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PERMIT APPLICATION
<br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 Cedar SL. EvereU. WA 98201 425-257•8810 FAT:425-257•8857 w�vw.evFreltwa �'�
<br /> APPLIGATIONS ARE ACCEPTED FROM 8 AM TO 4 PM
<br /> FRO�EPTYTA%� . .�171 �.0 ' C��lr
<br /> SI1E ADDRESS�.
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<br /> OWNER i
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<br /> APPIICANT: O+n�r On++�•%s Agenl • Ccrt�actv
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<br /> CONTRACiOR , t �� '
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<br /> A9dress ` � � ' '
<br /> NANT BUSINESS NAME CONTACT FOR PERMIT
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<br /> BUILOING P[RMIT APPLICATION
<br /> CONTRACT PRICE OF WORK ° � �-
<br /> HEAT SOURCE
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<br /> Piof�'sed U5c ol Bw�^mq _ '. '_i.�— - - -- - .•
<br /> p�„��-,.�i�pn S�ngic Fam�ty __DUplOx TownhOUse _MultrFam�ly __Commerpal
<br /> 7 �r. c1 po eU Ncn� ACd�bon RemodM � R M 7 I Si n Spmkier �emo�rtron Chanae o1 Use
<br /> DESCRIPTION Of WORK ,,,-�� ��»i sn���r+o�de��^rne hadi:
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<br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION
<br /> Type oi Pw1eG . New AdOi+ , _Aticralion Repa�r Type o�Pro}e[C _New_Addn Alterallrn_RePalr
<br /> SAaw Nu�nbrr(?�of hrtures SM�w Numbor(�)o�lirfuros
<br /> A�C - a�.r h.andlin un�h�. Todel
<br /> PorccKl an s s�ems BatMub
<br /> Wcator Iwashbasin)
<br /> Ga5 p�P'�G 5��
<br /> 1Vale� hr�ie� KM1d�en 5�nk 6 d�5posal
<br /> Gas Irtcelace
<br /> Dishwasher
<br /> Gas ranpe C�othes washer
<br /> C�O1hC5 4 M �y��M M1C3IC,'
<br /> RanGe hood
<br /> Erliaust fan Smk Iserv�ce�bar'mop'c!c.l
<br /> Bad.�ow D'eventer
<br /> Meal pump �Jnnal
<br /> Unil hcater D�inki Founlain
<br /> 6c�er
<br /> Rr1n Mdl�on FI00�Arain
<br /> Grease trap
<br /> �:cafstove (y�1 are�ns
<br /> D,,ct��a hted�cai Gas
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<br /> SPRINKLER I SUPPRESSION SYSTEM Otner:
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<br /> OwnetlA Iho zod Agent Signaluro
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