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<br /> BUI�C3�NG !�IECHANlCAL 1 PLUI�BtNG t S1Gl� t SPRtNKLER l DE�QLtTlQN
<br /> Cf'i'1'4F EJ�R�"8'PERPAIT vERVECES
<br /> 324€3 CEC}AF�STR��T,�r`ERE�?,'WA 982dj
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<br /> ��tc►�o��€�c� ���c o������ase RRo.��c�r sEr� ���c��Ar�or�
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<br /> OWNER t�AME: C'hc ri RG..ES r�c+�-�r'50.�3 TENANT NAME�Ifi Cornmerclal):
<br /> {3WNER MAILI{+�G ADDRESS: s�z�Et 9 3 �A,�R�(�Er.J ,�'3 L�l f�
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<br /> �UV�ER PHt�NE: YZS" 353- SoCo 3 owt�ER E��:
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<br /> e4�T���'o�t��E�s�#{��c�U��zE��:,��t 5� ?I P Ci"3`Y O�EVERETT BUStNE$S LtCENSE�{REQ4JiREtY}:OS G,J
<br /> PE2i�ARY GCsNTACT: Q OWNER ' �C?NTRACTt�R �QTE-kER(Plea�e 5�secifY}
<br /> cc�r�rr,�c����: cor������or��: 5'�S y"'ds-ra�,� - — �
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<br /> Exist€n llss c�fi Buiioin ; Gort�ract Price o�Work: ��.'-5CJ
<br /> Pr4�&�cf Jse af 8ui#din : Hest Source: ��as ❑Eleciric flther
<br /> Bui4din 7 e: ClSFR-DetachecE C1SfR-Attached DDu (ex C7hhult�-Farcaii -#of t�nits: ='CICc3mrr�arcia( Qlr��usttia!
<br /> 'f e of Project: CIN�w CIAddifiun �Remcde€ �Repa�r �IT.L �Si n ❑Sp�nkier �i�errg�fitaan ❑�!-ra�s s�f tlse
<br /> DESCR3PTiaN 4F WORK:
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<br /> �SSC�C1ATEfl�Ufl,l3liV�PERA�liT# if a ica�€e):
<br /> dt��GE�t,�tNiCAL PER�+IlT�PP�.ICATI4N PLUMBiN6 PERMIT APP�,I�CAT1t�N
<br /> Tyfps o#i�rcjaet: �New Addn _Alterat#csn �,Rep�ir Type cf FraJeat: New Addn Atfsreiios� ,,�„Rapair
<br /> �l�tttttes �ls8 af fk�yres �ftrrss LIs1 o�,Ftxtures F(xtures L+�St ot Fi�ures fixttrres Lfst ot F132ures
<br /> � �Ar'�-t�r�and�3n U�its ��€eat��smp �`�Eet ��H�c�f#��r�ue�it�{Es�sida�!d �
<br /> ��crrc�d�r S s�errss � �L�nit�eat�r ��th�tttt Clr€s��l
<br /> ���t3as F�iPi� B�€€e� L��a�r� � �ONash�asin� �d?riraia�s ��€r���n
<br /> U�tatar�#eater �tsfri srati�n S�sc�wer F�c�r�Jr�ir�
<br /> Gas F'sreu6aca �'v'aca�Stovs Kit:h�n Sink&Dispasai Greas�Trap
<br /> Gas Ran e �tuctin ��shw�sher �oa�Dr�€€�s
<br /> Gfoihes D er Hoo�cups Other: Clothes V�asher Me�ficaE Gas
<br /> ��n $��md l�ater Hsater Otner:
<br /> ��aus�Fen Sittk Servic...t'Bar/Mop/stc.} Qthat':
<br /> �PR�NK�.ER 1�ilPPRESStt�l�SYS'�EM
<br /> Number r�#Hesrfs
<br /> �kCKtV�bNL�OGE�f6.N7�!ha+�a Feulaavaa�tfris appiicatica�r�nd conFrm rhe infarmetran coral��n�herein is tnra�rsc°a�Frsrd.YVordr done;oursuatst ta�hfs pe;Trrit mus;comply wFth
<br /> cur�unf fecf�€�€�.stePe>�nd kr�Cst law:7�a�rartr fr•�of a�ar,�x�T ar��y authnrizes ap,p.tf ved t�7a an��a E3�tffa��th�reh�itt?.I7�v,�aiit�»s must f�rst tts atrtht�?ize�i in�ng frzmmm ths
<br /> Btti�it;�{?tY"rci��f f�efcts L+etng e,:rfhori�d ut�der any c.�ficctarr3t2nce.J am ths owner,ar t arn aJt4�rsze��y f'e ow:�er�f this Pro,oerfy to pst�ar,n�4s war�s for a�,51�i+arspl�caFioa rs mad=:
<br /> en�t ctrr�r�fy with t�re S�(e Contrecto+�s r.aw 58.27 RCW srtd s^96,2{HIA�?r`riC.
<br /> �itv of E;rsre!t L3+�ciaF L'se C}^1y
<br /> PERMI #
<br /> �-•-����--�-- , 1�.�.��-- 0��3�/ao�7 � � ' �
<br /> Oo�rnertRuthovized Agent Stgnature Dste (Revisea 5r2f?,'20i6}
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