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� <br />� <br />PERMIT APPLICATIC,N <br />BUILDINGIMECHANICALIP �LUMBINGISIGN/SPRINKLERlDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3'L00 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />fE ADD <br />jj -/t� PROPERTYTAXN <br />.E�7/e.�-� G�> <br />� <br />for new conslruclion: Shorl Plal/subdivision <br />� Lol No._ (atlach copy al long legal description) <br />5�3 S S u/ �tJc9/�ow <br />pNT: _ Uvner Owners Agent <br />4CTOR � f � U � � T . <br />,Sl�sO ()�f�AS� <br />' BUSINESS NAME <br />�S s�o��►•� � G � <br />)ING PERMIT A PLICA' <br />Use of Building <br />II <br />Conlraclor _CoNraeloPsAgent _Tenanl�m��ip�daeai�u�rolaw,scra���mmeawnermeowoamino:p�:e� <br />ON <br />/. S.t. � /U7 <br />CONTACTI <br />PhonelE-mail <br />Cily Bus. Lic. # <br />PhonelEmail �j/ �- Q� — 8yi <br />DR PERMIT <br />J�4n 2��,4.�s <br />,.��-_ c4�_�-viv <br />NTRACT PRICE OF WORK 6.7 �� <br />Proposed Use af Building � - <br />Building lype: � Single Family _ Duplex _Townhouse _ Mulli•Family _ Commercial � <br />Type of projecl: New _ Addilion _ Remodel _ Repair _�f.l. _ Sign ,_Sprinkler ✓Oei <br />DESCRIPiION OF WORK (ada�nona�space pm��pedon �he eack): <br />/�.e�r�ue rJaMr S�vr� -c�.4-lls d- Fl� �r r� <br />� �e✓r.a) <br />MECHANICAL PERMIT APPLICATION <br />of Projett: _New_Addn _Altcratfon_Repair <br />Shmv Num6e�(N) o/lixfwes <br />air <br />/SUPP <br />01 <br />PLUMBING PERMiT APPLICATION <br />of ProJecl: _New_Addn _Alleralion _Repair <br />Show Numbcr (N) of Iix(urrs <br />C <br />Medical Gas <br />Other: <br />I � Numberoflieads I I � `-""r'. ' <br />I nereby cetlllythal I have iead antl e:amined I�is appi�calion end knmv lhe same lo be Irue and correcl. All pmvisions ol laws ontl oidinances gorern!c9lhis IYPe olwark wili 6e camp!ied <br />wi,h whelner speciMd herein or no1. Tne graniing ol a pertnil does nol presume la give aulAorily lo violale or wncel lhe provision ol anyolhe� slate or local law iegulaling ���slrvclian <br />Tnal I a mhori:ed yme owner atthis pmpeny lo pedorR ihe xoiF farwnic� appliwiion is made and 1 complY �^�n �he Slale Contraclors law 1827 RCVJantl 196100A WAC. ` I� <br />2 _ 6 � ��� . <br />nerl ulhorized Agent Signature Dale (Revised 9/'013) <br />