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�ERMIT A��PLICATIO� <br />BUILDING/MECHANICAL/PLUMBIMG/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-IIfi10 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARF ACCEPTED FROM B AM TO 4 PM <br />\'EKCiItFFN �\'Al' STG. 105 <br />p�rnewcons:rucl�on S�ort <br />OWNER c'�� �\1D Devclapnlen� <br />ndaress (' I 1 13CIIC�'ue \1'ay SI: <br />ROPERiY TAX p <br />ZSIIA I 3002U230(I <br />Lol �o <br />(attaCh copy ol long Icgal tlescnphon) <br />425-�1>5-i609 <br />l�elle�ue. N'A 9SOOa <br />APPLICANT:_Owner � O�anersAgent _Conlraclor _fcnlnclofsAgrot TenaNim,.ii�.�...+...,�...,: : .,+•�.r,-.-,�.��„„..,:,o-,.�:,.-,:r,,...e,.��,�i <br />R �liller <br />iv3zi ��s�ni ,�ve nr:. s�re i. Ho�i,zu. w,� <br />Sikh l cmplc <br />q�i0R.671 •00 COE Bus. Lic. qK�tl <br />PhcnciEmail %i vJ " 7 7 S ��� Z2. <br />h�nduhl Fulkcnun (Cunncll Dcsign) •1_'S-G70-F,706 <br />Phonc:E�mad ��„���{-�hlKn'rnnnrlltireion i nm <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK _"� 11110 <br />�xisting Use of Bwlamg K 0��(�'_-� _ � \ HEAT SOURCE <br />PropoSetl Use of Build��ng_ �j����-? �'�)�0� �;�` ����'�1' e'J Gas Electnc Ome <br />Bwltl�ng type: __ Singie Family _ Duplex _Townhouse _ Multi-Family � Commerual <br />Tvne o` pro�eC New Adddion Remodel __ Repair _�_ T.L __ S�Gn __ Sprmkler_ __Demohtion s Change of <br />�ESCRI PTION OF WORK (ade�riona� space pro�ided on tne back1 <br />TGtiANT Iti1PR0\'F\1E�'l OF AN f�.XlSll\G OfPICE PC1R USE:\SOFFIC!? :1\U:\SSE�iBLl' NO IISTGRIOR \1'OKIC IS <br />INCLIiD�'D. INI�fiRIOR RFVOA4V�I'IONS AR[ �I'O IA'CLUDL AtlAOR INI'[RIOR Dk:AIOL17lON. �'f-�Y P:AR'fITIUN \VALIS. <br />fi NE\1' DU(_�R�CI1:1�GL' OF US[ fR0�1 UfFICB TO :1SS4 IRi.Y (APPRQ\.Z ��F FRON OfFICL I O:\SSfi\1f3L1' :\-31 <br />T�� t-r:� l'iE N,� tJi �C-.r� - , l�� � SF 1 <br />MECHANICAL PERMIT APPLICATION r PLUMBING PERMIT APPIICATION <br />ol Prolect: _New _Addn _Al�craiion _Repair <br />- av hantlhnq umis <br />ed au svstems <br />I Fxhaust fan <br />f Heal pump <br />Und heater <br />Boilcr <br />RChiGera(ion <br />Woodstove <br />Ductin9 <br />Olhcr <br />NKLER I SUPPRESSION <br />� Number of Heads <br />ofProjcct: _New_Addn _Alteration _Repair <br />Show NumberlMl of lirfurc5 <br />s <br />Medical Gas <br />Othr.r <br />Other: <br />I hereby certit'y I�al l nave read anA e+am ned IM1�s ap0�������on ancl kcab Ilv; same'a Lr true an;] mr:ncl 1� provismn; cl p�as:�n] crd wncPS govemin� IIu51y0� of wmk w��l Le romp'ir0 <br />wAhw�elttetspePLcilhere.norncl TM1n�rdnlint�ofa0��ml��c;n.Ip�C;u��elotfi�cdu!�on��lov:Pd'CarcdnCellheprna6anoldnyOlne�5latear:oWlidwre�WdLngC0�5Wclo� <br />TM1a11 am :wlhOn_eC �y Inc oHne' �'��5 pwOPrty fo D�„o�m t�c xorx lor w��ch app'��.cd`on 5 mp�c dnU I comply w�tn Ine Staie ConVdGors Law 1817 RC\Y dnd 296 200A W AC <br />'�� <br />7,Z�.��, <br />wner ut o zc Agent i ature Oate (Reviseo 6'20171 <br />