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PERMIT APPLICATlON <br />BUILDIN /MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERYIIT SERVIC[S <br />3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />SE EVfRETr �nA« <br />h7 <br />TA1f N <br />lor newconsVun�on S�on PlaVsubdrvivan Lot No _ �attach coDY ol lo�g �egal de5c�p6on) <br />I�fSA TCKRiD <br />; E. �a,.,x,e n,� Ic�ryis�,�erz�P Cirv oF �mar, e.� 9�"]46 <br />__Onne� Jl Ovmer5A9ent _Conlracicr _ConhaqoYSAgeni _Tenan�;,rus�n�+�-ereee.cimman�+cmnew�e•��no..cn�nn+s�aui <br />LiC # <br />TORRIi� <br />BUILDING PERMIT APPLICATION <br /># <br />KHT�E LAUfENBUR6FZ <br />�n'a.547.130o I�LAVF6JB�6e,zC�u�aecN.c .� <br />PRICE OF WORK I�vO, DOO <br />'.xisting Use of Buildmg ME2[dNT�E �RF-rQ� t- � � HEAT SOURCE <br />'roDosedUseolBwid�ng /�1EZtAN'7��E � �E'rs+�L Gas %� Eiecinc omer <br />'�uddmg rype� _ Smgle Fam�ly _ Duplex _Townhouse _ MuNI-Family LC Commercial <br />ype of project�. New Adddwn Remodel Repair X T.1. S�an Sprirkler �emoldion Change ot Use <br />IESCRIPTIONOFWORK(ade,hona�spacepm�,dedontneeack) JM�Q1Oz ��rv,�r�L oF MALL SPaeF, <br />IJ�N f1Y7vkE5� ��/�ISlif � L16HT�i`'�'� �'hC �. , <br />r <br />Type ol Projacl: _New _AEdn _Allcration _Reµtir <br />- air hanClino unds <br />heater <br />Heat <br />SPRINKLER / SUPPRESSION SYSTEM <br />PLUMBING PERMIT APPLICATION <br />olProject _New_Addn _Alteration_Repair <br />sink <br />Medlcal Gas <br />Olher <br />I pero�y cMCy Ihal I have matl ana e.. mineC I�if ap0��itnn inE knmv Ne same Io Oe We ana cortecl. All p�avuions al Liws an0 o�tlinancr.s povnnmB N�51y9e ol v.vd vrtl pe wmp' <br />w�m wnet�er sper.11cd Oerrtin or nm T�c gnnlmp ol a pertnn doef not presumc lo grve awhorrcy �o violam or emccl me pmvivon o�any oNe� staic ar weil law mBulaunB �^sVuctron <br />i�al I dm dut�onteG Oy li�e owner ol Nis pmpeny lo pe�form IM1e wo�t lor wb�tl� appL�lLon 4 ma0e anOl comp�y wiN I�e SLVr Cantractors Law 19 �] RC'�1 anU 796 200A WAC. <br />.a.�)���- D2 �Qy�S <br />O edAuthari c AgentlSignalure Dale (Rewsed9ROfa) <br />,/Z <br />