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� <br />r� <br />�J <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett, WA 98201 425-257-8610 FAX 425-257-8857 v,���rw.everettv+a.org <br />ADDRESS:� n <br />10� IICW C0�51�UC1i0❑'. $hOd <br />NT: _ Owner _ OwneYs Agent _ <br />rnx a <br />e <br />No _ (aflacl� ccpy o� long Ic9al tlescnpt�on) <br />.� /J7� r—� �c7 �'7 q O i <br />_COn!f2CI0f'SAJOnI _T0�Bn1(m�slp�:v�da�cYcrofa�;o-�,Po-,Inno..nr�ioC:woMv�mvspxc� <br />State Lic. # <br />F3us Lic. # <br />�2S--yyln - <br />�-{25 �yc�— i—��� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Use of Bwlding HEAT SOURCE- <br />Proposed Use of Bwlding Gas Elea��c_____ C;ner <br />Budtling type�. _ Smgie Fam�ly _ Duplea _Townhouse _ Mulli-Famlly � Commercial <br />Type ot project New �Addition � Remodel Repair _ TJ. _ Sign _Spnnkler _Demolilion_Change o! Use <br />DESC RI PTION OF W ORK (adoa�onai space prov�aed on me back/ . <br />Repl�w�b��y v�'- IVe� Q,�.-�l��Qow� �� Ck;sd;�S 8��1�'�� <br />MECHANICAL PERMIT APPLICATION <br />of P�oject: _New _Addn _Alteralion _Repair <br />Show Number (aJ ol lixfures <br />� NC — air handlmg untls <br />fan <br />I SUPPRESSION <br />Number of <br />PLUMBING PERMIT APPLICATION <br />ol Projecl: _New _Addn _Alleration _Rrpair <br />sink <br />ra�n <br />Medical <br />othe. <br />Other <br />h <br />I hereby certAy tnal I �ave rea� an0 erammetl I��s appbcabon anaY.now t�e same to be Ime anG couecl All pmvismns ol laxs enC o�amances goveming ���s type ol work wtl1 be compbeE <br />wit� whelner sDenheE herein or nol. Tne granting ol a DerTit Oocs nol presume Io give autnorfly lo viola�e or Cen[ci lne provis�on ol any ot�er slala or loC2� la�x regulelinq cpnsin¢Lon <br />11i�t I arn aul�cnteE by I�e a�mer cl lhit property lo peAortn Rw wo�A lo� whic� � ppi�wtion is ma0e and I cemply wtl� ihe Slale Convaclois la�v 1827 RC W ana 296 700A WAC <br />� C���,� c� -�a -�3 <br />Owner/Authorize� Agan� Signa e Dale lP,evrsed 3?013) <br />