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� � <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDE;JIOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett, VVA 98201 425•257-8810 FAX 425-257-8857 ��n��v everethva.org <br />z � ,�.s% L[,�i�� � <br />loi new const�urlion Shod F�aVsuCtlrv:s <br />� . . <br />0 <br />FOPEan Tax u <br />No <br />p <br />a <br />(atlacn eoPV �f long 1e9a1 d�•seupbon) <br />I �c��' / loi1� <br />'LICANT: O�vner _Uw�e:shgent Coniratlor ConlraUof;;.gen1 lenanli�,,.�.c�c.:c��i�+rmrn�,r�.inonmoc•���i.eo.cn.�m��:ca<u1 <br />NTRACTOR �nr.K S�AI�. � ON, /ieUCri� Sta'e L�.c # QC/�� li %Q�R� Ctly �us. Lic. # , <br />. U. ��'�A.T i� � � � �? �Fr.onciEma�i <br />/ � I <br />���yeN��loU�_� . �{ a�; �-� Pha„P,E,��� ,P'K <br />BUILDING PERMIT �.4 PL �CA'1"1C3lJ — CONTRACT PRICE OF lM1 <br />Erisiing Use ol �udoin� _ _ __ _. __,_ _._ — � <br />�roPosed Use of Bw :mg <br />Bwldmg type _ Single Famdy _ Duplex __Tov+nhouse _ tdulti-Fam�ly _ Commercial <br />Type of prr,�ect. P:evi AadiUon Remodel Repair T I _ Sign _.Spnnkle <br />�SCRIPTION OF WORK (admno�ar soute p�ov:cedon mo �acw). <br />�.Ho�ti �,f,'s� N� G,,��JacE_� Rfp l�,cti �/oc� 4 <br />MECHANICAL PER IT APPLICATION <br />Type ol Projecl: _Nu��v _Addn Allrralion _ftepair <br />ShowNumGer(x olhrfures <br />� NC — air handiing umis <br />� foiced a�r systems <br />i Gd5 p�piny <br />I Water heater <br />�an <br />Otner <br />/ D?mohtion Chang=_ of <br />5 q�li f�% �/fcv� � <br />PLUMBING PERMIT APPLICATION <br />Type ol Projca: _New _Addn _Alteraticn _Rep. ir <br />S�mv NumDc� (M) o! 6YtureS <br />Clothes �.vasher <br />f loor diain <br />� <br />� Other � ��ied�cal Gas <br />SPRINKLER I SUPPRES$ION SYSTEM j Otner ' <br />� Number ol Neads � Olher <br />I ne�eSy cen�ty IM1aI I nave reatl dnn e.amheJ R�, ap;LWlion Bna Anow Ine same lo oe Irue ana mnecl �ii prowsrons ol laws and orJ na�ces gove�ning IMs type CI worF will b� mmF��.ea <br />N9n wnemer sDeoG \ ere.n o� nct. IDe granting ol erm9 aces nol F�esume io gi�.e auinoniy �o.io'a�e or ran�e� me pm��no� ol any o��"� staie ar �oea1 �aw regul�Yng mnsirociro� <br />/ <br />T�at I a.m auth etl oy,me owner ol inrs O�opeRy�qqedortn i�e worl, lor r.n.Ji app!�caLon I5 maCe ana I compi� ri;n me 5tare Ccmrapers La+v lB P RC�V ana I90 iW�1 WAC. <br />� /r �� ` �//�s/�o/y <br />fhorized— AacnlS�ahre D3 <br />(Revisetl 32073J <br />aa4 <br />i� <br />