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PERMIT APPLlCATION
<br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3?00 Cedar St , Cverr.tt, WA OA201 42`.i 75I 8Ei10 I AX 475 757 8857 e�vr.�� everetivaa cry
<br /> SI7E ADDRESS: rHo��fliv�nx P �'��TI° _' /� 7�
<br /> l� SI �a- �08 0�3� f VG
<br /> � 1 ct tm (�Ildah cq.� ci h,���lepol Aesuqhen)
<br /> LEGAL fcr n«w mnsuu'��o�� ';h'�i�PIdU;u04n'�cmn
<br /> OWNER �EA+Jff '� � IN'L �(�iTf�t2E Pnon��f mn�i �ZS'.3.5�Qr� / Z ---�—
<br /> PAar,.ss L�3O 5 O Y'r�'-J CnylSta'erlq� �JZE-�T �/ 0 /�
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<br /> APPLICANT: l':,i,•i ��;�..�•.•snq,•nt .KCo��!ia�ta ._ �o�,t,ac!nf;Fq��l _ _T ml� r �
<br /> SI�I� L�c # �./S yH �ly Itus Lir. k� 1 /�� I
<br /> CONTRIICTOR�Ll1 r� ��ml�+-a-1-�7� ._ � �t+�--�--
<br /> ��a,��= lGG/u l3 l NN 96�b7 ���,,,,� ��:,� z5-���G �
<br /> TENANT�USINESS NAME CONTACT FOR PERMIT gp„� O�e���
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<br /> BUILDING PERMIT APPLICATION coNrRa,cT PRicE oF woRK���,3&�� -- _ --.
<br /> HFA750URCF
<br /> �a�sl rg Use ol Il�ildirJ__ _ __ ._ _ -- . -. _ .-__ -_- — -_'
<br /> Picpesed Use ol f)wid��� G�s EleUnc__ Olher_
<br /> 9_____ _ ___ . '_ -- �----_—_.
<br /> Nu i n �t;r�, �ti n�ie Fam iY ._D�plex ._7mvnh0use .__M11�Ih�f an�� � Cc�rr� r...il
<br /> �y�. � .��,i.�..�i Iv',v �11_•n H-mu�f�l NCP.,u ' I �� ' .y. .�" C�,m,�.�;n Ct �'. u!V_•
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<br /> DESCRIPTIONOFWORH �_�r�r.�iu ��••i �.. � - ��-� ���^� ����� /(�EPCAC�' �XIST7�1Gj �-S FN�CNkCE
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<br /> �jP�r�o� ,
<br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION
<br /> lypc ol Pru�ec�: __NeH._ Addn _.Altcra�ion _Repair TYPC of ProjecC _.._New _Addn _ Allcralion. .Rcpair
<br /> ShowNumbni(pJn!lixfums _ SlrowNurnAcr��InlLdurrs _"_
<br /> A/C-air handhn;3 un�!; -- _'. � lo�'e� __ _
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<br /> � PorceJ au syslems 13a1h'�.ib _ _.
<br /> _- � __ Gos pipiny — —� 1 ava'ory lwash basin) --
<br /> __-- � - VJalcrtu�a�Cr _ � _Sho�se� _ _ _
<br /> _ —�--�_ l5as I�replace _____ ___— _ . Kddren s�nk R disposal
<br /> -_.'.—_—. _�� Gas ran9c _. .. �__ Uishv.��sher _ _
<br /> -- Clolhrs dr er--� ; Clalhes vr+shor _ __
<br /> � —.__�_—'--— _. _._—
<br /> _-- — I �'Jalcn c�alcr
<br /> � Hanychoocl ,___ _ -- —.---
<br /> - Lxha�i.�l fan � Sink (scrviccl6admop/cic) _ ..
<br /> _�-_�---1�—�--- ---� fiar,Hfu�,vpreventcr
<br /> —T IIea�P��m� —_._ � Unne�l '��
<br /> � Unil healer ___ .
<br /> ___-_ � l9oder �_ — �___ Unnhmy 1 ounlain
<br /> -- 1_Hefuqr�alion __'_!, ___ � floordrain _
<br /> ' _ � 1Voad=luv_ ___'_ —�---G�Cas^6ap __
<br /> - --- ---�' I)ucD,iy .. - -- — — � Roold�a�ns
<br /> ---- -- ---- "- Ulhci�-- - --� — � t.lediwl Gas_.
<br /> SPRINKLER I SUPPRESSIUN SYSTEM I other __
<br /> ___ _ _� '__NumPcf�)flland'__ '___' _ " � Other _
<br /> i��.u�bV�"�'.ly I�ol I hare ienJ qntl r�.;+ir;11P�s:Fp ��'�on a�'a 1 ro.r�ti.r�,�u.L 'iue�nA rom<I PI pr.v��c�s �ians a-J e�c v vu go crr ng IP s ly e ol w�1 w I L�i����r'�1
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<br /> 1��.�t i.vn a�.;�nire0 ty ihe oxner rl ihlf prcpcily In pertoim�hc w i�F r N^� 0 aCC�." 'n s r,•^•^1 . : �a� i�n�
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