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• <br />i <br />P�RMiT /hPPi��GQT10N <br />BUILDIIVG/MECHA�IIC,�4�IPLUMBING/S1GN/SPRINKLER/pEMpLiTlON <br />CITY OF EVERETT PEFtM�T SERVlC�S <br />3200 Cedar St, Everett, WA 96209 �25-257-8$70 FAX 425-257-88.57 www.evarettuva.org <br />TE ADbRESS:�y <br />�Lp OlP Pt D"�� �� l�7 <br />iAX # - <br />PERMIT # <br />/� Ob�� o? � � � (� Z-�i <br />LEGA� for new coristructton 5hort fllaUsuhdivisfon <br />Lot Na. (attach coAY of tang Ie9A� dascxlpt#On) <br />dWNER �1 g4- L 0. r Cit Ph4nslE�rnAll �� 5. '�� `6 - Ci� n r <br />`Owster �Ownors�qent <br />6UILDING PERMIT APP�.EGAT�QN <br />_ Contraclor's Agant � Tenanl cm� aQ�ee a rmeQ. �r �r,a,,, mQ owne�m ao ��x;, u,R <br />Lic. # <br />e/E-mal! <br />/� <br />�`� 'G <br />al-p M i �. <br />c;cy a�s. ��o. � oa 6 <br />�8-�00 <br />Pwce of woRx o � <br />EXisting Use of �uilding <br />HEq7 SOURCE: <br />Praposed Use of suildin <br />�s �e��o Other <br />Buliding type; �g,�gfe Family _ aupfex Townho�se � Mult1-Famil <br />,! Y _.._. Cammarcial <br />iyf�e of prQl��- _ New AdtEition _ RemoQel Repair <br />X. 71 Sign SUrinkief D�q�iclon Ghat1 e o1 <br />� ESCRIpT'ION O � �K (B eJUons� �a pro�ea o„ � ' � <br />u-�-d`- � ���f �-r �'�,�-� �' � <br />M�CHANIC4L PERMIT <br />of Project: _New_Addn �qry <br />Show Number of �i�, <br />A!C , air ilend <br />Clothes dr�' <br />Range hoo� <br />�aust far <br />Neat pump <br />tini� t he `at�r <br />Boiler <br />Refri� eratiC <br />W�odstove <br />Duc-�._ <br />Other <br />Y -�^_ <br />1SUPPR <br />Number �f f <br />� `Repalr <br />use <br />PLUMBIN� PERMIT APPLICATION <br />oF Pro�cef: _Ftr,,, Ad�n �I1lterptios� _RepoIr <br />show Humher of fi��� <br />_ ( Toilet <br />& <br />wa�F►er <br />noar ara�ns <br />Medicai Gas <br />Othsr <br />' Other <br />! hg/�bY certiFy U�at! h�ve read and e�min¢d tii� ap�e�n and know yie samB �p 5a 4ue �nd corr�L ,qp <br />� whe�l,or atrecYft�w nerein or not The P�tons of FaWS and nr type of work wl9 E� comD <br />'tl e�anpng of a Derm�t doea noa a��me to giva auU�or;ly Go v1ob� or canc�l thc roYm��� aP � o��te or�u� taw <br />Tha 1 am auu,a�izea ny a,e own r or thls prnpenY � Pe�form �,e work ° `u` �u�cn,s �•,suucrion <br />whi appUqtion � m5de end 1 Comply �� �B �� �pntrar�ors Lew 162Y RCW and 299.ZOOA WAG. <br />� � � � <br />ef'�p�� zed Aqent si�nature <br />Date <br />(Re,�scd ar1o19) <br />