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.� <br />� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHA{VICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett. WA 98201 425•25'7•9810 FAX 425-257-8857 vnvw everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />40DRES5: , n_ . r �'d / /. i PNODENTYTAIfII VERMITk . . _ <br />rornewconswct�on Snon <br />No <br />PnonUE�maJ <br />IatiB[n CApy o� ICng Iegal ecunphon) <br />303 - I <br />0�.�+er O+mc/sAger� �Contractor CcnvactcrsASent Tenamir�.,�p�ac.u�.eve�rm,,.��rro�v.�e.nrm.aw�,.ncs:.n�i <br />�R �[ L 8 I Lic x$�u.le�,� 9/,5o,f coe e�5 ��� a <br />- �J C��ll.f t/(G�. �e'. �✓J c�ii'�% anone�Enad () �/G'��Q� <br />iINESS NAME CONTACT FOR PER n �/ <br />❑ncnelE�maJ �e�`^""` CJ((Q ��lO� <br />'o PERMIT APPLICATION CONTRACT PRICE OF WORK / Gn. O0 <br />Ex�Sdng Use of Bwltl�ng <br />Proposetl Use of BwlOin <br />type _ Single Family _ Duplex _Townhouse <br />�Auln•Famdy _ Commercial <br />T I Sion Sorinkle <br />HEAT <br />OF WORK (a0tl�0onai space O�avitletl on Me bacw� <br />,�% � �u.(1/ �[,w�" �-� ��1/�'u(-��/ <br />or vm�ecf _New __aaan <br />SAow NuarOo INI <br />ncater <br />Heat <br />APPLICATION <br />a�ion _Repav <br />PERMIT APPLICATION <br />ol Pro�M�. _New _Atltln _AltcraGon _Repair <br />S�aw NumDu !�I o/ finures <br />s washcr <br />heater <br />Medicai Gas <br />Olher <br />Olher <br />� Gercor ceMv Na11 nare rcae ane uaminea mis apoM1ralon ana wnowme samr �o ee we ana cartee al provisronx ol wws ana c�amances puve�+��o �nrs ryoe ol won wtl oe mmpi::o <br />+rtti wneNe� speuhe0 �erem ar not T�e Brpcpng of a De�md Cces not presume �e qne auIDonly io vm�aiu or �+nrv.i Ine Dmvrsion c� any otncr ;i��e oi iecii qw �egupLnq mn:vuuimi <br />I�al l dm auNortiey� M�er Of Nrs eM e Oedorm I1�e wM Ior.M.rl' ap0leNon e maEe anG I cemCN "^N Ne Slate ConVa�lo7 Larr tB P PCW an� 2952005 N�C <br />i/ /°Z// / <br />Ow er/A honzetl Agent Slgna re Da1e IRav�sea 5?or7/ <br />