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( <br />i <br />PERMIT A�'PLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereriwa.org <br />ApPLICATI0N3 ARE ACCEPTED FROM 8 AM TO 4 PM �� a O'- I� <br />ADDRESS: C�/fJJJ�Q7i" PROPERNTAXM P RMITf <br />t� �� ns� r,r�G. <br />tor new constructlon: Short PlaUsubdivision Lot No._ (attach wpy of long legal <br />�..�.i., <br />w� <br />_Owner _OwnersAgenl �Coniractor _ContradofsAgent _Tenanl�mu�iponaeeisnerorwnsamrtwnm.ownxwao•ancmm.w�w> <br />8 I Lic. <br />ent Avb' ��S <br />Bus. Lic. # <br />�37�-5 <br />ss nwm� <br />Sha�-�n Gu t le <br />v�tv �rozen� Yy,�vr�' Phone/E-mail y8S�3��-�� <br />��e r wom �reT�nN coN7RACTPRICEOF WORK�e <br />Use of Building VALC ✓1 � <br />d Use of Building t C 0 <br />type: _Single amily _Duplex_Townhouse _Mu�ti-Family <br />ot Use <br />CRIPTIONOFWORK(edditunals ecepmvideContheback): },^y.G� t.( wct��S q� >> <br />� ( � �—,--�-_se�G�4---se,,�.,�.e—�rry.ar�f <br />MECHANICAL PERMIT AIPPLICATION PLUMBING PERMIT APPLICATI <br />ofProject: _New_Addn _Alteretlon_Repair TypeotProjeet: _New_Addn _Atteratlon_Repair <br />ShowNumber(M)olBxtures __ ShowNumber(M)o//Ixturns <br />Gas <br />Other: <br />L NumberofHeads � """'. <br />I heroby ceNly Ihel I have read end exemined thia app�icatbn end know Ihe same lo Ee ltue antl aorted. Atl piovisione ol lawe end ortlinanws 9a�eminp thla rype d work wiA Ea wmpfied <br />wit� whether specReE �eraln or nol. The grentlnP ot a pertntl Ooea not prasume l0 9Ne eut�orXy to vbkte a canoel the provlaion W any ol�x alris w bcal law iepuktmp conatnxtbn <br />7hat I em euthorized by I�e owner ol �Ms proparty to pertortn tha xrork for wh�ch applicatbn ia made and I tompN w�I� U�e Slete ConV�clon Law 18.27 RCW antl 29B.2oJA WAC. <br />� �/� <br />�wn�rlAuth�r zad A�enl Sl�neture Date (Ravised fi20f2) <br />