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� <br />� <br />PERMI�t APPLICATION <br />BUILDING/M�CHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 v�nv N.everettwa.orq <br />ADDRE55: <br />(orne�•+con5��uclion: Short <br />NT: ' Oemer _ Ov+ner's <br />T <br />PERtr11T <br />(altach copy ot long legal description) <br />\ COnIf�CIOf _CONfdCI0f5/�9C(1( _TEOdfll(mvs�pro�rlcaleP.erolmnsenllrcnl�oownerloJowo:Fin1�^spa:c) <br />BUILDING PERM�T APPLICATION <br />Existing Use of �vilding _ ��� <br />�State Lic. # <br />'ta�. / ��7U <br />PhonelE-mail <br />Bus. Lic. # <br />4zr ds7 6- 6. <br />��L ��5 <br />6-��ri <br />CONTRACT PRICE OF WORK <br />HEAT <br />Proposed Use o( Building ' � - - -- <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Femily,�_ Commercial <br />Type ol pro�ed. _ New __ Addlion Remodel Repair T.L __ Sign ___Sprinkler�emolilion__Change of Use <br />DESC RI PTION OF WORK (admi�onal space wovided on me oace) . <br />D�iic� ��7-/�'G .5�2� c�v�� � S �� �� G.�ls� <br />, <br />� <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _lltldn _Alleralion _Rcpair <br />. ShowllumGer(k)o/fixfuics <br />rVC - air handliny units <br />Olher <br />SION <br />PLUMBING PERMIT APPLICATION <br />Type o( Projeel: _Ncw Addn _Alteralion _Repair <br />S/rmo Numhrr 011 of lix(UleS <br />Ktic,hen sinK <br />Dishv+asher <br />Clothes was <br />Watcr heale <br />Sink (servic� <br />Dackflow prt <br />Urinal <br />Drinking Fa� <br />Floor drain <br />Grease Irap <br />Roof drains <br />Medical Gas <br />C�her. <br />1 nvreb/ ccibly Ihal I Aave iead on<t eram'ined Ihi, applicalion anA know 1he snme lu Le Ime ond rorrecl. All provi;ions ol laws and ortlinances 9ovemin9 �h.is lype ol woik vn'I be cnmpLed <br />vni� nfieR�er spenlled �e rein or nol. Tne ,ianlin9 0l a perm4 tloes nol piesume lo give . uR�oiily to vio':Ae or eancel Ihe provision ol any olhm sla!e a� local larv regulatin9 cnnst.�iclion <br />Tn ;I 1 arn nutho'n:e�y Ihe owne� ol i�is pioperty la perform Ihe vmd for v��ic� app:ic.lion L maCc an01 compty wil� Ihc 5!alc CoNracmis Lan 18.Y7 RCW nnrl .9G20BA l'/��G <br />�� - ��-�6 �� -- <br />OwnerlAuthori�cd Agent Slpn, lure Dale (Revacd 9/70�7) <br />