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ERMIT APPLICATION <br /> SUILDIN ECNAN �PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY QP EVERETT PERMIT SERVICES 11 <br /> 3200 Cedar SC, Everett, WA 98201 425-257-8810 FAK 425-257-8867 WA w.everetnn►a.Qrg <br /> Srrrm :76Qq 136ceWY151& <br /> LEGAL for new car chicGon: Shag PWVW,4m Lot No. (attach copy of ION low desc ofin t) <br /> OWNER lO V i 3 o�y5c� oy <br /> Addrew; L La 2�?z 0a c <br /> APPLICANT. �.Owner AUCM _CarrVaclnr � corctrra�ds A �7r�ant i�amt i> a tem of avm aye�m do+w�k to a e�0a) <br /> CONTRACTOR Q,5hi R)dAYMate Ila# W� bus. LiC. �✓.3 <br /> Addrms 06 PJCA Sk 1, e(Awla gno 7P-PmTENANT SUM=mat: Qi d,C <br /> co <br /> , -�C P-W 9A <br /> BUILDIPrAMIT"PLICATION CONTRACT PRICE OF WORK Z <br /> Exbst4Rg[ase of Building ZZ <br /> g HEAT SOURCE: <br /> Fmposw Ilseof ulldl C� Electric Ott <br /> &tildIN Mw 79ingle Family —Dupkc ownnouse _Multi-Fanty _CommW-dal <br /> Type of pmjem New Adddlon RQ_modW Repair T.I. Si ri rinkler Bem0jT2 z ChaMp of Ura <br /> DESCRI PMN OF WORK(eddt ww*we pmvtded on tba tad*): <br /> I IANICAL PERMIT APPLICATION 10ML IIB#NO I*F"IT APPLICATION <br /> T)9-of P-1att --New #ddn , AWmzttan_Ropair Typo of P'roje= --Y— Awm <br /> Show Nuf tbw of <br /> A!C—air hattcll units <br /> F air <br /> Gas piping BaffytLtb <br /> waah besht - <br /> Warter caber Shiner <br /> Gad it ICiWten sink$ 1 <br /> r <br /> Rame <br /> Clather3 d r Cioti�s <br /> hood r hWar <br /> Exhaust fan Sink ecru, Ire e3bc <br /> Hea <br /> Unit heater tlrinaE <br /> Boiler f 061div FounWn <br /> R on Floor drain <br /> Woodstove P Grease tw <br /> Other R dram <br /> MWfcal Gas <br /> $PRINI[LlIsR f SYPPRCBBION SYSTEM Other <br /> Number of Heads i Other <br /> t h"by awmy lice hoW read a0d c=rg rod tide E41000W W and rmow ft wWW to be mm mid vsrcaet All Previelor[e o?favus ocmrtanxs soverr�cp tide M-of v,oAc,may m,T, <br /> specmw tretw ar-L 7be W-Mg of a pant 10W not ptos<uroa l4 9hre�w�y b vtokrle or creed]the <br /> drat r -r�,rxmd fbY em owner of XwMm of any wrw space ar focu raw nW3�9 s <br /> i>mpady to p the s+m*Ic tov a "SMsdo end I comW v t nto State CD111lROM L&V 1927 RCW and 196Z'OU0.WAC, <br /> /GLS 7 � <br /> An kwe,=d A"M p� `� <br /> L�rsea 9W14) <br />