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• <br />• <br />PER�f�` A►� iCATION - <br />BU1LDtNG/MECHiANICA PLUMBINC/ iGNiSPRINKLER/DEMOLITI�N <br />ClTY OF EY�R�Ti PERAAIT SERVICES ' <br />3200 Cedar St., Everef�, WA 98201 4as�a5�-8��a FAX 425-257-8857 www.�ver�ttwa.org ' <br />e •� <br />fbr nerv corta�an: 8hvrt PlatAsubdivision Lot No. (attach copy of long legaf dssarlptlon) <br />t ��P �(� � I e �d iY� Phwte/�rnall �^f'2��.5� 1 — �`j � � S <br />�� <br />O� <br />�VCi� <br />� <br />_ Owner _ QwnEt's A�ent � Cor�ir2�Dr � ConhartofS AgenC _ Teil&i1t (muat providc a bmmr uFconswu Rwn dw ownacm do v�o�1c m tln. speo+) <br />n/" C1�C' GC�ILI J Stat� Lic_ # fi[!/t <br />� i � f iCit�%ii.� � D d PhonelEmail (� <br />CO A FO <br />Phnn�/F�lv4 C �/1 + �/ {li <br />P��NflT APRL1C4TlON <br />E�dsting 13aa of Building <br />PWC,E OF WORK <br />rsed Use of Buifdin� - - -- — -- - ---- � <br />ng fype: � Singie Famlly _ Duplex Townhouse � Mu1Et-Femily _ Cammecc;�f <br />of pro)eCC New Addl�oq Recnodel Repalr T_I_ Sigri SbKinkiei <br />GR1PTfON OF WORK (avnrtional apacae pruvided on t�e baarcl: . <br />� s�. u�. � 0 53 <br />� wGi r�1 ���� <br />r . <br />� <br />JRC�: <br />Qtt�ef " <br />Chanae of Use <br />�2 : ��. -� 1��� � ���-�- ��;���sJ <br />�e n�� ��e � c� � <br />1CAL P�RM1T APPLICATION <br />df pe'Oj$C� _[�few Aticfn _A�grgtion �fZepeir <br />— air handiit�a units <br />Number <br />BiNC PERMYi <br />of ProJec� �Vew �Addn �ltoration �patr <br />Gas <br />t hereby c�r�fy, msc t nava raed end exam�ned f�ls epplNa�lon and satvw ma sama w ae oue and eomect. ae pmvislrns of rsvrs ar�d crciinanaas govaming i�isiype oFwonc w� ee aompf <br />wllA whether spatlryeQ heiain ar rwt fie grant�g of a psimR anes not P�me to gNe autllnrtly 10 Vio3atB or CaE1cW ttl@ ptov{Sion of eny Giilu StaUo ot 10001 IavV rogcdat�elq totiSUut�o:t <br />Thet 1 em au by tha owner o� yds pcoper�r t rm the work tbrwhidi app�rinn Es maae ana I mmpy wgh tne Stale �rtkattors L0w 18.27 RGW atltl 2B62oQA WAC. <br />�� � s <br />Ow1sBNAut�Orized Agettt S1g re . p <br />(ReNs�d 9201a} <br />