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• s <br />PERMlT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-9810 FAX 425-257-8857 w�.wv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2 5 t=.,a;�,:�e., w� <br />fornowwnstruttion: Short <br />J� C J� 5C Jt� i <br />O <br />AX p <br />v so rc�3a�;iuc� <br />(attach coDY of long legal descnption) <br />Si�N l�NT��N/L� j"x %y'z�7y <br />_U+ner _Q.vnarsAgent �Contractor _ConlractorsAgent _7onantlm�:�o��eaircrmrassMvmmmoo.�c��oeo..omm�esw�) <br />)NTRACTOR U�7�i� �" �%� eI���Oa L 8 I Lic. k <br />,ress ��iva � P/U� Gr/ l�Nhu.�h, �✓�. 9600i <br />NANT BUSINESS NAME CONTACI <br />C <br />X l–' 1 N i Z'�( Phane/E�m, <br />UILDING PERMIT APPLiCAT10N CONTRAc <br />Existing Use of Building <br />� � �r v. <br />���� <br />PRICE OF WORK -� �Y�OD `-' <br />Proposed Use of Building I <br />Building type: _ Single Family _ Duplex_Townhouse _ Multi-Famity _ Commercial <br />Twe ef nroiect: New Addilion Remodei ReDair _X. T.L _ Sign _Sprinkle <br />DESCRIPTION OF WORK (adddronai spaco providod on tne back): <br />—�- Li 5�t l l Iv 2-�.�'+ Zc T� t� u�ti :7 5 c: P � �y <br />MECHAPIICAL PERMIT APPLICATION <br />a(ProJocl: _Now_Addn _Alloration_Rapalr <br />SMw Number (pJ o/ flxhrrns <br />�� G/C _ air hanAlinn units <br />NKLERI <br />Number of <br />i(��'�.2\L\ S <br />of Use <br />PLUMBING PERMI'T APPLICATION <br />of ProJoct: _Naw_Addn _Altoratlon_Ropalr <br />Medical Gas <br />Other. <br />C b.N <br />I �crc�y ceN'y I�nl I �ave iead aM1 eaaminCA NG ep0'���on an0 know Ne samo lo Co trUe and wrte[I. NI Drovlsqn5 o14]w on0 ortllndnCes goveming t�b type ol work vnll �e comp'�eG <br />wah whet�er sDMil�eG �ercn or nol Tlie B�am�ng ol a pe�mtl Coes nol Oresumo lo gHe autAorcy to volam or cmcel tne provban ol any a;ner stalo or lor�l law rugulaFnp constmciwn <br />Tnal I am auMorved Ey Ihe owner ol� iis pm0erry lo pedarm I�e woM Ior whkh appllcalon's me0e and I comON �'Ni ��e SIo10 Contraciors law 1827 RCW an0 Y9G 200A WAC, <br />��/ /��i.�:rA�n,;.,.�, �'� � �' �°� � <br />Ownec! ytd ydAgan� Ignawrn Date (Rovised f✓1012J <br />/ / <br />