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� <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERlDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everetl, WA 98201 425-257-8810 FAX 425-257-8857 vrrnv.everettwa.org <br />for nen construcuan- Short <br />TA% p <br />No. (atlach coDY ol long legal descnption� <br />,��sl �c�3�1/a8 <br />LICANT: Ovmer O��nef5Fg0n1 Con�r���0� Coniid[fofSPgenl Tenan��mm�e�����eaicae�o�co-:cnt��omaeo.n�rtaaowc.M�nvv:ca:e� <br />7RACTORi7lnr.K 7�AlQ. ON�/�UC�iAa/ StateLic # qCKS� 9o/RG ���YB�S Lic # , <br />��y�Hf'/�ocU'% <br />BUILDING PERMIT�� <br />o,e� �, <br />ACT PRICE OF <br />Existing Use of 6udtling � <br />ProGosed Use of Bumm�g _ <br />�udtl��ng rype. _ Single FamJy _ Duplex _To•.vnhouse _ btulli-Famity _ Commzrual <br />Tyae of pro�ecl� New Atldition Rzmodel Repair __ T I _ Sign _Sprinkle <br />g� SCRIPTION OF WORK (aea�nona� space erov:c'edon rre oackl. <br />UC�'��o U4 ��'sv �,q �2�Jac E�� R r� lac ti�/�a.bJ 4 <br />d <br />MECHANICAL PERI <br />ol Pwjcct: _ Nc+v _Addn <br />Show Ilumbcr (a o! I <br />� NC—airl <br />I Forced air <br />i Gas PiP�nr <br />cxhaust �an <br />Heal pump <br />Unll hedler <br />SPRINKLER I <br />of <br />APPLICATION <br />_Repair <br />unds <br />E. <br />/ Demoi�;ion_Cnange of Use <br />s p�l� F� ��/fcJ JvR�� f <br />PLUMBING PERMIT APPLICATION <br />olProjccl: _New_Adtln _A�Icra�lon_Repair <br />Show Num6erlpl of /irfWes <br />Roor drain <br />h1ed�cal Gas <br />Other <br />I �CteDy ce�ity I�al I �]ve redtl J�C CaamiLrtl Ih�S a�D'�c.l;iCn and �noH I�P SdmC 10 DC IN¢ dn0 cerfCtt FII pfOv6�.on5 0l Idw: dnC ol�:nan[es 50vCfnin9 tllis IyOC 01 wa�4 w,ll CC COmpl,��] <br />wf�n wnCner speuf nerein or no1 The gra����9 of spertn � aoes no� pmsume to qlee awnonry io via�ale or wncel me prons�.on of any otner ;ia�e oi �oefl �av. regubLng co.�srvcbon <br />Tnal I am aNn ed �gine owner ot Inrs pmperty�qqurlorm me xor� ror wmo� appnw!�on I5 ma�e ar.0 I coTp�y �,�'�� �he Siate Cenuacmi: l�.v IB 2] RCIV an0 755:07A N� _ <br />� /"`�� — � �,s/,�oiy <br />horized AycnlrS gnatur� c� Da <br />�Revae03/.�0�3) <br />aaQ <br />