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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-6810 FAX 425-257-8857 www•ev c tiv' �0�9 �� <br />5}, <br />(or new construction: Short <br />��f Yt'� <br />3107 Co <br />Tpxp renm�� • <br />rLl 1 �^5— <br />I No._ (altach copy of lon9 legal description) <br />an �iv{5 — 303-1170 <br />:�o �Jer�-1-1 v�lA `ikaoi <br />_Owner _Ownet'sAgent ✓ConUaclor _Contrector'sAgent __TenantlmustporoeaieneroiconsemrmTmao«�rioaowonc�m`asvaca� <br />ENANT BUSINES NAMe �, � p D Y+�� <br />��/ere'tl- • -c uS � n� 'rn <br />PERMIT APPLICATION <br />� Lic. # f} Ll�l S r6 4.D E Cit Bus. Lic. # <br />b � PhonelEmaii �� ',j(� 3" 7�!o � <br />TACT FOR PERMIT — riG N1Q.y��QYCI <br />elE-maii �a 5 - 3 ° � --iia S� <br />iTRACT PRICE OF WORK ��DO. f%'% �Gi�i <br />HEAT SOURCE: <br />ExistingUseotBuilding K�.����'Y<<�n' '""`-""� <br />Proposed Use of Building 5� m e <br />ct S Ct hJJz- cas � Eleclric O�her_ <br />Building type: ,_ Single Family _ Duplex _Townhouse � Multi-Family _ Commercial <br />T pe of pro'ect: ✓ New _ Addition __ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />DESCRIPTIONOFWORK(additionalspaceprovidedontheback): Pp�: Qro�j2ct'�kaoi3�c� e.rrro%. L'ks�cmer <br />eX�s+in� •rde�e<-Hve ,s ���<<... .j.i�stal� ne� c��s -;'ur�vte.e C�us+Lri,:r s.�,p�/�e�1� <br />1ncl��s�J�- c,( `fi.r -Fc�e.�;n� �C�Cty�iitn5 re4u+'n �ir pl�enum� �`�1 P'%'"�, ,��,s T-ILIP� <br />��Ylh V� ��uc�e ��•^N �`CJr' ✓Oi�SL� S�ar')' v'}e'S'.}' YIE�I , <br />MECHANICAL PERMIT APPLICATION <br />ofProject: _New_Addn _,Alteralion_Fepair <br />Show Number (#) o/ /ixtures <br />a/(: — air handlina uni�s <br />PLUMBING PERMIT APPLICATION <br />of ProJect: _New_Addn _Alterotion _Repair <br />Show Number (N) ol Ilxtures <br />Other: <br />Gas <br />� NumberofHeads ' <br />I I�ereby ceM1ify ihat I havo read and examined this application and know Ihe same ta be ima and wrted. All pmvisions ol laws and ardinances goveming ihis type ol work will be camplie0 <br />vnth whether specilietl herein or noL The granting ol a Fertnrt does not D�esume to give aNhority to violate or cz,rcel the provision ol any olher stata ot lowl law re9ulating construc�ion <br />That I am author¢etl hy Ine owner ol Ihis propeRy to peAortn Ihe work lor w�ich application is meEa antl I mmply riiN IOa State Contrecmrs Law 1827 RCW an0 296200A WAC. <br />��C.Ldc C��/�cn/� �/16I13 <br />Ow�nrlAuthoriz � gont Signature <br />Date (Revised 3.2013) <br />