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PERMIS' APPLI�ATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF E�'ERETI' PERDAIT SERVICES <br />320� Cedar St., Evereit, WA 98201 425-257-8810 PAiC 425-257-8E357 v�nv�v.evereltwa.ocr�gJ <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 Phi '-' a`� <br />% I l C � �1�L' <br />PERMIT;t <br />(orreweonsWclion: ShorcPlaVsubdivision � Lot�o._ (allzcheepyo(tongle9aldz=_cription) <br />t 1-AIdL {�r�ri,i�it`� �� Phone�E-mail ,y�'8� �f�/ � �2�r3 <br />/t;�✓%J ���i=•�ii"-G»'-) (�d,. f;il1'lSIatGZip L�.:ti.:�'t 'f� /D7�7 <br />ANT: Ov:n�r Ovner'sA9ent Contr�dr,r ConlraetorsA9ent Tenant;m���icro�:uo,i�:�mmo��s<rneoo�mo�.�n�rioeo��.=ri.,m��,�:^1 <br />ACTOR GUCRGRGI�N �`jTl}'j�r .St�tT ML'IA�- L& I Lic. ;a EvE�2�ss ozzoT COF Pus. Lic.:� �OiQS� <br />212D `t�A�C,I�I�- ��.EVE'RlSl7.t,JA 98201 Phon^lEma�l��(z51 2sz-3r�v <br />,...,., ..�.,...���..,.,.._ _ _ (�; �> z s�-�->v <br />����7A,�C� Yini1 %/.'Ntil/.�6 I��•�u: PhonclE�mail IIlll:� 9i��j/�Ik.Yi�CC'+`� <br />BUIL�DING PERMITflPPLICATION CONTRACTPRICEOFWORK ..��'%�k�`` <br />ExislingUseofBuilding %11 ������/� "''r�J�h`���S�r1��r-��� HEATSOURCE: <br />Proposed Usa of i3uilding �/1��� � �as�C [icctrb <br />Buildingtype: __SinyleFamily _Duple•:_To�;mhouse _hiWti-Family �Commercial <br />Type of projecC New 4ddition � Remodel Repair T.! Siqn Sprink'er_Demolition_ <br />DESCRIPTION OF WORK (eddilianal space provided cn;tlo back): - <br />, � �•�,/. ��./.�. bc�au^— �drYt+ r�rlsv Gl+4 Mv�7/ �M,: <br />�z��Gaeie�/` i f �r. �nEr v,�-,rs /_ <br />(�illt( /��'�� l•��'f"� �(." ��dl/i.� (�iiyl.� LCiStVd� ff'21/ Fe�G�-'J5H f�[/� <br />(_1�11'�t��� iJ�� c'�llr�ty <br />�%tYa% /�tCC�G'�i� <br />�?IECHANICAL PERMIT APPLICATION PLUMBWG PERMIT APPLICATION <br />or ProJect: _tJee,_nddn �Allemtion _aepair <br />ShowNumber/fJJ o/fixfores <br />I nlC _ air honr{lin:i iinit¢ <br />Ic <br />n� <br />/ SUPPF <br />Numher of <br />of ProJect: _�ew_Addn _Altentlon _P.epair <br />ShmvNumGer(�)oflixfures __ <br />i T��i�� <br />4 CIC <br />C <br />Medical Gas <br />Other: <br />� <br />I I��c mb� eenify Ihal � hovo rc:W and �.x�miaed Ih� : �ppl:ca!iva anA kncenho s�n'.e ln ha lm�� a�d cc�c:l. ial (ruvi;icns el lans anJ o:dinoneos Oovemin� tlils Iypo of ne�k :KII bo eompE�d <br />v:i�li nhelher cpeci5etl herein cr ncl. l ha gnNin9 0l a Pe; mil does not pre,ume to �i:o au:ho;i:y'u vi:I:,W or uncd Ne D�ovi>�on o/ iny olher slelo or loeal law m_guulinp conslnicP�cn <br />ihal l om amtmr(zeJ by Iho oemcr al lliis pmpeny to pertorm no t•mB forv:hich app:i:alian (s rr..do ond I wmpy ��i�h lho Slala CanVea�o�s Ls:i iB27 RCV✓ and 29�.ZG0f, l'�:AC. <br />•�-�•.�� �� � � i' (.� ZC�� Zt.sLL. <br />O�vnedAuthodz d A96nt 5(pnafurc �at�� (Revised ii2012) �(� <br />