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� <br />� <br />PERMIT APPLICATtON <br />BUILDING/MECHANICAL/PLUMBINGlSIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8657 www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P�d <br />ADDRESS: 5"�= 1002-. PROPERTYTAXM PERAIIT <br />- _ ' _ _ . � n � )ohr-.�-�.-.� � �/ --i.. � C_ 1 �1 % i n� <br />for nevi conslruction�. Short PIal/suhdivision Lot No._ (alladi copy ol long Icgal descriplian) <br />��� <br />pv,ner O�:ner'sAgenl _Contraclor �,ConVactor'sAgeN Tenanl�mu:ic,-m;ecakr.crorccnsemimamac+.nerneouas�:uno <br />�ONTRACTOR CULTjEZZT�7C1�i 7IC"1NS <br />aadress �ZQ� ( 2'y,�� ��• �. Ti-�CI <br />Y— <br />lENANT BUSINESS NAM11E <br />X� I n� I Ty <br />BUILD/NG PERMfT APPLICATION <br />Existing Use of Building <br />I Lic. 9 <br />COE Bus. Lic. t! <br />CuF� ���N�� <br />�.,�� _ � ,_..-__,... <br />PRICE OF WORK <br />�sed Use of Building I "°'— — - <br />ng lype: _ Single Famly _ Duplex _Townhouse _ Multi-Fam�/dy Commercial <br />of project New Addlion Rerrodel Repa'r T 1/� Siqn Sprinkler Demolition_ Change of U <br />CRIPTIONOPWORK(add�Gona�spaceprov�Aedoniheback): S�JS1y,y,.�, 3 5E13 0� S^����`�y <br />�.:Wrv11nJP�=� Wi�l-� h1���5- <br />MECHANICAL PERMIT APPLICATIOIJ <br />olProject: _New_Addn _F.Itera�ion_Repair <br />Show Num6cr (#) o! lixtures <br />4IC - air handlinn unifs <br />he.ler <br />Olher <br />Neads <br />F7 <br />PiUMBING PERMIT APPLfCATION <br />ofProJetl: _New_Addn _Ntcratlon_Repair <br />Show Numbcr (pl ol IixNres <br />Other: <br />Other. <br />Gas <br />I hcreby cenAy Ihal l �avc rcad and examinetl Ihis applmallon and knoe+ihc samc lo bc bu= and mrtcd. Ail provisicns of laws and ortlin�ncc, yoveming Ihis iype clwork vrl!I bc eemp'�eC <br />vnlh wbelner specifed herrn or noL The granling of a Petmii Coe^. nol prcsume l0 9lvo authonly lo vialale or cancel lhe pmvisian of any aNer slale or �ouil Idw re9ulaiing co�;lmtlion <br />Tha11 am au0�orized Oyg vmer ol ihis propeM �o perform Ihe wark for whi:h ap� �ual�on is made and I cemply xnh Ina Slolo ConcraUa , I,aw 18.77 RCW xnd 2952COA W�.C. <br />� / L �YZ <br />�' � �� /2 3 /� <br />Owner horized Agent Signalure Date (Hevised 6/1072J <br />� �� 01� <br />