER <br />a, <br />PnonMEman c2C6-95 - )4ol <br />Address"10 <br />cAyfSlalMlp -ive <br />I/v A 9 O o2 0 — <br />L/ Cont'aetM _ Conlraclors Agent _ Tenant rTrn p,au r rn., n.n.,.. n.+,n. e.•.•,a re.u. n. re.0 <br />APPLICANT Owner _ Ovne"s Agent +t <br />CONTRACTOR �a5-�. a L a I LIo %�ILJSBC COE Huy I.Ic <br />Address 1 11715 Nortn Creek-Palk'Wa SOUth, 51EC-i06 Bothell, WA 98011 <br />TENANT DUSINES NAME ICONTACT FOR PERMIT A.SS` <br />U2�-lip�,o�C�3-1 <br />PMnWF�nan a t J f' S .CV.T�� <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORN <br />Ensung Use of Building <br />SOURCE <br />_e1011 <br />Proposed Use o B Id,ng Gas_ <br />Buadmg type :9rngle Family _ Duple. _Townhouse _ Mull, Family _ Commorcla' <br />Type of project Nuw Acl Remodel Hepau _ ! I _ Slgn _Sprinkler Demolhon Change of Use <br />_ <br />DESCRIPTION OF WORK (addmdnar space PM,nded on the back) � � n ✓ <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of lil l _Naw _Addn Afleratlon _-_NoPal1 <br />_ Show Number (PI of natures <br />A/C - a-r harlahn umis <br />typo of Prolecl __ Nrw _Atldn _,Allrrabon _Repa4 <br />Show Number of nil <br />I Toiler <br />Forced nir systems <br />Bathtub <br />Gas p,ping <br />Lavatory wash basin <br />Water beater <br />Shower <br />Gas fireplace <br />--1 <br />Kitchen smk & disposal <br />Ges nn a <br />Dishwasher -- <br />Clolaes dryer _ <br />Clothes washer <br />I Range hood <br />_ <br />Water heater <br />_ r Eyhaust tan <br />I smk sem.l fbarfmople1c I <br />(real purrip <br />IBacknow prpvenler <br />Unll heslar <br />Bober <br />a Utlnel <br />DI,nl dig FOOnleln <br />Refrlgelatlon <br />FIOor drain <br />VJOOd[IDv9 <br />Grease trap <br />Hoof drams <br />r lthi <br />Medical Gas <br />SPRINKLER SUPPRESSION SYSTEM <br />Other <br />Number of Meads <br />Other <br />I huger ronlh that I have lead .ne..41100e Pa arPld.tlCn and MP. inn .an.1 P. 1,,. end rwr.cl I Prornon. 014w. and o,de.n.a. y.rem+Ia rh. NO. or.w% w V or C..,ym <br />"h wy.lhu le.crMd h.,.w oI no, Th. Pl.nrwe of. dine nq Puavme IP a.ve wm.rq 1. wnaw w coral Provnon of any wro, dM or.un pw rpmnmp tdneeulf., <br />trul I am .uhrN.e by w. ewn.I of Ih., P.,-nh Io pedrvw Ina wo•f IOI wh<II .1PO=n1.1 n mad. and I rdnp.r will Inc SIP. CMIIMIPI. 1** 10 71 nC W .pd 291 2WA W AC <br />C. 6 2c/'3 <br />I uthorlted Agnn't Signature Dale <br />(Newsed NJOfg) <br />A <br />