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PERMIT APF�LICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 425-257-8810 FAX 425-257-8857 www.everett�va.org <br />APPLICATIONS ARE ACCF_PTED FROfA 8 AM TO 4 PM <br />nnnRFSS• PROPERNTA%N PfRMIJ# _ � �„� <br />for new conslruction: Shal P�eUsutrdivision <br />� <br />_ Ownefs Agen� _ <br />_(altach copy ol long tegal description) <br />.�J3 3b'/S�YS ,���hry <br />� u.ri.t� wv e+ c1 Gc- t,� 5� .�o <br />_COnlfacl0Y5AgEid _TC'nant�nunpronleaknerofconsomnommoww.ermEov.orklnNespece) <br />8 I Lic. <br />Bus. Lic. # <br />iENANT BUSINESS NAME GONTAG I tUK Ytl<ml l KQ� 7/cy y d�< <</ <br />H/ Tr�, / <br />Phone/E-mail �,s.3 3 8/ 5�.� %i <br />BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK ---(���� <br />°xisting Use of Building S��� �� ��' fa���i�c� <%:�a/�i ^'�� HEAT SOURCE: <br />�roposed Use of Building .5��l�r� Gas_ [lectric� Other_ <br />3uilding type: � Single Family _ Duplex _Tovmhouse _ Multi-Family _ Commercial <br />�voe ot oroiect: New Addition � Remodel � Repair _ T.I. _ Sign Sprinkler_Demolition_Change of Use <br />�N OF WO K(addifional space providetl on fhe back) : <br />Sl��_T .��r if-S«%Tio�'; <br />C G ... <br />MECHANICAL PERMIT APPUCATION <br />TypeofProJect: _New_Addn _Alleration_Repair <br />units <br />of Heads <br />�nr e !„ � !' i, ,l7n/.-. %G_' <br />Y <br />,i z � i,.�� �-,.� ,�--��sr r, � <br />�-�G ,(Ji��L i7-x-L��:;% Y� /�-vr% <br />P�'_UMBING PERMITAPPLICATIqN <br />otPrejecL• _New_Atltln _Allerallon_Repalr <br />SYaw Num6cr (#1 0! lixtures <br />Medical <br />Other. <br />Olher. <br />I �creby certity Ihal I haw read antl examined Ihls appliwtion antl knmv I�o same lo be iruo end ronetl. All pmvisions olla�w nnd ortlinoncm gwemin0 �his rype olwark wiA bo complied <br />wdh �Melher spedf�ed herein or not. Tho Branting o/ a Deimil tlaes no� presumo Io Bire oul�oriry Io violale or cancel I�o pro�ision ol any oNer stalo or lucnl law mgulathg wnslruclion <br />Thot I am aulhonzetl byt�e ownerolthle pmpmty to pedo�m Ihe work fonvhkh eppticelbn le mudc nnC I mmpy wM1� Iho Stale Contm<lars Lmv 18.27 FCW anC 198200A WAC. <br />�!� /�-� � � - / �S'� -� J� I <br />Owner/A horfzed Agent Signaturo �ate (Aevised 6/2072J � <br />2 <br />