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PERMIT APPLiCATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everet��a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: PROPER7V7AXtl PERMI7a _ <br />�10 ik Ii���.l� :�a�;l� Lt,r.y ...�{C I� .Z�+6J��iCCUi'61Uc� � <br />LEGAL for ne++consiruction Shoh Pial/subdivision Lot No _ (at�ach copy o( long legal tlescri0tion� <br />(s ?3 <br />L�, �. IPhonelE-man <br />Cltyl5late/Zip <br />ANT: Ovmer OvmersAgent �CONractor _Ce�vanorsAgent Tenant��--:�c��:����iecero�co,se�.ii�om�•.e��.��en�a�„-..�oi^•,=c.,.�:� <br />ACTOR CFN� V�IF'2��Or' �i�rl C��� Ii��c L& I Lic. # CFMNFp cql, tCp COE Bus. Lia # <br />f ��� (fk)li .�ZDS. Kir�C�[uY� � Gl �a- �%bY`5-i PhoneiEmad �lZ)-�?LI-(1y _,��?.t�� (�%C'rA'�-f��r)Cf�- :OvL� <br />�ENANT BUSINESS NAME CONI Ac I hUtt rtr{pv i <br />�,� •�" ti l)�C+C�� �Cr����y .Lici'lk't �C/rd�y��Co.Ci-�iVACR_[�,t� <br />PnonelE-mail �t2�"�Z�' �ZiJ <br />BUILDING PERI'AIT APPLICATION CONTRACT PRICE OF WORK .S� �'G'Q CO <br />existing Use ef Buil�ing ! t` ��r���° r� � � (� i<i. � HEAT SOURCE-. <br />Proposed Use ot 3ui!ding �� �' Gas_ Eiecmc__ oiner ___ <br />Building rype� _ Single Family _ Duplex _Townhouse ��lulti-Family X Commemial <br />Type of project- NAw Addition Remodel Repair i� T I Si n Sprinkler Demolition_Chanqe of Use <br />DESC RIPTION OF WORK (adrlihonal space provitletl on fhe back) �. <br />!lv(�UJN� I�U��aC'!1 LvIL� L�.������Z'r �i�OCC.i IL�) TOr ((a1�i.iPYiid� T.1. <br />MEGHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />TypeofProjecC _New_Adtln �Alteralion_Repair TypeofProjecP. _New._Addn _Alleralion_Repair <br />Show NurnGcr �#1 0/ lixWrcs Show Num6w (KI a� �ixfwes <br />A/C — air handlina unds TOiICI _ <br />Range hood <br />Exhausifan <br />Heal pump <br />Unit heater <br />Boder <br />Reir���.ralion <br />VJoodstove <br />Ducting <br />Other <br />/SUPPRESS <br />Number of Heads <br />Kitchen s <br />Other. <br />� ...�.�n,IjIp9llhovarceJanUcsaminetllM1sapL'���a:on.� 1�.•.u:ill�r_� oiotcatwuanUcnrteclA!In�cvis�.m�solla�vs]n4oU�,�n[us,- , �n��IM1islvlcc—��v'.tn.compicd <br />. _.�:mrspecAie�hereinornol L�aprnn��.npolnprui��loc�, ni�.e-.� t�9m�minonlylorml.��eor �.ancrllnep�ov5ionolFlnyn•.c,.� .. i,raila:.r �i�.�����svucUan <br />� .: u0.or¢e� bY Ihe owner ot Itns Propei�Y lo I��ylo��n II i��.r k lo' � I i y P rn....n ,s �A�fe �m�i i�.cr 1'.1'-'. . o�tali. f.t •Va:.ro- , i �_':i::: .n I ._.- 1':q� <br />��� � � ' �l�_ 't <br />C-���` ��%-.-�� r ;=l-i3 <br />OwiTer/AulhGrizn:l Ag n� ffi9nNure I'.�Ie il�mv�seo 62U72� <br />