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�J <br />� <br />PER�i�iT APPL.ICATION <br />BUILDING/MECHANI�AL/PLUMBINGiSIGN/SPRINKLER/DEMQLITION <br />CI i Y OF EVERETT PERMIT SERVICES <br />3200 Cedar S:., Everett, WA 98201 425-257-£3t110 FAX 425-257-8F357 Unnnr�.everetbn�a.org <br />APPLICATIONS ARE ACCEPTED FROM19 8 Ah1 TO 4 PM — 12 —I <br />AfJL�RESM4./I�CnA ��fi— PROP[RTYTAHII/,I I/l�Z'� r/VL�IT�II��O�i <br />i <br />fornc�vwnstmdion: ShortPlaUsuhdivision Lr,:.i�u._ (allachcopYoflon9legzldesuiptien) <br />e ��-%2uccry <br />25�4 . ev:�r-c�Cr <br />-�SS^ -�i12' <br />IT:' O�vn=_r Ov+nefs�9ent Contracfor Con(raclofsP,yent Tenant�m�:�F�o��eo„��r�rm�o,:�•ou�omma��:.:+��meo�.o:n��ma�,a�_�=�� <br />roR GUCI�G�`s�+� 5'Tr�� �._��'t�� "t���– I_ P. I L:c. m` EVE�PCSS o?,ZoT COF Qus. Lic. # OO�I�}. <br />2(7/) (���%(�(L �U�,EUE{?.ts�'(,e.�q ��iZO{ PhonelEmzil ��2j� Z�J � "�}il�i <br />I tNAf� I tlUJiNtJJ fVHI'iIC `"�,•• ^"• ' "^ • �•...... � �s^M�� . 'a �,� <br />M �tcw C � ..�.- \ <br />SU �5� SeVV�� Phor.e/E-mail �2)'-252-3/i4" <br />BUILDING PERMIT APPLICATION coNTrucT PRICE oF WORf< �s� <br />ExistingUseofBuildirg T✓U C't���C � HEATSOURCE: <br />Proposed Use oi Building Gas_ Eleclric k� <br />Buildingfype: _SingleFamily _Ouplex_Townhouse _:Vtulti-Family �Commercial <br />TypeoFproject• Ne�+ Addition Rcmodel � Repair FI. Sign Sprinkler___Demolition__Change <br />DESCRIPTION OF WORK (add;fiortal space provided on fhe back): <br />(Z�R Z.�i TOt-1 N� QvarO W� F�i�N lzEF�lo�w uNt7 <br />MF_CHANICAL PERMIT APPL►CATION <br />afPrajecL• _New_Addn _A�Iemtion,�Repair <br />NKLER ! SUPPRESSION SY.c,TEM <br />oflieads <br />PLUMBING PERMIT APPLICATIUN <br />ofProJecL• _Nea_Addn __Altemtion_Repai� <br />Shoiv Num6cr (Y,) o( (ixlures <br />Olher. <br />Other: <br />I hereby eeniy U�at I have reatl antl examinetl IhL: applicalion anE kno�.v Uio samo Io be Ime antl mnecl. All pmvision, of laws and cNlnances 5oveminp Iliis typo o(work wiil 6e compFed <br />wilh wYethe� specif?d hemin o� nol. The pranling of a permif doe; nof presume Ia give aulhonty Io violalo o� cancel Ihe pmvis�on oF any olher s!afe or Iocal law re5ulaling �onslruclien <br />7haflamaulhon>.etl6ylheor:ne�o(IhispropeirylopeAortnlhcworkforwnichappiical:on4^madeandlcomplywiihiheSlaleConlrcloisLav1J27RCW�nd298200AN'AC. �� <br />�C�� 7-�1�-1� Z <br />, er lhon AgeniSiyitxWre �ale (ReviseALi7012) <br />