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( <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING�SIGNISPRINKLER/DEMOLITIO�J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Evereit, WA 98201 425-257-8810 FAX 425-257-8857 ww.o.everettwa.org � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM T7 4 PM 3- a�" �-� <br />ADDRESS: �7, <br />PROPERNTA%k PERMI7# O �O ` O <br />�. . . �c `d tiT].�Y-r L�C�G'.,7T ru.l- -c9�2C ( <br />lor nevr constmction'. Short Platlsu�division Lol No._ (atlach copy ol long Iegai descriptior) <br />�WNER /-C%„'n,�.� �% !�c`�!5/i1lG !7�.li�/c. <br />4tlaress �l�1, La'�U� 7vG' /�l%�i.// <br />APPLICANT: _ O�vner O•�vner's A9ent Contr <br />coHlancroR /.'(,�>i�� ��i71�C:c�1,/1iT�ic�� <br />4dcress .35?JG �i�;/�)if/�-'G. CE%!i; i%LC� <br />TENANT BUSINESS NAME <br />C.�� cqar,t!T -ilr.�'iliui/Y/ <br />BUILDING PERMIT APPLICATION <br />��.1�:� ,�iY.�,��f,�u <br />i./j'o " �r ) -� i /ZV� <br />G'C%"���' /T U�// l/J L}_� '. <br />COf11fdC10f5A92I1I _T��dO�ImusipmmEeaknarolmmentlmmNaovTrb�onA�nmespa:¢) <br />8 I Lic. # <br />lic. <br />T i99 /rC�i . ✓(C <br />'�ZS =�4^J �i-�f��'f/ <br />PRICE OF WORK f%SZ7l) !-Y,� L%r'C�/- <br />Ex�sting Use ol Building �� �� ��CtL''��•%�-� t�tt/ni s�uncc: <br />Proposed Use of Building N��i �l�,c %J/JIL/�/ Gas I� [leqric _ Other_ <br />Bwlding type�. _ Single Family _ Ouplex _Townhcdse I�Mui�i-Family _ C.ommercial <br />iype of projecC Nevr _ Addition _ Remodel _ Repair T.I. Si n_Sprinkler _ Demolition_Change ci Use <br />DESCRIPTION OF WORK (atlm�ional space provitletl on (he back)_��� ��J�G� � X�i� ii:�'(�, r�r.e:��� �� �S ����t� ���'�' <br />r.11-5�'(1� CiiSll��I•k-�J c-��d;a: ,2LniU,/r'G2� r.Sl(,/U�-iJG Ci/- /TF�ir�!IUCdl.�%(�.��,�if�%%t/t�F�t� <br />y <br />����rrP�� t�icsilua!� G. US i=Cc«� G�5 �i�J�:�m� ��:�iL �!- u�e� c��!lt"i/�e�'y, �/a��>P .�i:F��fl <br />T��, <br />MECHANICAL PERMIT APPLICATION <br />Type ol Project: _Nev.� _Addn _AlteraUon _Repalr <br />Show Numbcr (N) o/ lirfures <br />LER <br />lolhes <br />Number <br />PLUMBING PERMIT APPLICATI <br />o1ProJcct: _New_Addn _Alteratlon_Repair <br />Show Numbe� !a) ol lixfures <br />Other: <br />Other. <br />heater <br />i cercby cenry I�al I Imve read a�d e,a�nine� nns applica4on anu wnmv Nu sumu �o bu Imu and cortecl. NI pmvisions of Wws and ardinancef gw�m:np �h�is rype ol work vnil Ge con�^,nea <br />:,nn vRieuier speafied herein or not Tlie gmNinp al a pe�nd ooas nol prMume la Bivo aut�anry lo vialale or cancel Ino provision ol any oNer stale or local law regNaLn3 cmisim:t:u <br />mal l am uumon.eU Cy me »mer ol I'es pioperty lo pedorm t�a nork loi whic� appbwlion is matlo onG I compN �i�n Ne Slalo Contractors Law 1827 RCIV an0 P9o.2WA c•AC <br />�' =1 c3 -1�"-z���3 - <br />_:-� :�: :,;��� — <br />Cvn�erlAuthorizad Agent SignaWre Date (Re:��seo 6i2o1?1 <br />