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4 <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vrNw.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: �Zo�f `�,���Dr�E �..D PROPERTVTAXk0C3������� _ PERMIT <br />M1, I�—�'?S <br />LEGALfornewconstruction� ShortPlaUsubdivision_ <br />OWNER �oN � ArJNf� /'.1.�E <br />Atldre;s %Zn / �WGI� ��L'E- <br />No._ (attach copy of long legal descriptian) <br />;, yLs—�{2Z-2793 <br />,E�F—�x� w'A - 9&'�s <br />APPLICANT:__Owner _Owner'sAgenl xCOnlraC�Of _Conira[IoiSAgent _Tenanl�m�s:crovi�eaieryerolccnsemhommoom:ei�oao.r.n�n�.espuce� <br />CONTRACTOR <br />� <br />BUILDING PERMIY APPLICATION <br />Use of Building <br />��S L 8 I Lic. # SuNQl� �S �C�� J�'! COE Bus. Lic. # <br />Wf1,. �6��� PhonelEmail y��7.+',�'���/�ZS— <br />CONTACT fOR PERMIT ����� �� <br />Nu <br />PRICE OF WORK ' 3 5� 9 <br />HEATSOURCE: <br />Proposed Use ol Building__ � �as__ Eiea <br />Building type: �Singie Family _ Duplex _Townhouse _ Mulli-Family _ Commercial <br />Type ot projecP Ne�v Addition Remodal D� Repair _ T.I. _ Sign ___Sprinkler __Demolition_ <br />DESCRIPTIONOFWORK(addiriona�spaceprovideuonrheback): ����G/NLt �AS FU,�.�Vl�`GE <br />IYIECHANICAL PERMIT APPLICATION <br />of Project: _New __ Atltln <br />olfizfu�es <br />of Usc <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alleration _Repair <br />Show Number l#) of firtures <br />Other: <br />I hereby certify thal I have reatl and e.am�ned Ihis app'�wlion and know Ihe same tn be Ime and cortep. Ail pmvisions o' laws anC oNinances goveming ihls type of xvrk vnll be mmpl:�etl <br />wi;h whelher sp:nfed h^rein or nol. Tlie 9mn�ing ol a pertnM1 dxs nol pmsume lo give autho�ry lo d�oale or �ancel lhe O��ision ol any olher slate or local 4�w regula0n9 consleuctbn <br />Thai I am authonzed e ovm r o( this D�Perry lo pedorm Ihe work larwheh applltalron is made a�d I compl�.+il� tlie St.le Contraclers Law 18 27 RCW and 29G200A VlAC. <br />� /1-25-/3 <br />Owner/Aut rized e tSignature Oa�e (Revisedfi/2072) <br />