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� � <br />PERMIT APPLICATiON <br />- BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEAAOI.ITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257•8857 www.e erett,/wa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � l YO S( �OO,rJ <br />PNOPENTV TAl( U PERMIT p <br />SITEAC'DRESS: TL �v�.7 �...�....., � .�._ <br />�.�. _ � �— _.....�_.� � �_ / G�r_r�c-r� '7iz(�� I �lJO_%�OZ30Pi a'rTLTAT-+OT� <br />IornewconSlNtliort Short <br />S i K t-1 <br />(anach copy ol long legal descnpuon) <br />_Cwner __OwnefSAge�� �CO���dO� ContnctoYSAgent Tenanl�m.r.�c^�.�ae�i•-.rormn•+.u•v.��m�«^.�meo.�we*uo+o�Ul <br />IC. <br />T, <br />BUILDING PERMIT APPLICATION <br />L8 <br />BUS. LIC. <br />�M � L`( EC.� 9 �5 �{ZZ-3'�iZ <br />CONTRACT PRICE OF WORK <br />Existing Use of Budding �F�1 LF,,,r � <br />Proposed Use of Building OFF�L.F—llJ-4U2G4�k i�-5$. -�il$Ll <br />Building rype: _ Single Family _. Duplea _Townhouse _ MuIG�Family ,�Commercial <br />r____�.....�..,.�� tie,., e,�er,,., ]..RamnAPl Reoair T.I. Siqn_�lSpnnkle <br />PTION OF WORK(atldifionaispaccpmv�detlonfnobackJ: <br />MECHANICAL PERMIT APPLICATION <br />Typc ol Projaed _Now _Addn _Allcralian _Repalr <br />Show NumCor (q) o! flrfuro^. <br />� AIC – air handling units <br />I Fomed alr svslems <br />Number ol <br />ot Use <br />PLtfMBING PERMIT APPLICATION <br />of ProJact: _New _Atldn _Altcratlan _Rapalr <br />Shaw Numbar (N) o! �A'fures _ <br />Medical <br />Oihcr <br />i hereby ceNM mat 1 Mve matl end rlamine� U+� opple�;wn and know Ine ,amo b Oe We entl wrtecl All pmvi�an: o� iaus an0 aNmances qoeem!n9 iMs pDe ot work K+'i Eo campi�e0 <br />wN MMollie� sped�ictl �erei� ar rot TTe gmning ol a De^"M1 a0.s not p�xsume 109ne au;l�onry lo vlal�lu or Wnwl Ue O���p^ oi o�y otTm ilaie ur lae�l Inw mguLrtn9 ccnS�nuLo� <br />That 1 am au'hameA by O�e avmer ol Ni: O�oCe .ry :o oedo�n NC werk fo� w�� �OO�.puon k maCo ana I mm01y wl� Ne Stale Cani2nors Low 1827 ftCW a�E 296.700A wPC <br />gzl-t� <br />wncdAuthorizod A nt Sig aturc Date <br />(Ravisea 6/Z01 <br />iZ <br />