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s <br />� <br />PERMIT APPLICATION <br />F3UILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 95201 425-257-8810 FAX 425-257-6857 www.everettwa.org <br />S_o5-/� <br />' h�Tn�is � r�. ..... I � v._ .11 �_,�. _. hl II II� PROPERTYTA%q E IMI,T4 S'�^ <br />C � Il 1 1 <br />GAL for new [onslruclien: Shotl PlaUsubtlivision Lot No._ (attach copy o( long legal description) <br />lNER S,n`��C �� � 1 Phone/Gmad G � <br />Iress� �� 1 51 �� � I� Cily/Slale/Zip � �� DG <br />PLICANT:�(Ownet _OwneisAganl _Con�ractor _Coriraclor'sAgent _TenarA(a�vo�o�iaoamn�rmco�semeo,rm�o�„��rio <br />Lic. <br />a� <br />PERMIT APPLICATION <br />Bus. Lic. # <br />y���� <br />� y��3 <br />PRICE UF WORK Z OGY� . On <br />[xisli�g Use of Building <br />Pwposed Use of Bwlding__��1n�.�Lt� Gas <br />�widmg lype� _ Singir_ Family _ Duplex _Townhouse _ Multi-Fam�ly �Commertial <br />r....,,,.�.,.,.�e�� rao,,, nnn�r�� RPmndel Reoair T.I Sian�l Sprinkler 1 <br />DESCRIPTIQN OF WORK(addAionalspacep�ovrdedon(heback/' <br />j-ecP T��U�^MG-� <br />APPLICATION <br />olProjeef: _New_Addn _Alteration_Repair <br />ShOw NumAa (aJ ol (s(mes <br />nlr _ �Ir h�nrllinn unilc <br />1�1�i�irij%m <br />RISUPPRESSI <br />�o� Sr � 1 ln <br />PLUMIiING PERMIT APP <br />Typc ol Projeel: _New __Addn _Alleralion __Repair <br />Toilet <br />Metlical Gas <br />O�hcr: <br />Other <br />I Im�eOy ce�ity Rml I haw rentl nntl e�amine� i�l: aDpl:�ilion anrl Xnow I�e same lo be Inie and coircct. NI pmvi:ion: ol laws anJ oN�inance: qovemin9l�l, lype ol wo�k anil be wmpl <br />wil� wpelAer specdieJ herein or noL Tim grJnling ol a pelmil doe; nol presume lo pive aul�cnty lo vlolale or �incel I�o piovi;ion o/ xny other slalo or local law re9ulaling eon; W dion <br />TOaI onre + ne� �spfOpetlylopertofmt11Cw0iklo�whlChaDPP,calipnL^matlCdOtlleampi/vnl01�e51aloGON�aclmsWv�ID77RCWan42707�D4WAC. <br />/ <br />� S�S" � c� � � <br />, <br />.O ned�rixedA en �gnalure 1)ale (Reviscd'JR014) <br />