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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMGLITION <br />CITY OF EVERETT PEf2M1T SERVICES <br />,/ 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-88.57 vntitiv.everethv org <br />! 7�� /�i�— <br />iITE ADDRESS: PROPERTV TA%k PERMIT N <br />(�r-t�' SF E� ,tf H II w� C�TI�w(�,Qs1c'e' � <br />_EGAL fo� newwnsVtction Short PlaUsubEivisivn__ Loi No._ (attach eop/ al 1on91e^yal desa.p:ron) <br />d <br />t�sla0 <br />� <br />56Q �cnvis��c�mo T. r <br />-�'S� � t� � e�b <br />_Qener �Oene(sA9enl __Cer(ractor _Canlracto/5A9ent _Tenant�r+�i;r.�aoa�r��aim-.,e^�rvan�neo.�:uao..,nnnns;.x.7 <br />7Pi C -Our-ra'61� <br />:o�� Nav� <br />NG ?ERMIT APPLICATION <br />Exis;ing Use o( Bwl�ing 1�Yt��� 1 ' V� <br />Lic # <br />Y�Y.� <br />�: G(L�-�i�]'� <br />PRICE OF WORK � <br />l �Proposed Use of Bwlding �a U�� �f <br />i <br />Butlding t7pe: _ Single Family _ Duplex _Townhouse _ M17ulti-Family � Canmercial <br />Type of p'o�eU�. New Additwn �i Remodel Repair T.1 Sign S rinkler <br />DESCRIPTIONOFWORK(nCt,reaa�spaceFrovI-medcqI �heo�ck); 1�,�,���r� F'„ �j:F�.. <br />lf.vP/� La���i /e � r rl�[�` IW��S� Vl4�i�1 W4��5 �fLWIr-. p�i5 i�r� <br />u„da4� F,4�; ���•�>, T�,��I .w l��ht�yl, �.ww< ��t ��jGt;:... I�„�� <br />�O��i�.�Q�w�.•t .�1�Qct� �F Fv��.f iw�. ��iv•r5� �S�'1�� trv i�5ii��ni `r. <br />MECHANICAL PERMiT APPLICATION <br />TypealPmjecC _New._Addn YMteration_Repair <br />Gi5 <br />01f <br />heater <br />/SUP <br />P9 <br />� <br />uc. u <br />W �IO�T�f�l.��. <br />HEATSOURCE�. <br />Gas Eiectrc__ Olher__ <br />D=molition Chan e of Use <br />a� �,a�lt :i i �i � �✓nti <br />I � UGr o ��t� <br />k,G��...�,, ��f� �.,,r�..� <br />�lor . <br />PLUMBING PERMIT APPLiCAT10N <br />_New_Addn �Altcration <br />Shnw Numbcr !pl o! (rfures <br />r.rFm <br />Medical Gas <br />Other: <br />I�ureCycertyJ�cli�avrrearlan�eiamme�t�uappP�il:onanOknowJmsame:o���t�ueana¢�ren Nlpinvt5ionsalla�.ranJorCm�ncesgovemmglfietypeclworkw.JDemmp <br />�.vU�e�eR�e:peo`�ad�emnernol Thegnn'ngulaperm�I�oesnolpresurnetoguea;�L�cn�y'ovblalenrcanull�aGmvlsonnlan�o;hor5ia�eorlawll�:iregiAahn9cans�mtlion <br />Thal I am dJimireJ Uy ¢e awncr of Ni5 pmpe ,ry Io pcibrm ;1c v�c�A Izr v.^�iJ� ap0 �'-m �s maCo ana I comp.') hn� ��o Stalc Coniraners L. w 1B 27 ftC W an� 19G 200A WAC. <br />__.F- -"'�� �y+--�' _ . -. = //�7�i�/ � l Z. <br />�w <br />wned u' oraetl Agent Signature at� (i.evisetl9201:) <br />