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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLIlMBiNG/SIGN/SPRINKLERlDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />6;� , APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM 2�/D` �Z <br />AI]�RESS: ` . „ _ , .� _/ fv���w(� PROPERNTAXN PF�2MITk <br />f/ / � 1 � - TI/1 �-' <br />for new wnslruclion: Short <br />_ Owner _ Ownefs Agenl _ Contractor <br />:rvarvl nuairv�aa���vm- I <br />� -3 T.�:�hnolayyS <br />UILDING PERMIT APPLICATION <br />Lot No._ (attach wpy of lonn legal descnption) <br />CONt3CtOf'SAg2nl _T2nan�(musipm✓itleaktmro�mnsemhomNaa+mer�oaov.vainma>pem) <br />I Lic. i: ' UE�/� n v rd�v� �� <br />3�� Phone/Email �� ✓ <br />VTACT FOR PERMIT <br />����H - �53-5��i-a��b <br />ielE-mail Y����✓uPh��(lE <br />NTRACT PRICE OF WORK � <br />UseofBuilding `��c�^'"'�� � <br />d Use of Building �' 3 TL -��"'1 LG��.� '/ <br />type: _SingleFamily ,_Dupl^_x_Townhouse _Multi-Family �r Commercial <br />. .._. _. . ,.___�.�_. <br />Bus. Lic. # <br />�� <br />.Iof�nwil �L1n9 <br />) . �'= <br />2CE: <br />_ Other_ <br />ianae of Use <br />of projett _ New _Hamaan _ nc���vu�� _ — - — <br />CRIPTION OF WORK (adtli�ional space pravldetl on fre back): . <br />CtL�G� l-LCwc�l2Yy��-Gen_�nuPj� /'Tvi(e� � �-%G�chehS�.�K�i3,'�aK�vrm , <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ofProJect: _New_Atldn _A��eralion_Repalr TypcofProjecl: _New,_�ddn _A��erelion_Repal� <br />cn�w Num6er /#I o/ llxfums Show Num6er (p) o!!lxfures <br />Other: <br />I!�.c � e9y ceM1M �hal l hova reod ond examined I�is applicalion and knmv No s�me lo ba lruo antl conect. All pmvisions ol Wws enC oNNances goveming Ihis typo al work wip ba complied <br />r. ¢li vd.al�e� speciGed hercin ot nol. T�a pmnlinp ul a Dertnll tloe9 nol prev'�na �0 0�'o uuthonry to viotale ar wncel lhe pmvision ol nny oNe� state or local law regu�ating conslmction <br />i rrd I am aulhoCd I�a mvncr o1Nls proDefty lo pMoim tho work forwhkn opplicotion b mndo anC ��ampy wAh Nc Slalo Conimclors Law iB.27 RCW and 2�3a200A WAC. <br />� � \� <br />J�-lL' �aol� <br />l Dale (Revised fii20121 <br />Owner�ulhorized M Igna�u o <br />