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PERMIT APPLICATION <br />BUILDINGIMECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett, WA 98201 425-257•8810 FAX 425-257-8857 www.everet/iw�a.o�rrqy <br />APPLICATIONS ARE F�CCEPTED FROM 8 AM TO 4 PM -I �2l � � <br />ADDRE S: FH07FRTYTA%p PERMITp <br />�St�%� �Pa/P.,�1� t�ly�. �/eYafi" I/1�� CC.��392P�cx�►oolol /_ �3n� -OG� <br />br new conslruchon Snotl PlaVsuDdrvision <br />Lal No. (ailach capy ol lang le9al Cescnption) <br />1Xn-RI9 -R 77 i . �,.., <br />� <br />_Oaner VOwnefsAgeM _Conlraclor _ConUatlor'sA9ent _ienanllm�.ivomaae::�c�romemnmmow..�m�acownnme�parol <br />L 8 I Lic # <br />PERMIT APPLICATION <br />na:l <br />PRICE OF WORK <br />Exisling Use of Bwld�ng YJt'� f<ty�IVP�VIC� � <br />Proposed Use of Bui din9 � � <br />Bwlding type. _ Smglc Fa�m/dy�, Duplex _Townhouse _ M17ulli-Family __ Commcrcial <br />TYDC 01 Df01eCl' New ' AOddlofl ___ RCm04el ._ (1Cp0u ___ T L__ Sign __SDn�tklC <br />COE Bus. Lic. N <br />�ESCRIPTION OF WORK (aa wna�s aco rov�ccoon �ne kl � a'^ <br />7�ie addr�on a-��r� � o� v�ew I ��rv�c� s� � � 1 <br />�(� � a-�o� �'a�, Z'� �i i�c l�h � 5�!� ..� <br />MECHANICAL PERMIT APPLICATION <br />olPraJecl: _ New `"Addn _AltcraUon_Repalr <br />SAow NumUer /N) ol lirtures <br />AIC — air handling unils <br />forced air svslems <br />Numbcr ol Heads <br />PLUIri81NG PERMITAPP6ICATION <br />o1Pro�ccl: _Nev "Addn _Allcratlon_Repalr <br />Show Numbw /a) o/ /ixlures <br />Med�wl Gas <br />Olhcr <br />I hnnrLy �ePoty Nal I �ave irad:m0 e�unuieE IAr, upVlaatxm un0 Mnmv Nu aainu to pn Inia nnd canaU M C���w�aunv ui Inw� nnd aN:mneef qoveriinB U�n Irya ul r�viY. w7 Gu wmpLeJ <br />wn� wtmllicr sV�uLeJ Oc�cin ur nol. I�0 p�dnbnp o� a OertnA COH nnl pre,vme lo p m. ouV�.or:y tu vmLtla w cancel I;m p�or:un ot anY uV�ct :lala ur �owl bw �epo�U�y rnntW c!ion <br />I�at%�ut�nmr�Cylpoo+merol pr rM�oper/orml�wnrklorw�cnnppi:a!nnnma0oan01mn�yywN.NeStateGam�a•innL.+wttl:lNCV/an�19�1n�AWn�1 <br />% <br />S <br />/ i <br />Ayenl <br />�„I <br />(Hev,cANZOi.) ��� <br />