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PERMIT APPLICATION
<br /> BUILDING / MECHANICAL i PLUMBING I SIGN (SPRINKLER I DEMOLITION
<br /> C±TY DF=VFRETT PERMIT SERViCES
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<br /> 3230 CEDAR STREET,EVERETT.WA 33?_3I
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<br /> :3 RD./a-CT SITE ADDRESS- )11/4
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<br /> CONTACT INFORMATION
<br /> !DVVNER NAME
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<br /> :3NTRACTDR NAME iiil 1.... -?1'I 4-4-rv— i i,-,1 c_
<br /> CONTRACTOR ADDRE-7.33: 31",;.'Er 141 r Oaratt)
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<br /> ,..:ONTRACTOR PHONE: 2Fq 0 50 .CONTRACTOR EMAILikt 40 '"i 1° ...), ii il a .00
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<br /> R111/fARY CONTACT: 0 OWNER lYCONTRACTOR 0 OTHER(Pleasa Sp'ecify)
<br /> CONTACT NAME:
<br /> CONTACT PHONE: 14-2.5 25c1 0550
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<br /> CONTACT ENTAIL: 0.,..„. „,.. - e„irtnet,1120., 'IP .CO
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<br /> MECHAN MAL-PERMIT APPLICATION '--,:, ''' '-;:• ;pL UM BINaltERIVIITIAPPILICATI-iv N
<br /> Type of Project: New Acidn Aiteration Repair
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<br /> ammA/C-Air Handling Units 111111111_1=1111M 1 ....1111111111_ 'Ngallin......_._____ Sa'CkfloW Preventer(inside Ildr) I
<br /> Forced Air Systems IIIIIIII IIIIIIINEIIMlh6_'ltub 411.11.11111.1111M2111
<br /> al=IIIIIIIMLmvinwvm..__allMil"er sh,namimaimill111111111W ',EMIMIIIIIN Drinking Fountain
<br /> ,e Refrigeration
<br /> Ffoor Drain
<br /> 1111111111 - Min vv°0d stave ' "111111111111.441.11111M11
<br /> Kitthen Sink&Dls,,. al ....min Grease Trap
<br /> imminsall111111111111,,,...._ l lam Dishwasher ," 'NM Roof Drains
<br /> allilliadhes D er Hookups IMMIIIIIKwdgdnnm .......11111111Emm clothes wa ar -"qlg:CMEEMIIIIIMlsnm,„mmmummm...__
<br /> MIN Ran.e Hood allanlLmwmi......allMlaall. 111.11143.1111111111111111111111
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<br /> NIG. cf Heads IIIIIII
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<br /> A Ck(h1CWLECGEMEN7, i have reviewed this agrEctitict:shd ccatrtr:the frabrmaticn ccriathed teram is irtie and ccrr8cf. tiVcrtf dcre pursuant tc this gemlit 17:1150 CCnTly MTh
<br /> ecuurrizt federa.i,stare,al:d.ICCal/aw, Me granting cf a parmil cnly aulhcrizes apxrcved vicrk end gc deviaticns therefrcm.Ceviadcns'nisi firsi te authcrized in writing Arm the
<br /> g Cfficial t etre t ding aulcrized under any circtimsierce.tam the cviner,Cr!an:euthcrized ty the cmther a this pruerty lc Aerfrtm 0-,,,wcrfr for wkict:appticsucr:is rrZe;E,
<br /> 6 rd I ccrhnty with the State Ccriractcrs Law 76..27 PC 4,cr;d 2SE,.2CCA WAC
<br /> City ci Evereil Cfficisl Use Crt,
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<br /> OW,e f ttAtttlIctiZeti Age Signature \
<br /> ( A vr.sect si'23/2C764
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