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7�`���o—Se Go��l wi �-F�ce., <br />�U5 -7-�—, . 45G5 • <br />• <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGNlSPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425•257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />forneWConSimclion: Shotl <br />'DU �ox Q��� v <br />TA% p <br />F1�3,',Iil <br />No._ (allach copy ol long IegalOestriplion) <br />_Owner _OwneYsAgen� _Contractor _ContractofsAgent _Tenanl(m�.io�o.eenbne�wmnsmio-emm•a.,w�meow�inmesua�e� <br />TRACTOR Heatl� ii/or'ftiu/t5f IL 8 I Lic. # <br />����Z� S.9(�" SE, Se�.K<<,wa 9s�os <br />ANT BIISINESS NAME CONTACT I <br />1 ('�a,�� !f <br />rr,.,y.�.r.` P�onelE-mail <br />ILDING PERMIT APPLICATION CONTRACI <br />ing Use al Buiiding _ <br />;iI,NTq813"C coee�5.u�.tt <br />honelEmail 'l �(o � L 2S � 51UU <br />I PJERMIT <br />'tpto.• SU-S Y7'7. V rSS <br />c.,..��ec-,��y.s�.� s:.,.�t. ��y.. <br />PRICE OF WORK �8.560 . ° � <br />d Use of Building I <br />type: __S�ngleFamily _Duplex_Townhouse _Multi-Family _Commercial <br />�roiect New Addition Remodel Reoair T.I. �1l Sign _. Sprinkle� <br />Use <br />)ESCRIPTIQN OF W ORK (adtlitional space proviaed on the back) : <br />1 1 C\ �c 5�y.. e�.s� �1:�>�:e,., <br />SM...SC��\ �JJ NOJ� `�Lv�j � I�O.�CI V4 e.� <br />�1� �q7-13� Wo—ll sry.—Jou. �So.,kk Elee�..F;o.-.�1� j� <br />��,i)� f� / /I / 1 J / 1/� J <br />7✓�2�0%�Oh.:�/.�^iN4�C� �uv.{�SIyN w fpViNL/C4�M.�`I /�Li���ji{�0}'I//✓H.w9r�0 �nn�����n.(�/TSr %�:uH4��! � ilyw <br />MECHANICAL PERMIT APPLICATION !'�UMBING P�RMIT APPLiCAT10N <br />oiProjecl: _New_Addn _Alleralion_Repafr <br />Show Number /pJ o! �rfures <br />e�c _ ��, n��nr,,,, ��„a� <br />of Heads <br />olProjecl: _New_Addu _Alhralion_Rcpair <br />I here6y u+tlify Iha1 I have �e:J and ezamined Ihis app4calion and Anaw Ihe same �o be bue and wrtuct. All pmvis�ans ol Wws end ordinanws goveming Ihis rypa ol work vn0 be mmD��ed <br />wilh wheNer spe�ea �are� or nol. Tha granting ol a permit tlaes not pmsumo to gno auNa�ity to vioiaie or canccl lha pmvision o� any aUer slale or bwl Ww iegulaung w�sbuction <br />Thal I am aul�o�izad Oy l�e owncr ol this propett�� to pedo�m Ne woik lor whkh applicatior. is mado anE I camply wi:h I�e State Contractars Law f 8.27 RC W ana 296.200A WAC. <br />� -��� �f/2 � �iN \)fv <br />'�Ownc u[horizedAgent5lgnature Dale (Revised6/20111 " <br />