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�� <br />� <br />PERMIT APPLICATION <br />• BUILDING/MECHANICAL/PLUMBING/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 />_ao-�3 <br />SITE ADDRESS: PROPERTV TA%p P IT Jt <br />�.-�.. /_'.._ _ /L.., iri�ii-,nc.�niini-, n�n ( �JI n -. n�i l <br />lor new construction: ShoA <br />� <br />No._ (.ltach copy ol long legal descriplion) <br />Owner _Owner'sAgent �Conlraclor Coniraclor'sAqent Tenantlm�s�D�ohaea�enero�m-.�r:`ommoowner�oaowoa�ninnspaco� <br />_'f� .. i i. L...�— D. .._. P 1 LJ� ���i., i �� a �idVw/TOLJ9L/L/�P�!5 Citv Bus. Lic. p�%7y � <br />,:i�� " "' � t-_l�(I- r <br />_�7'I�-/nU/ ff <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existmg Use of Building <br />Proposed Use of Building �` <br />Buifding type: �Single Famlly _ Duplex _Townhouse _ Mutti•Family _ Commercial <br />Type of projecf. _ New _ Addition _ Remodel _ Repair._ T.L _ Sign _Sprinkler _[ <br />ESCRIPTION OF WORK (atlditionai space pmwderl on Ihe �atk/ �. TNS %H�-C., �/v �� <br />N�o�c-2, ,�,� P a�-� <br />MECHANICAL PERMIT APPLICATION <br />ol ProJoct: �New _Addn ,�({�Itoraiion _Repair <br />Show Number (NJ ol lixfures <br />nir _ ��, n��nr,,,, ��„��� <br />Water <br />Heat <br />� Other <br />SPRINKLER / SU <br />PLUMBING PERMIT APPLICqTION <br />of ProJect: _New _Addn _A�loration _Repair <br />Show Numbe�(N) o/.'ixfures <br />Floar <br />Medical <br />O�her <br />,hercUy cenily In�l I have maE antl ex�mined this appLcation �ntl kna.v ihn ,amo to be Ime antl cottecl Ali pmv�slon; ol li�s nnd o�tl�.nances govemin9 ��rs IyOe ol woik wdl ne compAed <br />wil� w�e:�er ,pen(�ed herein or nol TAa granlinp ol a permit �oes not D�esume lo qrvo aulhoiily to vlol, le or can<eI lAu pmvision ol any oNer :IOIa or local lan m9ul:tling con;Wclion <br />inai I am aut�onxetl by ihe owner oI1nL• prope�y lo pc�lotm Ino woik bt w��¢� appl¢ation is ma�c nnd I wmply wil� I�u Staic Contracbr; L�rv 18 27 RCW antl 794 4WA VJAC <br />;�'� /O 3D /3 <br />Ownurl uthorizedAgonl5lg ro atc IRn.visetlJ.'lOfJ) <br />