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����iN►1T AP€'LICATION� <br />BUILDaNG/MECF!A?�9s:�i..1►^�..Uf11w'�:i`�;a/SIG�I/SPRONKLER{DEMOLiTION <br />Cf� 1' !�'r f:�!F �=.T?' h; F�UIiT S�RVICES <br />3200 Cedar St., Everett, WN 982C�� .` "57-uE:'10 FAX 425-257-8857 www.everettwa.org <br />SITE ADDRESS: <br />�I92S Evt/n�ter+ Wa <br />LEGAL lor new consuuaion: Shoh <br />CoMf as �`�.��'''n , <br />naaress /rnzo /{,�du�n <br />xa I PE�h7JT,�YO�_ <br />� �� <br />No._ (altach coOY ol long legal tlescriplion) <br />I/n npS PA� P• COirCqS ��il <br />tYk+n.�//�iynvS: -LS P�tSf- �z <br />e4�Gu..�. c.Di7 9emz- /3�r <br />_ Oxner ✓Ovmers Agent _ Conlractor _ CoNractor's Agent _ TenaN �m�;i cro.co � mnc�aim�:��n�am m� a��ono ao wn �n ino :o�=e� <br />XFi�,'�v �'�r�r� <br />BUiLDING i�ERMIT APPLICATION <br />Exisling Use of Bwlding <br />�ic.NPJU0�0 <br />c,,, �y <br />R �i�v �us. uc. a �% <br />G'/�(i�,. , �' Ct2rC.u�/COsad,[oM, <br />r ( -� �oG s'xf /O Z <br />PRICE OF WORK � / �S. DOO <br />d Use ol Building f�n�Gr � L_ <br />type: _ Single Family _ Duplex _Townhouse _ Multi-F�r.,�ly K Commercial <br />�roiect: New Addition Remodel Reoair X T.I. Sion Sorinkle <br />OF WORK (add�rionai space prov�ded on �ne Dack): <br />%t.ac.�f- iirt�/a/P�cP,c�—a� /��•'/ S���F •-i.cL�'�2.s �,<sf>vLFyt:,c of <br />/�� �Xi! r-� lion S, iA.`/��o/',�..� �i'S„���+s�—iG' �c-��f lCk1Ys� <br />MECHANICAL PERMIT APPLICATION <br />oi Project: _New _Addn _Alteration _Repair <br />�oilef <br />SPRINKLER / SUpPRESSION SYSTEM <br />PLUMBING PERMIT APPLICATION <br />Type a� Projecl: _New _Addn _Allcration _Repair <br />Show NumbcrlN) o(lixfures <br />Medical Gas <br />Oiher: <br />Other. <br />I hereby cenity I�at I �ave rodU antl examinetl IhiS appbCabon a�tl know tne Same to be Ime ana co��eci. All p�ovision5 0l laws an0 orUinan[es 9ovemin9 this lyye ol woik wul Ue comp <br />wnn wnelner specda0 nerein o not. Tne granung ol a pe�mn does no1 presume lo give autnon,y lo violate or cancel Ine provis�on cl any otner state o� local law iegWatin� mnsimcoon <br />T�atlamaut�or¢etlby eown�rol nupio0erryio 'eAormineworklorw�ic�a00�'����on�smaCea�Glcomptywrt�I�eSlateComrectorslawtB27RCWana2962001WAC. <br />OwnerlAuthorizedA ilSig a � � (Revised9/201a) \�� <br />