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PERMIT APPLICATION <br />BUILDIWG/MECHANICAL/PLUMBINGISIGN/SPRINKLERIDEMOLITION <br />� CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetriva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM Z� a.I `I � <br />S� <br />Icrnewconslruction�, Short <br />,ion SCY S � � T <br />F <br />����02 c <br />p <br />a <br />No._ (attach wpy ol long legal descnplioo) <br />- Z7� - 5ygy <br />_Ovmer �OvmefsAgent _Contractor _ConiractofsAgenl _TenaN�m�siv�o•boemacrorco�,Nnr�mw,o�,crmeowon��a:+p��1 <br />Col1Q.��. <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />d Use of Buildir <br />nJ (�. L 81 Lic. # VA�lJ�11�`JYN COE Bus. Lic. # <br />�Jl�—. Z O v PhonelEmai �l � �%%5 — �� <br />CONTACT FOR PERMIT <br />vl��� sot^.t�� <br />PhonelE•mail ��25-470-Co70Co U�G�Gis�on�'"` <br />CONTRACT PRICE OF WORK ,f� � <br />HEATSOURCE: <br />Building type: _ Single Family , Juplex �Townhouse , Mu�ti•Family �Commercial <br />Type of projed New Addilion Remodel Repair � T.I Sign Sprinkier Demolition Change of Use <br />DESCRIPT�ONOFWORK�addirona�suacenrav;qedontheback)i �� H��(os��� <br />"�Xpcc,u,{-�ai� o� e,�isi,� -s-c.�tu.u.� v�.�lv �uj�a�� �`�-f' S1° <br />�lct.ssrvowts, v�c.st-r�ovu � o-Fftic.c_ , ►2cyhvc,�u.s � �L ��,�- �cu.�-�-9ith�i <br />�A1,�1- 5�ul.e , q I�t2f'I�Di . W45 fuvn�iure Store �w� ��.rF <br />ill � <br />MECHAtiICAL PERMIT APPLICATION� PLUMBING PERMIT APPLICATION <br />Type of ProJect: _New_Addn _Alteration _Repair <br />� Other <br />SPRI1-iKLER i SU <br />Number of Heads <br />Type o Project: _New_Addn _Alteration _Repair <br />ShowNumbcr!#1 o/fi,rtures <br />Watcr <br />Other: <br />Fountain <br />I hereDy ceNry Nal l have read antl ewmined ihls appfication ond knaw Ne same lo Ee true anE cortM. NI pmwions ol Wv, anE oNinance� Baveming Nis rype ol woA wi8 be wmD��ed <br />xath whelher apeulieO �emin ar noL T�e 9�antinB ol u pertnit does nol D�esume lo BNe ouP�oMy lo vnWto or e�nul Ne D���sion ol any othei stato or bcal Uw rcguL�tinp conetructian <br />Tha� I am aulhonzetl by the owner ol Nis pmperry to DeAorm Ihework lar which appGcation is matlo and I comyy wiV Ne Slale ConUactors Ww 18.P7 RCW ��E 29o200A WAC. <br />-�- —5 ( �—l�%—l� `12 <br />ownrllAuthorixedA ��Si nature ale (RevisedY20i2) <br />� <br />