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� <br />� <br />PERMIT APPLICP�TION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.� vae`e31.or� � <br />n <br />2- <br />lor new construction: Short PlaVsu�division Lol No._ (attach capy of long legal description) <br />j <br />S�� � E� �n,41 V�-�..,,, �J� .,, -0'P� <br />W� �t�2�? <br />Owner _Owner'sAgenl Conlraclor CeniraclofsAgenl �Tenant�musiPmmaoaienero�mnsemwmu�oo.nerioaowaa�nmasv��) <br />.� Ct n n /i/I il ✓i' Slale Lia # City Bus. Lia # <br />fr���ppr...� CWC��ar� <br />LDING PERMIT APPLICATION <br />Ezisting Use of Building <br />Proposed Use ol Buildin <br />v.yas-�ia3- 3�33 CHr�s���-eG�e�.a. <br />(_.t� � , � , �. e_�tx�o.� axJ �«�.s. C�:, <br />PRICEOFWOR �\le0 ny. S,j������'�' <br />HEAT <br />Other <br />ling type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />� of projecC New _ Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demo�ition_.Change of Usz <br />iCRIPTION OF WORK (adtlilional space provided on rhe back): <br />5� c�n s��w �� ,+�o�� � Sep� d✓aU7w--� ad � cJ.a�� <br />��On-(rf <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ol Projocl: _Now _Addn _Alleration _Ropafr <br />Show Num6er(N) o!lixlures <br />G/C _ air handlino uniis <br />�� <br />Number of <br />Typo ot ProJecl: _Naw _Addn _Alloralion _Rupair <br />Show Number (N) ol Iixlures __ <br />Medical Gas <br />Olhec <br />I IiereCy ce�ily ihai I have reatl anE examinetl Ihu applicalion and Mnow Ihe samo lo be Ime anE correC. All pmvisions of laws pnd oidmances qovemin9 thi51y0e ol woik wJl Ge campbetl <br />wil� whether 5petiferl �crcin or nol. T�e qmnting ol a permit 0ocs nol prcsume lo glve aulhoriiy to violale or wncell�o pwvision ol any o1�er slata or laal law �egvlatin9 con:lrudion <br />Thal I am aN4onu0 �y I�e awner ol I�i, Droperty �o DeRorm I�a work (or which apDl!wlion Is ma0o antl 1 complywnh Ihe Sime Conlmctors Ww 18 z7 RCW antl 79ESOOA WAC. �� <br />L <br />rti,_ _ . � . � �e,. � � �-1231 � � ,a�����n �0,3, <br />OwnorlAuthorized Agont S ynaluro Dalc <br />�l� <br />