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� <br />r'1 <br />u <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett, WA 987_01 425-257-$810 FAX 425-257-6857 v,nvva everettwa org <br />// �i7-/y <br />AODRESS: ���� /� _ f �� /� J�_ <br />L—Ol ��� <br />�L br ��w w^�shuct:on Snort v�aVsoD��viron <br />ER 1`��1viD ScNu��rvlAr� <br />p <br />_ot No (altac� coPY of �ong Icgal rlescnppon�� <br />m��� �#2�-4Z2 •16�7 �sc�i�uer <br />,^.Jrccs ✓��!%1� ICity.�5tatelZ�p�vERc�l,�,4-�98.zo3 ( <br />PPLICANT: _Ow�cr _OvmersAgent _Co�!ractu _Cuntractor'sAgerl _Tenant;-,.:r,c.m.ue�a�deo�,sc,�•o��,es+o.,cro.o�,n���w�-.^i <br />� <br />Pho�c'B�mad <br />BUILDING PERMIT APPLICATiON CONTRACT PRICE OF WORK <br />Ea.�st:ngUsecfEiw�a�ng i�eS��cQL✓L�-e <br />Proposed Use ol 8uiltlmg Ga <br />Bua�mg rype� ,�Single FamBy _ Ouplez _Townhouse _ t�ulG-Fam�ly _ Commercial <br />Type o1 o�o�ect New Addd�on � Remodel Repair _ T I_ S�gn _SG��nkler C <br />DESCRIPTION OF WORK rayo,lio�a� saace p�ov��en cr• rne eacw) . <br />Bdt��m reM� <br />MECHANICAL PERMIT APPLICATION <br />ol ProjeU: _New __Addn _Aticralion _Repair <br />Show Number(aJ ol GHures <br />I A/C — au handhng �nds <br />I Forred a�r svstems <br />heater <br />ISUPPRESSION SYSTEM <br />Nur�t r ol Hea9s <br />Bu5 LiG # <br />cf <br />PLUMBING PERMIT APPLICATION <br />olPro�ect�. _New_Addn�Alleralion_ReDr�r <br />Show Number /MI ol lirfures <br />K�khen smk 8 tlisp <br />D�shwashcr <br />CIoI�leS w�ShQ! <br />Waier neaiei <br />Smk (sero¢elbaUm <br />6ackflow pieventer <br />Unnal <br />�rmkinq fouNam <br />Floor drain <br />Grease trap <br />F2oo1 tlra�ns <br />I�letl�cal Gas <br />Olher. <br />Olher <br />I �e�e�y cE�dy ��a� � Ire.e read ar.� e.am�.ie011� s app���=a'un on! knpH Ihr. sa� e lo L¢ I�oC a�d mrrep PII prows�o�s o� �awrs a^d o�d.naoces go�emmg tp s�yfe cl vm�k �e:'i F�= corpFe9 <br />wnnvfielbMspecAieO�erernorno'.TnegrammqolaDermtlOoesnolp2sumetog�veeWnn��yfo�.�sta=.rra-�'��'P�el ,._.�,�'a�y I.s,�d'cnr'-ol. ,�n:.'�rqco•�sl-„c'�on <br />Tne1 I am authontea by Ihe owner o' Ihis propeny lo Ordorm Ihe wmf. lor wn¢h eppi�cai on s r^a-^ r-n , .. v.'� �" c_.. ����' i a .. _, � �. _C iD:/, c, r.r <br />J���I�Y/)c�,��..a� ��%17���1�. <br />OwneNAuthorired Agent Signature Daie I��r,�,°e0?70t_7 <br />