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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNlSPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98207 425-257-8810 FAX 425-257-B857 �wrr�.evere�hva.urg <br />lor new con,truchon: Shotl PiaUsubtlrvi;ion_ _Lol No <br />OWNER IlI C�-� � �$ n"��' <br />� 1� � C`J 2rr,-ck <br />_ Owncr _ Ovme's Ageol � <br />✓ h� �'J t <br />�� <br />ILDING PERMIT APPLICATION <br />Ex!s�mg Use o` �ui'ding <br />Proocsed Use of Bui:d�r <br />-DII <br />(atlach copy ol long Icgal tlescnp'icn) <br />_Con1��C�OfSAgen1 _TPnOP�(-.mIVT••=eakrcrclwrmnt'rcn:'co..-.v:oap�n��miCespnce) <br />Statc L.c. ,7 /CJ„¢-Q�v�-f^ D /// � <br />PAorc;[m�:l L�Z S — <br />Cius. Lic Y. Or % <br />/ � °7 --0 /z <br />PERMIT r7 iq P�,�, �-�, (� r v�� ( i C C� �l ^ <br />�2�Sl�,Zf � �Z� %�Z� � <br />CONTRACT PRICE OF WORK <br />H[AT SOU <br />Bullding type: _ Single Family _ Dup'zx _Townhouse _ Mulh-Famity _ Commercizl <br />Type ot projecf New __ Adoi�ion _ Remodel _ Repa�r _ T.t. _ Sign _Sprn<ler _Demc';Lon_ Change o` Use <br />DESCRIPTION OF WORK (adyho.�a!spacepro�ldedon me baca/' <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIO <br />Tqpc ol ProjecF. _New_Addn _Altoration _Repair Typc o1 Project: _New _Addn ._Mtcration _Repair <br />Sbow Number (p) of /ixtums Show Num6rr (a) ol firfurrs <br />AfG - air hardl,ng und5 � Tc�let <br />R <br />leads <br />� <br />Other: <br />Olhcr. <br />Gas <br />� heirby cerld �.' hive �eoE artl e+am-ne;1 �"�s ap, iu�on antl 1 r;ow iDe same to he true an� certrct. NI p��reb�e ol Lrna aM orEmances gwe�mng ihis type el vnik w: i[. cc-na ��9 <br />H��,y � _ r spcc'_V I�.cir:n or not. lhe g�ar.tin9 al a perm t Eocs rwl pmsume lo gue auNorih Ie holate ar caMCI1Re 0�^sron c1anY otner xlale or laal iaa rrgWa�ny ccmnuc: �m <br />n��� .� .,� �,on:co e the owner cf Ini, p;opertY �o pedorm U�e work lo� w� c� apN=�'�^ % ma�e ond I comply wM Ne Slate Cuntractor, I.aw ID 77 qCW +ntl 294.YCOA Y:iJ: <br />/ <br />I �'� � <br />Ownc� Ihont��dAgen�5lgnalurc <br />_— �. . Ualc ;iic�rfcd4G'(i1J) <br />