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� <br />� <br />PERMIT APPLICAT�ON <br />BUILDINGIfVIECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLiTIOiV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, EverA��, WA 98201 425-257-BR10 FAX 425-257-8857 ti+n�rr�.everettwa org <br />APPLICATIONS ARE ACCEPI 0 FROM17 B AM TO 4 PM <br />ennoE$S: . PNOPFNTYiA7(M . PEPMITd _ <br />W, r"1Ar,ne 11:P� �(•.�'�er� <br />� <br />for ne+� con;IrucUon' 5�.0� Pla!lsuCtlinsie� �e ��G� hPu Lot No (atlach copY of long ie,al Oesc�plion) <br />t HO�P �<<�/J�PP�S P�oneiE.mail 'Z �6 — N�� I— S I$ S <br />27oD 6�� A✓e S�F szo a�,s�����z�P SFa lf�e t✓A 9$i 2/ <br />ANT:_0:�-�Cr _1..�,.eYsAgeM _ConVdcbr _CeNracicr'eAgent _7enBnt�m�+.�o�o.�+�K�'����«,�r'iaomuuar,u•.oao.nn,nmo:o�:-I <br />siu�u <br />coe o�s i�c n <br />�rvi nuamr.aanHnic ���.�..�� <br />ScP Z a �{2S-K�6' OS <br />�jl � pnone�6mad �J of N i����lO 4m Pf � f9 , ea�h <br />LDIN� PE MIT APPLICATION CONTRACT PRICE OF WORK P aS e I ; y, 5�7s S S6' <br />ig Use af Budding 1 HEAT SOURCE� <br />sedU5col�uilding /'O7e' Gas___ Elecinc___ Olher_ <br />ig type: S�ngle Pam�ly _ Oup�ex _To•.vnhouse _ Mulli•Family � Commercial <br />ol oro�ect x Ne�v Adtln�en Remodel Repair ._ T L_ Sign _Spr�n'sler _ Demcli;�on_Chanqe of Use <br />:RIPTION OF WORK (aed�nonal spare providrq on me Dacw� �. �P�� �{ ��,.�„ J{Jec� �o�� <br />osc J-"�tf�� r-�wc lav.<IS o�f bP��u g����,i P<rk.'�, Q�cr. I�v �. <br />, -s�sst l�`4, ns;b5�) 4s,vo6S�' <br />. � 6 , . _ . , . . ,� <br />MECHANICAL PERMIT APPLICATIO <br />ol Prqccl: __New _Addn _Alteratian _Repalr <br />Show NumOer (aJ al lirfines <br />FUC — au han�iina unils <br />`�� <br />,T�1(� <br />E.hausl <br />Number ol Heads <br />PLUMBING PERMIT <br />ol Pmjecl: _New _AtlAn _Alterallon _Repair <br />Shmv NumOcrlpl ollirfures <br />Kdchen smk <br />i3ackflotv <br />Rool Orains <br />Metlical Gas <br />OfhM. <br />Other. <br />I �c�e�y cetl�ry IMI I �avn read and wam �netl �pis aCP�xa�nn and h new i:e ;amp IJ Go Ime an0 conecl A'I ptovis:ons cl laws anC o�CMancez govemn91�i5 rype a� woM w�ll pe camD� ed <br />wnp ahelAn speohed I�ere�n c� nat Tne graming cl a pemnl Aoes nol prewme lo riee aulhm .ry lo vic'alo o� ean[el l�o prun rnn ol any aNer slate or Iecii liw regu�euny mns W cLon <br />Tqal I am aul�cnietl Ey IOe o���rr al iM; p�opcily lo perlomt No waA lor wA::� app:¢a:�on u ma0e anJ I ccmFN �•�� ���e Stale Cantracio�s Law 18 77 RQV an tl: EG.a"COl K'�C <br />� ���� <br />u/3o/l�,Z ►f� <br />wner/A ho�.'zcd Agrnt Si9nahry , �.„/� `�•.� /' �� G(�' (Rensetl Ei201:) <br />GW'�Wl (ca.�.� <br />