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PERMIT A,P'PLICP+TIO[J <br />BUILQING/MECHANICALIPLUMBINGlSIGNISPRlNKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 ��n^nv.everethva.org <br />rnx n <br />TG A <br />,� _7 0/ � � i f1 V C�- <br />LEGAL lor nevi eonstrr.clion: ShoA PlaVsubdivisian <br />Lol �lo. <br />NER <br />«,s <br />'LIC <br />NTR� <br />��v� ��i �:'i S �o <br />�/ (��4 � /�`'�— <br />(a;�aeh ccpy o� lang legal descrip�ion) <br />vlt.<�tf , G,-!9 �f ��'�' <br />O�arer _4�'�ner'sAgent _Con�racfor _ConlractoisAgent _Tenanic����;tp�a�:oa;cuer�i<:nscrirtc��noc..-crioao+�cn���mm�saa.^) <br />�ss ��. D , � � K / <br />� <br />�,Loac�SN <br />fVAiV I uuJlrvcaa nnuu- <br />lrini h� ! + �>rc:,���c�__� ��= <br />UILDiNG PERMf'T AI'PLICA710N <br />Lia ;: Cly Bus. Lic. # <br />� 2� � PhonefEma�l � �S' �� L2' .y � i .S <br />PRICE OF WORK <br />Exisling Use of 6udding — � <br />Pmposed Use of 8uilding — <br />Building lype: _ Singte Family _ Duplex _Townhouse _ Multi'Family n_ Commercial <br />C�.InLlei <br />fiEAT SOURC[: <br />iype ef Projecl: _ rvev+ _�u��^��� — -- — — <br />DESCRIPTION OF WORK /adAdional space providzd on the oacNl <br />f����„� �_JJ.���¢ <br />���.�;R� s(,�-Q�v�<<� wL���.s. pk��>', 2� ��1. <br />C�4-ti-�"L�FGCi— �I�ILI_.—.— �I�.L-�� �"��(� <br />MECHANICAL PERMIT APPLICl1TION <br />PLUMBING PERMIT APPLiCATION <br />TypeofProjeet: _New_Addn _A������1U°—Repair TypeolProject _New_Addn _AlMratlon_Repair <br />Fhow Numbcr (tl) ol /ixtums <br />PF <br />of <br />; Clher. <br />� Other. <br />Gas <br />-- — � <br />..,�._.,,.r �n„�il�,a�cieJi�de.a^�',r�edP`s�VF-'"°°�"��nou¢esamatoCelmoanArorrect.AOprovisionsollarvsandoMmancesgovem:nglhlsryp cl crk��les-�.�-. . <br />F-'�� �a here��� or nc�. 1ne 9r�ming o� a�mM1 tices �cl Fresur'eappl can n' o maCe anE'1 compl w�lnnlhe Slate Comr�aclor'e Ww 1'B 21IRCW arnCe795� .)�� - <br />� ert to e rminework�cre•�'= Y <br />�; honzc Eyl�eonnerolth mp y P <br />; � L ��.G�� 1 ��`� �, � _ _ , � .,, , <br />---�- �. , <br />G �.nci Autlu��iied AqenlSiqnaluro . ... <br />