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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLI"fION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Fverett, �NA 98?_O1 425-257-8810 FAX 425-257-8857 t�n+nv everethva.org <br />ADDRESS: i -7_ -7 <br />�, ZQ5 ���...�-e� 1y i�� <br />1L for new co��suucuon. Short PlaVsuDdr+is�on <br />ER C�.'1 G�'�f0 �" ; i �S-'�t_ 11�� L�l :.. <br />nT�xp � i� ��li z- q�5 <br />LoI No __ Wttuch cop� ol long legal aesuiptqn� <br />�rna�l �1�%Jy�llri����`,�PV� <br />,aress ��cLl lL�.�-1 V `J ��U i �Cit,,S���C,Zip �.1-��Z Cl �;C` a l> ZL' J <br />�, r <br />PPLICANT:��Owrer _Gvmer'vpgen� __Conlrnc�cr _Conlraclor'SAgen� __ienini�-.:�o.�a���r�"r«���n•��.,�i„�..����r�osn.��•���^e.:.�-ri <br />State Lic n <br />PhoneEmad <br />PponerGr�a�l �ti.X,� - I�U <br />BUILDING PERMIT APPLICATION CONTRACT PRiCE UF WORK_ <br />Ex�sbng Use o( Bwiding __ F <br />Proposed Use of Bwlding_ Gac <br />�uJding type � Single Family _ Duptex _Tov+nhouse __ G1Wti-FamJy _Commerwai <br />Type of pro�ect � New �tld�t�on � Remcdel Reoar ___ T I Sign __Spnnkler __Cemo <br />OESCRIPTION OF WORK rr:cc�c�.�; sr �:cp a: �:�d , n rac,! �.l � u.� �;�7 ,{��,�, <br />J <br />MECHANICAL PERMIT APPLICATION <br />ot Projoct: _New _Addn �Alroralion _Repair <br />Show Num6ci(a) ol /ixfurcs <br />AIC - air I�andlmq uniis <br />� Forced air sysleins <br />� r � „��,,.,, <br />�97:71:1:1��:� <br />n <br />Number of hleads <br />Bus Lic # <br />T SOURCE <br />�dectnc Otncr <br />of Use <br />PLUMBING PERMIT APPLICATION <br />po of ProjecL __Now _Addn _Aitore�ion _Repalr <br />Show Numbcr /tl� ol fi+Nrrs <br />j Sno�;er <br />! Kdchen sink 5 di= <br />UisC,vasher <br />i Ciothes washer <br />' Waier healcr <br />Smk (servicclbad <br />� f3ac�llowprevenl� <br />Urc�al <br />� Drunina Fountain <br />� Roor drain <br />Grease iraF <br />' Raoldrains <br />r— Metl��a� Ga, <br />� O�her <br />� Olher <br />I I�eieOy cen.ty ICaI l[ave rWd on] e.am�neJ I�rs apphcalon a�a hnon' ��e same lo Ce Irue and muect A.il pm.sons ol laxz an� o'9marces govenung In s IyDe ol wmw ndl Ce cempLea <br />N 111 �{IICIIIN f'�lL�TQ P.CIP.O UI 001 �PE 9�dflll:'� C� d �lfffld �JES 001 pR5U1TC IO9rv! d9lh']l:ly �0 V.0!31C 01 CdOiPI II'.0 V�C�.i5ipfl j� dfl� 0'f N SIdIC Of !OC2� �dF fC§u�dl pQ :O�;INOif,ll <br />ihal I am aut�onicC Ey Ihe uv.ner cl l�u pmpetly l0 0�'orm iCe xorM Icr Nflc� aGPI¢anon is rna0e an� I cc���l� �,v •n the Sbie Ccnbac:rs L an i d 2/ RC N as� ]56 '_^d l4+•l' <br />6 <br />;ro,�se� �.; o,3i <br />