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PE�MIT �,PPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wv✓w.everettwa.o;g <br />ADDRESS: �� /Q <br />1L lor new con,trection� Shotl <br />ER �,C.f M.UYc <br />raoNeen rnx a <br />No._ (�itach capy uf long legol Cn;cnption) <br />�i ��6a� � �/�9'�- <br />� �/e�eH- <br />�r ss g/CY1L �vo���ar vi w—f r� � z c ry�s�a�e2p , <br />PUCANT:_Owner _OwnersAgenl _Ccnlrector �ConlractofsAgent _TenaNf����:�o�+do�ior.r�iccn:m+c�r,^,c..reriomwcM�n�-o�pa:n) <br />0 <br />S� <br />/-�o�G- <br />BUILDING PERMIT APPLICATION <br />Use of Buildirg <br />d Use of Buildir <br />.� <br />Lia# ADV <br />Lic. m <br />T L-o N Gr- 1-�I f� � <br />!/t%t� ' C.� fT — 6'�% b'S� <br />PRICE OF WORK � ��d� <br />HF1�T SOUFCE: <br />3uildfng type�. _ Singie Family _ Duplex _Townhouse _ Mul�i-Family _ Commzrcial <br />� ype of project: �7evi _ Addilion _ Remodel __ Repair __ T.I. _ Sign _Sprinkler _Demolilion_Change of Use <br />7ESCRIPTIONOFWORK(addd�ena�spacep/ovidedon�hoback): r^�/-`� � L�� �, f <br />� �hc�,/� c_L,�o,�e�/ (��� m^ r�c� w�Y, 7�'7 <br />q,v� /� 'rit ov n-7� <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />otProJecl: _Ne+v_Addn _Altaratlon_Repalr <br />Show Numbcr (k) o/lixturrs <br />Water <br />hood <br />KLERISUPI <br />Numher <br />o1ProJoct: _New_Addn _Altoralion_Ropair <br />ShowNumbcrlpl a/�xfures <br />6athtu6 <br />healer <br />htedical <br />Other <br />I �creby cen:fy I�at I �avo �ea� an0 exammed Ihi , appFwf�on and 4now Ihe sam.e lo Ce live and rnrtect. AO provisions of laws antl o�e:wnces govcming Ihis lypo ol wo�k �nll be wmGl�ed <br />ni•.� ��nether speafed �ere�n or net Tl�a sranting o/ a penr�7 tloes not presuma lo orvo auNor:y to ubtaio er wnul t�e pmvision ol any cNer,tafe er laal iaw re5utm:ng cnnslm::'�cn <br />ihot I am au',�:n1ed by In. oweer ol lnis pm0erly lo pertorm t�^ wcrA Por w�ic� appliwLon Is ma�o anU I compfy wfh I�e State Lenlratlen La.v 1817 RCYJ and 296 2GOA K'AC. <br />�� �— s�a� I�� 3 /z <br />OwnodALthorizod Agen151gnaWro ..ale (Rovised3/20f3) <br />