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j��'��'��� <br />PERMIT APPLICAT'ION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES / a�S / Z <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.orgL�t <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO � PM '�) / � i�L-"7� � v� <br />A DR, SS: VROC RiYTA%M P �TM <br />��i�l /7�1u-��i���.�/y��C �i�l�cno ��D�� � - � <br />�L Iw ncw consUuUion: ShM PWUsubdivision ��C. <� :— �i �. ';'`•': /';, :F�lol No._ (attanc �opY of bng lepal deSaiPtion) <br />Phone/E-meil <br />ANT: O.�ner OwnefsAgenl CanVador 1�Cont2clofsAgent _Tenanll�r�o��•bne�a�ce�.enim�u�ew�e�ioao..ontiuroswml <br />/ �i _-� " — <br />4CTORT��=%��. : .I��; %�- LBILic.K COEBu�.lic.M <br />�i--�' �' . _ j. , ;�c:•f- t �.�,, <br />�1.>;71 JVc• ,�� ��%t'i.-o, �PtanelEmeil/�':�/:4�:\� ,.��-�.��./�!� <br />' 8 NE S N E CONTACT FOR PERMIT <br />r <br />/� /� ;L�L' �l l l, "(,'c/' ���i'. <br />� l ' an�,nwF-mai iC/:9e<l'�iiJ[=i�["��CC; i:��� •L�i�i1'S <br />BUILDING PERMIT APPLICATION <br />PRICE <br />ExistingUseofBuilding -i .•'' �%/��i >-�� ��'� ✓✓ � ���%/C�i�ijJ/.� HEATSOURCE: /�/� <br />Pro{rosed Use of Building i,�r �' �����-" Gas_ Electric_ Other_ <br />Building typa: _ Single Family _ Duplez _Townhouse _ Multi-Family _ Commercial <br />TY� _.Y...�_... uew e.�na�,,., Ramndel aeoair T.I. Sian Sonnklar �emolition_Change of Use <br />DESCRIPTIONOFWORK(adddionelspacepmvioedonrheDack):�1/`,/�/� /�`�tjL��G�-j <br />fl' / r_'/%/��r.�� ,% �-�CiG��J �2,i�f-c�%!"��' /�<<�-fc�� !t ��i� <br />� �`'iii�'�'G� v p�l-�' . <br />MECNeNICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />o1ProJoct: _Naw_Addn _Alleralion_Repalr <br />ol ProJect _New _Addn _Altaretiaf _Rapair <br />. � Show Number (N) ol flxiuns <br />Mediwl Gas <br />Other: <br />I �ereEy ceMY �e� I Mve rtaE enC eremnctl Mo eOP�� and knv.v tl�e aame b �a Vua end cortect. M prv+can� o� lews e�d m7�s^ce� povemnp Nis ype of wak v.�l Ue compled <br />v.M v.TeMer spttiReE �mein a nol. Tha pimUnp d e pmnit Oce6 nol praume lo pke euNaMy lo vidata w u�ncel Na pmvlvm M any oVier atate a bcal lew rtqulalnp [onq�utli�n <br />Tnal I am� by IM1e wvner ol Nif propeM Io perlam tlre wak la wnirh aDP��'o^ e ma0e ena I mrtph �� S�e Contradora Lew 18.27 RCW oM 286100A WAC. <br />/ �"'_� �" ��G"✓�'v �� / �) ���� 1—' � �� <br />C� <br />OwnurlAJ�h Azad AgaM Slgnature ° D (Revised 62012) <br />