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PERMIT A�,PF'LICAT60N <br />BItILDINGIMECHF�NICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 987_01 425-257-8810 FAX 425�257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM — �� <br />iITE ADDRESS: . <br />PROPERTY TAX N P RM jT� � <br />i�lc� %E F-���zH M�;il w�. 2Eo�lEocNet�cc <br />_EGAL for newconstmction�. Short PlaVsubdivision Lot No._ (atlach copy of bng legal description) <br />DWNER �v.rr'ti �'���� �LC PhonclE-mail (,�I4-'-lR2-lL'i�lU <br />4ddress ISIoU V��.t K�>��^^�� n-scc. <br />c�ry�s�atc2ip Lrv��.. � C A �7zL I� <br />pPPLICANT:_O�+ner O.onersAgent �Contraetor _Contractar'sAgent _TenantiR��s:o�o-.�aenier.e�cim�.srnieo��r�c�..��r�e-.:o��o•°.�°^��:,�:�i <br />CONTRACTOR .�i�'4vo.�Cr^ S�c .i <br />LLC L81Lia#.SI�U�+�-'"�L� 7. �f� COEBus.Lic.N <br />Address � �%t� 7%. /J4/ J��. .ivu�',"w . W�i �lG�OC � PhonelErtuil �'Gt- (,Q( ' � � 6 2 <br />TENANT BUSINESS NAME CONTACT FOR PERMIT <br />��:�.y �� <br />L I j Phone�E�mait Z�'t e9l'11�Z tC'�, le2A�l�-re...,e.•��.�c�^ <br />Y�li/��Yll/1�`t �L.l�i� �Cti�fL���l <br />BUILDING PERMIT APPLICATION CONiRACiPRICEOFwoRK� �lUS �'�' <br />HEATSOURCE: <br />Esisting Use of Building � f' � <br />� r .' Gas_ Eledric_ Olher_ <br />Proposed U-�•e of Building <br />Building rype- _ Singie Family _ Duplex _Townhouse _ Mulfi-Familyi<Commercial <br />Type of project: � New _ Addition _ Remodel _ Repair _ T.I. X Sign _Sprinkler _Demolition_Change of Use <br />DESCRIPT!ONOFWORK�addifionalspeceprnvidedonGhe6eck)' . , I t / ,m,y1`'-' <br />z..st..11 y avl. .. � t..'�_II Nlc.��rc.l !1/c.� .�:.r�. r�„�ns/ 1�.� t.. l C�,: i.z [.-,a.- <br />�.�r.il b7C:'.�1:�( �,fi�- <br />MECHANICAL PERMIT APPLI!'ATIUN PLUMBING PERMIT APPLICATION <br />7ypeo(projecL _New_Addn __Alteration_Repair TypeotProjecC _New_Addn _Alleration_Repair <br />Show Number (#) ol !ix(ures <br />Show Number (p1 0l lixtures r�.�ie� <br />healer <br />- Medical Gas <br />Other <br />SPRlNKLER I SUPPRESSION SYSTEM Other. <br />Number of Heads <br />Other: <br />I 1'.rreG y cerldy G ot I hdve redC and eKamined tn5 appl�.whon dntl knarv IIiC same Io be irue antl cotmc� All prov5iens of Ia�+S antl or��.nances poveming �h'�s tyVe oi �mM will CC cem:: e a <br />;��.�iv,�ethuspenhetlhere�,nornol.TheprantinpafaPe����d �°k�forwhicl�ap0���bo�smsdeantllcom��r�lhNeStateCor,rotorsLa+i18]7ROWantl,�Waln� V'AC� <br />cr � <br />�^. Y I am auinor�!ed �j Ilm owner of lh� pmpe tY �o Pe PN <br />�- , , �,�,�� 3 'l` <br />'�J � b t (Revised6L0121 <br />Owner/Authorized A9ent Sip�»ture <br />