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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, UJA 98201 425-257-8810 FAX 425-257-8857 wnvw everettwa.org <br />loi new constructron Sho� PlaVsuOCivlslon <br />: pn�,�J �� a�= c <br />htts !oS ���' SS <br />l 7 � IPROPERTVTA%u <br />HO <br />�� <br />7 <br />No. o'� (auacn copy of long iegal tlescript�on7 <br />ae,� ys �2 L'e.w�.;5* . klLz- <br />�JP.'Lt�W W% I FS ZGCS <br />Owner _OwneYSAgeN CONraUor _ConlractoYSAgen; Tenantl�o;i.o.,ocaicne�c�mn:emi�om�roc..nc�;oeo»�+.��,me�;.�s1 <br />�a �a, �c,,.� l.a�..�r 2G T(�o.:,,,A �� State Lic t! l.'At,JSd������ Gry Bus �ic tt <br />S7 <br />BUILDING PERMIT APPLICATION <br />PhoneiEmad <br />�/!f hf P� �QN � <br />,cneiE�mad l/- 23Ci- �(d' <br />ONTRACT PRICE OF WORK <br />ing Use of Building � <br />�sed Use of Bullding <br />ing tyFe� �Sipgle Family _ Duplex _Tc�vrt�ousa _ t�lulti-Family _ Commercial <br />of pro�ect. �Ne•++ Addition Remodel Repalr,^ T I. Sign _Spnnklei <br />CRIPTION OF WORK (admnor.ai space promtletl on 1ne back) �. <br />�� ���� <br />MECHANICAL PERMIT APPIICATION <br />Type ot Project: _New _AAdn _,Alleration _Repair <br />Show NumbCr (p) ol lixfwes <br />NC - air handling units <br />heater <br />Hea <br />Num6er of <br />ti. co.ucA.s t . .0 e-� <br />T SOU <br />,�. <br />ol Use <br />PLUMBING PERMIT APPLICATION <br />of Project _Now _Atltln _Al�aration _Repair <br />ShowNum6crlNJ ollixfures <br />Medical Gas <br />Olher <br />Other <br />I hereby cenAy Ipal I �ave reatl anE eaam�ned this appl:ahon anE knOw;�e same lo Oe Irue and mrretl All pmvislans ol laws onC crCmances govemmg t�rs lype ol woik �+'tli be comp��.M <br />w2p Hpciner spec,TieC netein or noi. Tne granlmg o� a pertnA tloes �ol p�ezame lo grve nvinonly lo viola!e or canrel Ine p�ouis�on ol any olner sldte or lowl law regulaLng wnsimclian <br />That I am aW�oniea by I�e owne� el t�is prop 1Y �o De�ortn i�e wod for w�ic� apPiicat�,on is ma0e an01 compiy wn� I�e Stale Loniratlors law 1B 27 RCW anE 296.IOOA K'AC. <br />�_� 6- i�- i3 `i2 <br />OwnedAuthorizcU A9ent Signature Dale lRemsetl 3407J) <br />