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PERMIT APPLICATION <br />BUILDING/N.iECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Evere�t, WA 98201 y25-257-8810 FAX 425-257-8857 wvnv.everethva org <br />SITE ADDRESS: ��� C <br />LEGAL :or new [w;!mUior Shod <br />owNeR G � G <br />:���ns5 ��� <br />APPLICANT: Owr�er t�0.� <br />CONTRACTOR / '�!/� : <br />��� IPnaa[anrnxn „//� <br />/y <br />ra <br />Lo1 No._ _ I�Itacn eopY cl long Icgal desenp;'..on) <br />Phenz/E�mail 2Ia6 - 34 5 " '� �/Q <br />CiIYlSI0tB/Z'.P f !1�/V � �J//4 � lL/�/i/UQ • �� <br />nCYSAgen1 _Con�reclCr _Conlractor'SAgCnI _TCnlnl(�vvn:rroaia-e�o�a-.�c-.incvt�oc..norico.,-rn�n+v;a:n� <br />L�c. # <br />c�er.ia�l <br />��' W-%% Ef` Phone/E-mail <br />BUILDI�IG PERMIT APPLICATION CONTRACT PRICE OF WORK_ <br />Ez�sting Use of Bwldiny p,� <br />ProGosed Use ol �wldmq /w ��� L � Ga= <br />Budd�ng type _ Sngle Fam�ty _ Dupiex _Toemh use __ PdWti- amily _ Commercial <br />Typ= oi pro�ec� New Add�tion Remodel Repair _ TJ. __ Sign _Sprinkler _�e <br />DESCRIPTION OF W ORK /atlmr.cnai space pror�Ced on rho Dac�:) <br />/�lEvi ,�I�G-L v/�V U �t%l,�i�'I� % <br />MECHANICAL PERMIT AP?LICATION <br />ol Project: _New _Addn _Alteration _Repair <br />Show Numbcr (p) oI /ixfures <br />rVC — air handling unds <br />I Forced air svstems <br />ra <br />Und hea�cr <br />SPRINKLER / SUPI <br />( Number <br />Gty Ous Lic. � <br />%�0 <br />HEATSOURCE <br />_ Efeanc _ Otner_ _ <br />o4tion Change af Usc <br />PLUMBING PERMIT APPLICATION <br />olProjCCC _New_Addn _Alloration_Ropair <br />ShowNumbcrlp)o(lixfures � <br />Shoxcr <br />s wasl <br />healer <br />Roof dtains <br />tJedical Gas <br />oth�r <br />Olh_r <br />Ine:e�ycendyl�atl�overe�Ean�e.em�.nedlhi;apo6canonanCAnewt�esamelobeweandcavetl Allprovispnscllax:-anncmr.ancesgovemmgmis;yCeclwoAmil�ecemp��,eE <br />h;n w�el�cr sDecRetl neie:m m �ot. Tbo g�aN�ng cl a petmil daes n,l presum: lo grm au;�ctny ;o noL�le or wncel Ilte pmvrsion :^^+ ol^ar stdle or Iowl law re;:ulalina wnslrumm� <br />irai I am amnorucG by �ne ohner ol i��s prope�y to peAcrm ine xo�k lor wfvc� aGD��W��on is m�Ce an� � compry xt� t�e Siaie Comracloi�:,aH 10 ]7 RCW an0 136.d7A WAC <br />t.� L <br />��,,�, -� ��-�-�� <br />Ow,�.edAuthari¢ed Agonl .,� ature Oate (Pemsed?✓d013) <br />