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r <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.or <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 7`�� <br />lornewconstruction: Short <br />No._ (attadi copy ol long legal descnptionj <br />�/ �... �nl� <br />_Owner _OvmelsAgent _CONractor _CONractor'sAgent _Tenantlm�•����aubro.roimnsemkanneww«mcowMmmawecol <br />� New Na,..� Tea,.-� <br />PERMIT APPLICATION <br />Existing Use of Building <br />I Lic. # STU "-I�C /� COE Bus. Lic. # <br />� PhonelEmail �Q6� p Z Z�' ,c0� <br />��TACT FOR PERMIT <br />M;�.� Ga��v..,h,�Ll <br />�e/E•mail �0�— d 2 Z-/1 ZV 7 <br />NTRACT PRICE OF WORK 1i �00. QO <br />Proposed Use ot Building i <br />8uilding lype: _ Single Family _ Duplez _Townhouse _ Multi-Family „�Commercial <br />T�•pe of project� New Addition Remodel Repair T.I. Si n Sorinkie�, <br />DESCRIPTION OF WORK (additional space provitled on the back) : , <br />M�H4�C��e Q� ;�f�/r .r.y.� . <br />AP P4ICATION <br />otProJecl: _New_Addn _Altarallon_Repalr <br />Show Num6er (pJ ol llxtures <br />i A/C—airhandlinounits <br />PLUMBING <br />ol ProJect: _New _Adtln _Altentlon _Repalr <br />Show Number fM) ol flxfures <br />Olher. <br />I hereby cehiy 0 et I have reatl ond examined Ihis application and know Ihe same 10 Ea We entl cortecl. All pmvisiom ol lavn anE ortlinencae Oovemn0 Nu NPe ol work vril Ea compfeE <br />wilh whet�er spttlfied herein or not. The B�nlinp ol e permlt does nol presuma lo B�e euthoriry lo vioWta or cencel Ne pmWsbn of eny ather alate a local law repula11n0 conswclinn <br />T�al l am eutho.izetl by 1he ovmer ol Nis pmperty lo perto�m tl�e work /or wliich eDP��� � mede entl I compy wth 1�e Stale Coniredon Lew 18.2T RCW enE 2BB.POOA WAC. <br />�%�� .i/�:�/�cu�, V �/� 7 � G <br />OwnerlAuthoriz°tl Agent Signature D e <br />(Revisea 62012) <br />l� <br />