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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: '/ �^ /' - PROPERTY TA%# <br />PERMIT # <br />v0 5Eevvn a LUn a' Cs/A-ov-0.3�i-er, P,IZI <br />%L for new construction Shod Plat/subdivision Lot No _ (attach copy of long legal description) -Sw CA �t <br />IFR PhocelE-mail -�OfF - o; i l <br />s '1sf <br />no <br />_Owner �K_Ownets Agent _Contractor _Contractors Agent —Tenant (mg prmwa a letter or from me inner to ea work in the 11011i <br />iR T+3 D) L 8 1 Lic. # COE Bus. Lic. # <br />TENANT BUSINESS NAME .. Co,c sq�-tes <br />^I�rl+s�� al.Ciy PhoneF-mail �/AS— 40L- 7(_skg 0- 240re'- <br />BUILDING PERMIT APPLICATQ- CONTRACT PRICE OF WORK el. r3G0 <br />L HEATSOURCE: <br />Existing Use of Building + <br />Gas Electric_ Other_ <br />Proposed Use of Building—&Lal � <br />Building type: _Single Family _ Duplex Townhouse _ Multi -Family Commercial <br />c..a.,m+,r Mmnlition Chance of Use <br />)ESCRIPTION rIr "'i -------- ' �tviC+nc�-+ c. .✓. 1- <br />MECHANICAL PERMIT APPI-(CATION PLUMBING PERMIT APPLICATION <br />type or Project: _Now_Addn _Alteration _Repair Type of Project: __New _Adds _Alteration _Repab <br />show Number (a) of fixtures <br />Medical <br />of <br />1 humby unity that 1 nave read and examined Met apD5 atan end Anow the sama to be bue and correct. AN provisions of laws and omnancos govoming this type at work Willba complied <br />te or cancel No pm+ision of any over stale or oral law regulating conswr]an <br />with wherher specified herein or not. The granting <br />g of permit does not prowme to gate authority to viola <br />That 1 am aulhomed by the mirror of his property to perform the work for which application Is made and I comply wAli the Slate Contractors Lew IS 27 RC W and 296 200A WAC. <br />(Revised 67012) Vz <br />