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� <br />�ERMIT APPLICATIO� <br />BUILDINGIMECHANICAUPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evere � a.ory_ I j <br />� <br />S� ✓1-� <br />Ui <br />Tnxa <br />(or new construchon� Short PWUSuDGmsioa _Lol Na �� (anach ropy af Iag kgal desrnpUoN <br />��I �,✓-ltrprlS 2 ;Z. �C <br />l 3 I PF.�,.i-l-. e� 1-�.l�c <br />�o.u��fr. �dt�1 <br />en�Sl. . t�J�. <br />.ICANT._Owner OwncYsAgent Conhador _ConuadofsAgent ,�Tenanll�+P�+a'aeR�T�'^^aT01pO""-Tr000..oM��:'wsw�t <br />�RACTOR L' U Stale Lic. 7t UU�iST � Bus. Uc. # <br />PhonrJ[mail ` <br />\N7 BUSINESS NAME CONTACT FOR PERMIT �� r � N � M �{....P <br />�co 5�3 990� ' <br />a. ° �loolc�c �.t,� <br />�� I^/�/f5� �+'�P^/�5 � ��� phone/E�nail prr CM�hr�Ce ,...� <br />ILDING PERMIT APPLICATION CONTRAC7 PttiCE oF WORK fI � S�l� � d �' � J <br />Ensting Use of Building a��� ^� � � <br />ProposedUseofBuilding Jv 4� Sw�ti�w�c1� S�� �_ <br />Buildmg rype: _ Single Family _ Duplex _Townhouse _ Multi-Family �, Commerdal <br />. . ... ......_., oo..,...�oi Renair T.L Siqn _Spnnkle. <br />ot Use <br />DESCRIPTION OF WORK (addmona� spa_�p��detl on Me Aack) <br />ti i e �� �, ,� � e M ��. tz.�C .�Y � s�f- iti ) s p �-<-� E� S' e ro-e �-� a S�� <br />� �cJ e�,..s -�-��rQo-�� P��e e� �e� 4-- S� r-V � e-c d,,,.. � <br />5'�.�„ 1, w ic_ (n S f�.o (� � �. <br />19-���� e� Sew�-i=�- ,Q.��.t� �,Ji-Ft, y c96L.e� •�C��.�c�s,- �e��S:— �� P <br />uccNeMtCAL PERMIT APPLICATION PWMB�NG PERMIT APPL <br />ol Project _New _Addn _AlOeradon _Repair <br />/ <br />of ProJecC _New _Addn _AHvration _Repair <br />Other <br />Gas <br />Number of Heads ' <br />i �ereCY aMY tnat I �ava nvd and eum'inetl thu aC7Gcrtron anC kna.v Ne sime to �e We an0 mrred Atl pmv�srons ot Nws and or0inance5 9oveming inu type ai wark'/�n D� N�^P <br />�� wn�M,p�,.o{u..a e�ena . 7Te gre�nng al o permrt dces nat p��ume to 9rve authartry lo r�•e or nn�xl Ne pmr5on ot any oNCr st[ne or bcli MM' m9ula�ng construnio� <br />���tlamaut�orve6 Ne rotNs penybpeAorm�Im�wrkkrwhd�apP`'caC°^�maCeandlcompyvMNeSta!eConvadorslar1B27RCWan0236200AWAi.� <br />� \ ` <br />� 4 � a-�l5 � � <br />Owncr/Aul� aod Si aturc <br />Date (Revised J/1015) <br />