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9 <br />.� <br />PERMIT APPLICATION <br />BUILDINGIMFCHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettws.crg <br />APPLICATIONS ARE ACCEPTED FROM 3 AM TO 4 PM _ <br />PROPERTY TA%q PERMI71 -/ �` <br />ADDREF S,PT 41.1Y. SUITe D ?t� ` v��� <br />for new constmcticn- Short PlaVsubtlivision Lot No_,_ lattach copY ol long le�al tlescnpLon) <br />H&R HLOri: <br />21 Et-0ERSON <br />ST LOUIS :•�� e3:•il <br />Ov.ner Ovmer'sAgent ^ Coniractor Contractor'sA9ent _Tenant�m..:>iw=�.��^�'�';��'c1coniiibP"0m,+,cioeo�K«.��mo:wui <br />iaHORIZOY RETAIL CONSTRUCL:O�7 L&ILic.#601_983^0•7�S COEBUS.LiC.# Jr� <br />L500 HOP.IZO;� DR, 51'i7RTEVFNT WI 53177 <br />H&R BLOCK <br />UILDING PERMIT APPLICATION <br />TRi+CYG'00RIZONRETAIL.COM <br />u2-Bo5-u?4� 7'RACYGsHORIZONnE:FlIi.CO?1 <br />PRICEOFWORK `�•�,o00.a0 <br />=_zisting Use of Building �IR �ALON � <br />H&R HLOCA Of'rICE <br />Proposed Use of Building <br />Building type: _ Single Family _ Duplez _ Townhouse _ Multi-Family K Commercial <br />Type of project: New _ Addition _ Remodel _ RePav �� T.I. _ Sign _Sprinkle <br />DESC RIPTION OF W ORK (atltlroonal spare prov�ded on the back) : <br />INTERIOR REN,ODEL <br />MECHANICAL PERMIT APPLICATION <br />ProjecC _New_Atltln '_A��eralion_Repair <br />Show Number (#1 ollixmres <br />i am — air handlina units <br />neater <br />Heal <br />Unit <br />1 <br />HEAT <br />X �„ <br />PERMIT APPLICATIOPI <br />o(Project: _New_Addn x Alteration,_Repair <br />Show Number (N) a! /ixtures <br />Nater heater <br />iink (5ervice <br />3ackflow pre <br />Jrinai <br />�rinkin9 Fou <br />=1oor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Olher. <br />I � ' rvumoer or neeuo — — <br />L.— <br />I heruby rortAy �hal l t�avc re•W nnd eeammctl ms ;�ppLcaLon m�tl k��orvfie same Io �e ime an� canect All p:ovsons o� IJvrs and ord�nances Doveming IYrs type olwoIX vn�l pe comOFetl <br />wi1M1 vA�ether spenLetl herein ar not The granting ol a pe�mil tloe. nal pre.ume to grve aut�any lo vialale or cancel t�e prov s�on of any ol�er slale or lowl Imv regulalinq consimction <br />Timl l am authonzed Cy the owner ol I�is pmpeny �o peAorm the work for vAr.ch aJPhca4on is maCe and I mmpy wit� We Slole Coniractors Law 18:� RCW �ntl 296 200A VJFC. <br />� <br />% ^ / /,�/�/ h� . � ! / ��j,������ ��'�-� (Revisetl E2072 � <br />wncrlAulhori etl ent Sie�naturc <br />