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P�RMIT APP�.I�A,TI�,r�l <br />BUILnINGlMECHANICAL/PLUMBINGISIGN/SPRINK�ER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 475-'l_57-8851 wv�nv.everethva.org <br />n <br />lor new consiruction: Shod PlaVsubdivision Lot No._ (attach copy of Ibnp legal descriptian) <br />F3- �.�0 - <br />_Owner _OwnetsAgeN �ontraetor �Cortrac;or'sA9ent _. ienanl(m:+iv.Tf-ee:euermconsemnomeev..-,erioev»��*mm��v�-�l <br />u�. � hn �a 23 2Si City [3us. Lic. # <br />i[ d. �,t r� 1f 5/.o� �j?��fnJ W�4 `%�3�(,�rnoneieman y-{ )' <br />�flr W,' � �'�Nt 1 <br />Phonc�-mail � / V <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK S—yd .a� <br />Existing Usc o! �uilding `7 � t� HEAT SOURCE: <br />Proposed Use of �uiidi,�g Gas � Flec�r;c __ Other_ <br />Buiiding ype: l( Single Family _ Duplex _Townhouse _ Multi-Family _, Conmercial <br />Type o` prqecl� New _ Addition _. Remodel _ Repair � T.I. _ Sign _Spnnk!er __ Demolition_Change of Use <br />DESCRIPTION OF WORK (aed+t�ona7 spacr pmwded on me bacx): S�.n <br />��PMtaUt O�� ��urh�[!7� ��4�!'�(9 cU/ (r�s �WHti(0- _�GSIc�� � � �uY <br />'i"�/ TWN yLR �-PH�K II-o\ t,1vF—I'V` rA''k. <br />MECHANICAL PERMIT APPLICATION PLI.'MBING PERMIT APPLICATION <br />Type of Pro�ect: „New�Addn �Alteration _Repair Type o( ProjecC _New _Addn _AlteraUon _Repair <br />Show NumDer (p) of �Aores Show i!umDer (p1 oI fixtums <br />A/C — air handling units T:��let <br />Atedical Gas <br />SPRINKLER / SUPPRESSION SYSTEM � O�hec <br />� Numhero(Heads O�hee <br />I heiehy ceiL,y Inal I Aavn rtad anU examineOl�L^. npplle�Lon ana knQH t�e sime !o bu W e and m�me1. Ail p�ovis!ons el laws and ord�nanees goveming IE`s lype of woik w I be rnmpl ed <br />w'h w�cl�e� spedfeJ heiein o� not. ihe g�anGng of a perm�l does nol presumc l0 9rve aNhonry to vloiate ar cancel t�e pmvision ol.�ny oltfe� slate or locai lav iegula'ing eonst�vcflon <br />That i am euthorucd Cy Ihc rnmer o11�is pmpciry to pedorm Ne work for wh��h apv�����on is madc nnd I<ompy x•�In Ihc Slite CvNmctois Law 18.77 FCIY and 296.100A WAC. <br />" Cy� �� (Revlsed aR015) <br />` � iz SIg� <br />� <br />