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SITE <br />� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/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 />fornewconslmctian: Short <br />� 12o6iuso�l VAAr <br />f0o S� �EVEkF T f��.+. Wp'T #.4 <br />PERTY TAX p <br />orl 800; o� o0 0 <br />x <br />_(attach copy ol long legal descriplion) <br />C�F� 3r3 — g¢oo <br />���Tr, wr� 9B 2�8 <br />4PPLICANT: Owner OwnersFgem Contraetor Controc�or'sAgent �,TCOdnI(muslD�oraaalecerolranseNlra�nmaoerxr�oOowoA�nmaspacu� <br />;ONTRACTOR State Lic. # City Bus. Lic. � <br />�tldress V y V Phone/Email <br />fENANT BUSINE55 NAME CONTACT FOR PERMIT <br />��p�i �'k�T 71/4N� alnfit, �u� <br />PhnnalF.mail i.� �r. a-�.z � z � 4 A <br />BUILDING PERMIT APPLICATION <br />PRICE OF WORK � �-Oi 0 <br />Existing Use oi Building �7h+L �p��,S�pu�( HEAT SOURCE�. <br />'roposed Use of Building �IJI'�l� � I�31�✓x Gas � Eiectric_ other_ <br />3uflding type: _ Single Family _ Duptex _Tovmhouse _ Mw/li-Family ,7�Commercial <br />fype of projecC New Adddion Remodel Repair Y T.I. _ Sign _Sprinkler _Demoldion_Change o( Use <br />DESCRIPTION OF WORK (add�6ona� space provided o� th,e back) : <br />�,F►,e,u�`( "{� c,NN� fi�fer'; uEK r�6 „�+�fPT (i�fFer °. r�fn c�sEiw�¢ S�A^rra.+ C� <br />le��� �'LO� i�6�N�� Dpofd` c� /1W CI) I►R�'�+v�t. 1^qLl� G FIJT�'(. <br />MECHANICAL P�RMIT APPLICATION <br />al ProJocl: _New_Atldn _AlMration _Repair <br />—air hantllinq unils <br />air <br />yi <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />o1Pro�oct: _Now_Adtln _Alte�ation_Ropair <br />Grease <br />Olher <br />Other. <br />I �ereCy cert�ty I�al I �ove rea0 antl e�am�neC Ihis ap0l:calion an0 know the same lo Ce Irue enE correct. All provisions ol laws and ortlinances goveming I�is rype o1 work will be comptled <br />with wAether specifed herein or nol. The granling o/ a permit does nat p�esume lo give authority to violalo or wncel l�e provision ol an� ai�er siate or loral law regulalmg wnsUuctfon <br />Tnat I am au��orixetl by i�e owner cl lhis property lo petlorm Ine work for xhic� appl�cation I5 matle unOl comply wi�h i�a Siaie CaNraclors Law 18 P7 RCW and 29610�A WAC. j/ <br />���/ <br />� v <br />°I�i � �3 <br />Owned 1 or edAgentSignaWro Dale (Revised3/.'013) <br />