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PERMIT �'�PPLlCATION <br />BUILDINGIMECHANfCAL/F'LUMElNGISIGfV/SPRI�JKLER/DEMOLITION <br />CITY 0I= EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-�;857 �vww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM T04�:�M �L- a�" �Z' <br />.,�..��eTvrnvx _ 1 PERMIT# _ <br />5i� �4 <br />lor new consWclion: Short PlaUsubdivision � Lol No._ <br />� QOAQ�XI.(i Y'.9�/i�i�L/ ���m�u� PhonelE-mail �{-�_ <br />F <br />� atlach copy of long legal description) <br />'D �� //l/3/I GU �� GiryiS�a�e�ap C�VCF�l.� rr u v <br />Owner Owner'sAgent �Conlrac�or _Contraclor'sAgenl TBnantlmustpwnooaienerotcoreemtmmmeoanerioaowon�nmespacel <br />L.�boe �.�d <br />ILDING PERMIT APPI <br />Existing Use of Building <br />TION <br />L 8 I Lic. # <br />$a�3 <br />360-�v3G-� � <br />PRICE OF WORK <br />PI COE Bus. Lic. # D <br />>ed Use o( Building — <br />�g type: _ Single Family _ Duplez _Townhouse _ Multi-Family _ Commercial <br />rf project New ,_Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change o( Use <br />RLjjP,,T�IION OF WORK /addition/al space p�pvided on thet�ack): I � s �-T � 2�_ �h � k P+ �" �c� <br />/�S"s� 3 wallr ii� 1�.�� `1'u tX/SN„'M p�v�0�.,.�lr�v <br />.� <br />drek@, /G� <br />MECHANICAL PERMIT APPLICATION <br />TypoofProJoct: _Now_Addn _Altcratlon_Repair <br />Show Number �p) o/ /iztures <br />I A/C — air handling units _ <br />Heads <br />PLUMBING PERMIT APPLICATION <br />olProject: _Now_Addn _Alleration_Ropair <br />Show Number (N) o/ (ixtures <br />Olhec <br />Other: <br />Gas <br />I her y cenJy Ihat I have read antl examinetl this appliwtion and know lhe same to 6e tme antl cortecl. All provisions ol laws antl ortlmances goveming t�is rype ol work wiil be complied <br />with w her speufied hereln or nol. Tne gmntmg al a permit tloes nol presume to give aulhonty to violate or wncel the pmvision of any other sta;e or local law regulating constmction <br />Thal � am au tm ,zed hy the owner of Ihis pmpe�y lo pedorm I�e work lor which appliwtion is matle and I wmply with t�e State Contradors Law 1827 RCW and 296200A WAC, <br />_ �I'L <br />ii-Zi-):Z <br />OwnorlAuthorizod Agont Signaluro <br />Date IRevised 620721 <br />