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,� __ <br />4 <br />PERMIT APPLICATION <br />BUILDING/MECNANICAL/PLUMBING/SIGN/SPRINKLER/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 />LEGAL �or ncw consimction: Short Vla <br />OWNER KAT L <br />Atldiess ZY �j� � <br />CONiRACTOR Loy�L M <br />aam�s� 2400NW $0+�.5} <br />TENANT BUSINESS NAME <br />moNE,r-UZE� <br />BUILDING PERMIT APP <br />-�isting Use of Duilding <br />'roposed Use of Bui�dinq <br />wv�wms�on Lol No._ (attach wpy of long legal tlescriplion) <br />Phone/E-mail 2! 1, 2`�. i• 3500 <br />9 � CitylSlale2ip �J6(L�TT <br />I L �C L81Lic.# (,.0 ALMS �Y <br />�T$65ft�T7LE wn 9gi17-4YY Phone/Email br�q� Pi�nverp �,m �nq. �2 <br />D Sbz <br />CONTACT FOR PERMIi an1 �. �Rso� <br />� , �6 Slo-�887 <br />hone/E-mail � '� ��l <br />LICAT ON •IWO -D �ONTRACT PRICE OF WORK � o0 <br />. I, HEATSOURCE <br />4uiiding type: _ Single Family _ Duplex _Townhouse _ Multi•Family �'. Commercial <br />Typeofproject: �Nuw _Addition _Remodcl _Repair_T.I._Slgn_Sprinklar_Damolitlon Change ofUse <br />Description of VJork (addilional space piovided on the back/: <br />2eu4H-vJ w.�5s6 VEN7a WAT� <br />P2o��oE Anlo Se� �ix'r�tKGS <br />Have you started worhtng without a permll4 _YES �NO <br />• ZE4JQYZ <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ofProjecL• _New_Adtln _Alteratlon_Repalr <br />Slrow NunrAcr (p) ol lixfurns <br />_ NC—airhandlinaunifs <br />Heaas <br />ofProjoct: _New_Addn _Alteration_Repair <br />_ ShowNumber(M�o/Aaturrs <br />Other <br />sink <br />i he�eGy ceriry� Ihat I have reaA anA enamineC ihis applicalion and know lhe same to b_ tme and cortect. All pmvisions of laws and oMinances gov=rn�ng <br />this type ol woik will be complied �vilh whelher spetlfied herein or noL 7he granling of a permit does not presume to give authoriry to violate or cancel <br />;he pmvision ol any olher state or tocal law regulating construdion or lhe performance of consWclion. That I am authonzeU by Ihe owner ot Ihis pmpcity <br />to pertorm Ihe work forwhiU appliWlion is mude and I comp�y with Ihe State Conlradors Law 18.2� RGW and 206.200 WAC <br />� l J�, �9 am�l <br />Owncr/Autliorized Agent SlgnaWm to (Reviscd 77l1070) <br />