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� � <br />PERMIT APPLICATION <br />BUILDINGlMECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vn•nv everetri�aa org <br />Iornev+conSlmcban Sl��o�t <br />� , > - �,� <br />ICANT: _ Uwner _ U«ners Agent <br />�RACTOR i]1 ar.K S�A� C <br />���/l'11�1.��� <br />aTv Tax n <br />�:o <br />(altach copy ol long legal tlescnpLon) <br />� ���-��a8 <br />� <br />Q_Coniractor _Contraetcr'sP.gen� Tf�dOi!�us:pro.:0raleneiUmnSeM��cnL^eo.reiioCo•on.nt+afpa:!I <br />ONJ��.UCridP� SiateL�;c r! qCKse 9oi,e� ��,Ya�s. ��� # , <br />�ye � ,�o�,°� , <br />�f��_ Phone�E�ma�l � � <br />BUILDING PERMIT �A PLICATION CONTRACT PRICE OF N <br />E�iSii�g U52 Ot Bu.itling <br />Proposed Use cf DudCing. <br />6wldmg type. _ Singte Famdy _ Ouplex _Tovmhouse _lfu8i-Famdy _ Commerual <br />Type o( prc�eU Ne�v Adddion Remodel Repair ___ T I. _ S�gn __Spnnkle <br />q�SCRIPTION OF WORK /aaa,r;onar sp3ce p�o��aed en me �acx� . <br />UC�i�oUti ��f�'s��Nq �R�JQc�..� �f�/acti �/�c,�1�J4 <br />d <br />otner <br />Demoltlion_ Chang? ol Us� <br />r /�n <br />�C 41��1 f�% /i��� /'V�.�)ac ¢ <br />// <br />MECHANICAL PER IT APPLICATION PLUMBING PERMIT APPLICATION <br />ol Pro)ecC _New _Addn Alleration _Rrpair 7ype ol Project: _New _Addn _Alleration _Repair <br />_ Show Number (b ot lixtores Show Nambrr (71) of lir(wes <br />� iVC - au handiing umts I To�Ie� <br />� Forced air sys�ems � Bathlub <br />j Gas fireplace <br />� Gas range <br />I Clothes dryer <br />Range hood <br />� Exhaust lan <br />�� Heal Pamp <br />I Unithea�er �il1nlqC <br />ler <br />cel�arOnop/Cic <br />Floor <br />ftoof dra�ns <br />Metl�cal Gas <br />Othei <br />� Number cf Heads I I I Otner � <br />i he�ety ce�ify ihal I n3ve �ea9 and e.am�.ned Ihu appVcahon an0 �.now ihe same lo �e Ime an0 mrrect All prov�vons ol la.vs antl ord•nances governin3 ��is IYpe cl wo�� wnt be mmpo•�� <br />wf.n H�e1M1er speUi^ nrrem or not Tnc g�an�ing o� ermil tloes ool p�esume to givc avinar:lylo ui:a!e or u��cel lne pmnsion cf any alner slatc cr bGl� law regula'n�g cons�NG�o� <br />inat I am a�i� ea �y,ine onncr ol in�s pw0e��etlortn i�e worA lo� w�kU appi2atmn �5 ma�e ana � compiy wu� me Siale COMracfors La.v iB 27 RC W an0 295 200AY1:.0 <br />� /�r �� �---� �f�/� /,�zo/y <br />Ihorized AqentS anaturc Da <br />(Fevised 3�70 t 3) <br />a�a <br />