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PERMIT APPLICATION <br />BUILDING/MECHANICAVPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETf PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwe.org <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: �� j ��vQ Y�V � 111 PROPERTYTAXq PER�II A <br />/ � /v I <br />for new conatruclton: Short Piaf/subdtvisioo Lot No. (attech copy oi bng legal desaiptton) <br />t C�(") � 1 n,(�2s ��T S. Phone/E-mail C►1 Q ro r�b�,c K a i�'2G�.1�1 • <br />6 �( S�Z2 <br />� <br />_Owner OwnersAgant _Contrador _Contractor'sAgent Tenant(m�mprorwea�asmramn+emawne+eaw�,armaoMaicmmasaa�n) <br />IR � S N 1•J Co'� S't• �rtQ. _ L 8� I lic. #�� No rt � r� q 77►`? Z coE B�s. ���. �� <br />� e 19 S t� st. su► �1�, w� q�/ss <br />N !A <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />r U iz d� /l�w - YDo�G/r�q • cc:-i <br />� 0 6 � 313- �"G �''r� <br />PRICE OF WORK <br />Proposed Use oi Building 1 <br />Building type: !„ 5ingle Famity _ Duplex _Townhouse ,_ Mu{ti-Family _ Commercisl <br />Type of proJed: New Addition Remodel _ Repalr � T.I. _ Sign ,^Sprinkler ^ <br />DESCRIPTION OF WORK (addnJonal space provlded on Me back) : <br />��v„��a— tZaC � S�f-r' J Cgv-���,! ��'�`vn S�Jl•�� �5 <br />1't�t.�.e/ GDfy[/%Dte�:Ur'1 5��1%1�'/e.S' - <br />MECHANICAL PERMIT APPLICATION <br />of ProJect: _New _Addn _Afteratlon _Repalr <br />Show Ntrmber (� of flxtures <br />��� n/C — air hanrllEnn unkv <br />Number of Hesds <br />� y, sav. �=- <br />HFAT SOURCE: <br />PLUMBING PERMIT APPLICATION <br />ofProject: _New�►ddn �1lteratlon_Repalr <br />- Show Number (!� af fbrfures ___ <br />Other: <br />Gas <br />s <br />• <br />I horoby ceAlry that 1 heva reed and axem6red thts appOcetbn ertd knexr the aeme to be trua end eorteq. AG pmvisrone of lawa end ordinencea govem6sp Nis ypa of wak w91 be comp6ad <br />wOh whethar apodNed aeM a rat Tha Srantln9 of a peimit daes not p�ewma to giue mMapy ro vldete or caneel the pmNsbn of erty othx atete a la�t �aw mpWat6ng eonstncetion <br />That I em wvna� of thfs property W perfam fhe work for whid� epp9eetbn b made and I oompy wOh the Stete Contredor� law 1B.27 RCW end 288.200A WAC. <br />��- 2u,�� ��� ro/G <br />Owner/Authorized Agent Slgnature Oate (Ravlsed e/2012) <br />