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,. r • • <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8&10 FAX 425-257-8857 �wrw.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �-13 —I � <br />40DRESS: �p PROPERTY7A%p p pr.ni�rpa _. •-/�'-p <br />Z7�. t'/" C. _...Lf �.�/'""" .f3-�->n . ��4ni_nll'i <br />farnewconstructian: Shart <br />. :Suf ���.. i.. <br />�ZC� SF E�rlel!-. <br />ANT: _ Owner _ Owner's Agem <br />°55 � Y6 </ .,� ., loQ�.ti (� <br />ANT BUSINESS NA E <br />E���za� b��' s�.��l4u�, <br />BUILDING PERMIT APPLICATION <br />No _(atlach coOY of long legai tlescr�pl�on) <br />__ConlraCtoiSAgent _TBnBni�mustpmneoaicnerermnsemirommeownenoaov.erw�nmespau� <br />p <br />COE Bus. lic. # <br />-e <br />,.5 c: �r <br />z�6G�7YRSI -ti-t�cysf.,—�c <br />PRICE OF WORN � G�i OU. OU <br />sling Use of Building HEAT SOURCE: <br />�posed Use of Buildmg Gas_ Eiectnc_ Olher_ <br />ddinq type: _ Smgle Family _ Duplex _Townhouse _ Multi-Family ,� Commercial <br />�e of project: New Addition Remodel _ Repair T.I. _ Sign �Sprinkler _Demoiition_Change of Use <br />:SCRIPTION OF WORK (adoitional space proviaetl on tne baca� <br />Lus�-a�� �;� ���ve55;�� s�5 «,,, o� �-yP�� G[<'kc(�<K V.o�� <br />g .e,r dru�:�,� s. <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />of Projecl: _New_Addn _Alleralion _Repair <br />Show Numbcr (#) ol firtums <br />1 A/C - air handlina unils <br />usl <br />heater <br />INKLER/SUPPRESS <br />� Number of Heads <br />of ProjeU: _New_Addn _Alteration _Repair <br />Show Numbcr /#1 0l /iztures <br />Olher <br />Olher: <br />I nereEy �cniF/ Na1 I �ave rcatl ana eiaminea Ihls apDl:Gtion ana know Ine samc to Oe Imc antl �'nrteG. All pmvismns oi Iaws an0 ora:nances govemin9 I�is lype ol woA wiJ Oe wmpLetl <br />wi,n wAeNer speGGeU �erein ar nol. TTe granting ol a Dermd Uoes nol presume to give auNonry lo vlolate or wncel I�e prorbion ol any alner slale or Iof21 �aw regutaling tonstruclion <br />Thal I am aultlonZeG Cy I�c owncr ol Inis pmpetty to pertortn I�e work Iarw�iG� appliw6on is maCe anA I CAmON w'�� ��e Stale ConlrJclars Law 18 27 RLW an0 296100A WAC. � <br />� ���1$r20/ � � z <br />OwnedAulh�iize�l e/ gnaturc Date fRevisetl fi20121 <br />0 <br />