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PERMIT APPLIC 1TIQN <br />BUILDING/MECHANI�:AUPLUMBINGISIGNISPRIMKLER/DEMOLITION <br />CfTY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA. 98209 425-257-8810 FAX 425-257-8B57 wuvw.everettwa.or <br />APYLICATIONS ARE ACCEFTED FROM 8 AM TO 4 PM ... L-- I� <br />ADDRE PROPERTYTA%p P�t MITI! <br />h`l , l. l.l IdVB�-:1-111(LU 1-il7iln��� <br />lor new construction: Short PlaUsubdivision Lot No._ (atlach copy of long Iegal descnplion) <br />� <br />Umer <br />19-1��-�� o� <br />YViY�Q CK�QaID <br />Agent _Contractor _ConlraclorsAgent �7enaM�m�eipo.�aooinm�orm�em��nunw.�o�mao.,oa��me.a,�e� <br />8 I �ic. # <br />��lJ�--� J <br />BUILDING PERMIT APPLICATION <br />Use of Building �,��/� <br />d Use of Building 1� ' <br />type: _ Single Family _ Duplex _Townhouse _ Multi-Family <br />project: New Addilion �Remodel _ Repair T.I. <br />iCRIPTION OF WORK (additional space provided on rhe 6ack) : <br />-T `(Z kGY� � �G Y1G.+'L-�- -�j y1 �SY� <br />MECHANICAL PERMIT APPLICATION <br />olProject: _New_Addn _Alleration_Repalr <br />Gas <br />/ SUPI <br />Number <br />of <br />PRICE OF WORK <br /># <br />Use <br />PLUMBING PERMIT APPLICATION <br />_New_Addn _Altnretion_Ropair <br />heater <br />Floor <br />Medicat Gas <br />Other. L105 <br />I �ereby cetlify Ihat I �ava maC and e.amineE Inla app6r�fion and know I�e simo lo bo trua antl mrted. Nl provcions ot I.iws antl aNinances poveminp this rypo ol wvk wW bo mmptieU <br />wiID whelher speofiM �emn or nal. iTu drantnp ol a pertnit tlons nol pmwmo to piro amhonty lo vo4ilo or eincel Ne pmvlsian oi airy allior slalo oi bwl Lrv reguNting mnstmction <br />Th I a auNontetl Oy Nn owner ol Nis properry to pertorm Ilio work for whitl� app4��tion is matle an01 mmpty �-nth Nc Slala Conlyddorr I.mv 18.27 HCW an� 290 7W� WAC. <br />IL L <br />�-- lo�i��13 <br />^ lAulharized Agont Slgnaturo Date (Revised 620;2) <br />