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��RMI�i APPB���s'�,'TI�� <br />BUILC�IraGIMEGNAIVIGAL/PLUMBING/SIGN/SPRINKL.ERID�EVIC�LIi'ION <br />CITY OF EVERETT PERMfT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-7_57-8810 FAX 425-257-8857 ��w✓w.e ��t�va:org/ / <br />% S <br />; Zc� l,(�LJ P E <br />fornewconstruclion: Short <br />_ O�,vncr's Agent <br />R <br />BUILDING PERMIT APPLICATION <br />Tnx a <br />-D <br />LoI No., (allach copy of long �e�al descripiion) <br />Phonel[-mail I.t�C �j�I�QIqO ��5�.hu+�e_j't'�`��1� <br />Cily/SlatelZip �� Pi"�'� W � 'j� — <br />Conlractor'sAgenl _TenantU^�:�Pmnaoaienercir.on:unnmm����c�nerioaowcanme:pa:e) <br />Slate Lic. 31 City Bus. Lic. # <br />Phonc/Email <br />CONTACT FOR PERMIT <br />Phone/E-mail <br />CONTRACT PRICE OF WORK <br />HFAT SOURCE: _ _ <br />Use o( Buildicg �"�,.,/�� � <br />d 11se oF Building �i' I� <br />type: �Single Family _ Duplex _Townhouse _ t�lulti-Family _ Commercial <br />of Use <br />IESCRIPTION OF WORK (addiliona�spacepro idedon me back): � fY ��� <br />� Q� � 0.G j JL G� � l e c..'�f � C� �(�-fe( �`1 P��" l <br />MECHANICAL PERMIT APPLICATION PLOJMBING PERMIT APPLICATI <br />ypeolProject: _1Jew_Addn _Alterati _,Repair I TypeofNro;ect: _New_Addn _.Alteralion_Repair <br />c�...�.. w�mhcrlHl 01 rxfufes <br />PRINKLER / S <br />of <br />O�her: <br />Olher: <br />I hereGy �etlily Iha� I have �ead and e.amined Ihis appHcation and know 1he ,ame l0 6e Irue and eorrttL NI provislans of laws antl ordioances 9oveming Ihis lype at work wJl be complicd <br />Tp+� 1 ara au!hoirz dehyhihe Iwner o'l INs pwpe�rty to pedorm �he wo k(or w�ich appilcation i^,�made an� 1 comply wlh �h PSlnfe Cont�actoi hLaw 18 27IRC W anCc296 200A WAC ��ion <br />� Dale (Revised �/2075) <br />IAulhorize gcnt5ignaWrr, <br />