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'r'FRMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUNiBING/SlGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES �� �. ,S�/ -z <br />3200 Cedar St., �veretl, WA 98201 425-257-8810 FAX 425-257-8857 www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: Y` PP07ERTVTA%11 ERMITC <br />i-.5 �r �F FdC�lfx .?4111 I 1tl.i .�[t% _YJjlYJ04bl:�'„CG -- � l� <br />lornewconstmclion: Shotl <br />/) <br />__ Owner _ Ownefs Agent <br />No. (altach copy of long leaal desc�iplion) <br />�'d ��iCIA� Q��J ^ �i�oo <br />Contrac�or Comractor';Agent _Tenantim�sio���..aeaiene�o�cm:e�i*�mmeo•++e�ioao+oa�+„c•.c.+:ei <br />I Lic. # <br />C'�r y <br />UILDING PERMlT APPLICATION <br />Use of Building <br />Fif <br />(u�;�• y�, KlZ4� <br />rl l.¢'no�c�/A d <br />PRICE OF WORK <br />d Use of Building_ _ --- � <br />type: _ Single Famity _ Duplex _Townhouse _ Multi-Family � Commercial <br />......,.,.�. ni.,,., e.�n�r,,,, RPmnnel Reoar >, T.I. Siqn Sprinklei <br />of Use <br />1ESCRIPTION OF WORK /adtlitional spaco providee on iho back) : <br />. A <br />�,!�i���cl�� cF Ey�`T�tiC. SiRCd Tt� TniCu�OG 4) us� n�ar�il S�t//'���4- (��Lli�l (1(�M.»�ti ;��/UE�..; <br />Exu.4���i FA�N's fi��s� Ca�nS• <br />MECHANICAL PERMIT APPLICATION <br />of ProJect: _Naw _Addn _Alleration _Repair <br />3hnw Numhe�ldl allixfules <br />PLUMBING PERMIT APPLICATION <br />of Projact: _Now _Addn _Altcratlan _Repair <br />O�her: <br />Gas <br />I � NurrberofHeads I I i vu�e�. � <br />I M1r.reby cetldy Ilinl I have rea� anJ m.rtnmetl Ilus , ppl¢nliai nnd know Ihe sanw lo be Ime m�� carrecl All pmvisions ot laKs an0 onknances 9ovemmg this 1}pE oi-rvork wAI bo compi,e0 <br />xnn wfio0ier speo4pJ huiein or nol. Tlie 9rnnLnfl of a pennit Jaes nol presumo l0 9rva nuiliorily to violnlu a cnncel Ihe prwision ol any olher slaio or local law regulaling ean5lmcUon <br />�ha11 am nulho�ize� by �he oMner ol lliis propetly io pedo�m Ihe work lor Nfich apPhcai�m is made antl I comply w�th �be Slate Co�lr�ctws Law I6 27 RCW and 296100A WAC. <br />\. <br />� l � C � <br />� � � � � �i�2Y�'�' 1. <br />� �. ) P--- � �i_„�2 <br />OwnorlAulhorized Aqenl 519naturo D.11e IRee,md GQ0121 <br />