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PERMIT APPLICAT�ON <br />BUlLDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOL(TION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 v�n�✓�v.everettvra.org <br />rax x <br />C 1 /7-0 <br />z <br />�a -C�� ' <br />lor new cons�mcfion: Shotl PlaVsuboivision _ _ Lol No._ (���ach copy of 1on91egal descriplion) <br />U/ %�ov � <br />�n�•+-rt , G.-H `j N2�'/ <br />Owner Owner'sA�,�enl _Contiactor CoNractot'sAyent _Tenanll.^��S�wm���o�ioeerctm�semimm�,nec.,ra�r:o_o�:.crc�nrt���sc;:.��� <br />L , �Fx /�/�3 �A:�t��Ni�SN <br />�IUII� <br />UILDING <br />��I',�i���l� 1��1�u�C�l1 <br />RMDT APPLICATiON <br />Lic. # Ciry Bus. Lic. # <br />,2�/ Phone�Em�il `?�S��Z2�S��S <br />T PRICE OF WORK <br />fxisling Use of 6vilding � <br />Pruposed Use of Building -- <br />L3uilding tyFe: _ Single Famiiy _ Duplex _Townhouse _ Multi-Famity _ Commeroial <br />�i ypa of project: New _ Addition _ Remodel _ Repair _ T.I. __ Sign _Sprinklei <br />DESCRIPTION OF WORK (addidonal space provided on the back) <br />I I�c'ci �/��i� � k� 1 l� V��1 <br />MECHANICAL PERMIT APPLICATION <br />7ypco(Project: __Nwv_Addn _Al�eraUan_Repair <br />Show Number (N) ul lixtares <br />— air handGnO und5 <br />nf Nrads <br />PLUMBING PERMIT APPLICATION <br />Typo of ProJect: _New _AAdn _Al�oratlon _Repair <br />Show Nwn6er (N) ollixfures _ _ <br />Medical <br />Other: <br />Uiher: <br />. c^C'� intd i fuve �ead and e*a;r•metl ILis apphCBiion end know Iha 52me �o he Ime un0 CorreGt All promsions Ol lams entl orGinonces goeeming Ih�s �ype ol wc:k ��'I Se cc�'C';j <br />.�nemer i4«`.ilea ncre�n o• not The g,aneng ol a rtn�l tloes not presume lo grve am�onty lo v�olaie or cen:el tha Drov�san al any omer sfaie or iowl iaw regulaling c�-.�.=. <br />�.. i;Ni aui�onze� by the cener of t �mpeny to pe��n Ine xrork for wnich apD�Ke�pn if maEe enC I wmpty wnn t�e Stete CoNracloa Law 1B 27 RCW anG Y98 2WA - <br />/ � <br />i � L r' "�'-"G/ � Z`1 % 13 <br />' �� -- -- -- � ,... � �;. _ � �� : , <br />- . �.,,���•s��,,,���,�. <br />