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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 Pill <br />PROPERTYTAX0 r PER O 71 <br />ADDRESS: <br />/NUL 5E i 2 if Alhcc l�R <br />for new construction: Shml PlaUsufbldivislon Lot No._ (attach copy of long legal description) <br />�a•�zti C�M�.�� �C" Phone/E-mail 719' & Z; 7,ft4,4- 0 u=•Of""'� <br />I S'C5q{�C-'hsl t/ LP'� <br />C CilylStalo/zip -J�iWl .v j CA- -)Z L 1 Z <br />;ANT; _Owner Z6,v_.,ners Agent _Contractor _Contractors Agent Tenant lmmtpoweeawnxwtne epee) <br />leaer otcanscnumm eb ewnerroda <br />1 L a I Liu. # _ _ COE Bus. Lic. # <br />Phone/E-mail S 4 <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK US 3roCc <br />HEAT SOURCE: <br />'7 - <br />Existing Use of Building <br />Proposed Use of Building `— Gas Electric_ Other_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family Commercial <br />Type otproject: New Addition Remodel Repair �"T.I. Sign Sprinkler.Demoiition Change ofU: <br />DESCRIPTION OF WORK (additional space provided on the bac)r): <br />�y7Z.d2rNz �4��-AJ� 2 r�✓r"z2yv2 �-(YS c-L L,ie;izlt` <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATI <br />Typo of Project. <br />_Now_Addn _Allorallon_,_Ropnlr I Typo of Project: _Now_Addn _Alteration_Repnlr <br />Show Number (N) or fixtures <br />Gas <br />I hereby certify that i have read and examined this appication and know the some to be Into and Mucci. A5 provisions of laws and Ordinances governing this type of wolkvw be compbed <br />with whothorapecMed herein or not. The gronlog of a permit does not prasumo to give authority to violate Orr cancel the provision of any other stale or local law regulating comimclion <br />Thai l am eNhorizz�ed-bby 1!1 /.C/offtt/hhiiisssPropeM to pedorm the walk for which app!Ication is mode and l comply win the Stela Convectors Low 1e.27 RCW and 29620gA WAC. <br />e (Revised W012) l� <br />Owngk�thorizod Agent S:gnalula Date <br />