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P�Ri1lIIT APPLICAT'IOfV <br />BUILDING/MECNANICALIPLUMBINGlSIGN/SPRIVKLERIDEMOLETION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 v�nw�.everettwa.org <br />'7 � S—! 3 <br />TAX # <br />�117 Y4V1: ���12 t /_r <br />PERMIT" <br />� �'DO, <br />for new conslruction: Short PlaUsuhdivision Lot No., (a�lach copy o( long Iegal descriptien) <br />t �Tl-1�� I11 ��[� �� CJ�r�r')}I Phone/E-muil )"��31���%�1�1 I� `7ll�`l%%7�� ����i'�'�� , <br />� <br />/.) J(_ CiIY/State/Zip F U F �7 F 7 j w�� ``� ��, L� <br />y���. % F1 �1 noc_-_ -��ac _ I 1rc` <br />�6wner Ownefs Agent Conlractor _ Conlracinrs A9=nt _ Ten�nl <br />iR G w� rl 1� fz State lic.T_ <br />BUILalNG PERMIT APPLICATION <br />PRICE OF WORK <br />�xisting Use of Building <br />Proposed Use of Building _ Gas_ <br />Building type: ��ngte Famity _ Duplex _Townhouse _ MWti-Family _ Commercial <br />Type of project Ne�� Addition Remodel �Repair T I Sign Sprinkler __Demolit <br />DESCRIPTIONOFWORK(additionalspaceprovidedon(hebackJ: �_ �'F,�� �: �<�j'��afl <br />V��'lG-`� `�Iri�< S)��V�I'- S�Tov� �'- <br />MECHANfCAL PERMIT APPLICATION <br />ofProJeck _New_Addn _Alteretlon_,Rapair <br />Show Namber (#) ol lixfures <br />1 A/C—airhandlinaunits <br />PRESS <br />of Heads <br />in U,9 !pa:e) <br />Bus. <br />SOURCE: <br />t,e.j��b: �l1=��0��� <br />PLUMBING PERMIT APPLICATlON <br />ofProJeeC _New_Addn _Alteration_Repair <br />Mzdical Gas <br />Oti,=r. <br />I".���ei�/ cen .'y mot I ham ie» �nd eAa�nlned ;hi, aFV`catlon and krori Ihe s me to ov 6uo and rorreR. All pmvisions of laws antl ortlinaneas goveming inis lypa of �wrk wJI ba complizd <br />.��i ,:hru,=r s;.eci!ied he�ein or not T�o 5��ming of a permit does not presume lo giue amhonry to vlolale o� cancel ihe pmvi:ion of eny olher slata or local iaw rogulalin9 <onsiruction <br />1: ��at I ern :�s:�i-rized by �ha owner of I�is P� �Pehy to peAorm iho work Icr wM1ich epplication Is mado antl I cemply wilh I�a Siele COniratlors Law iB.77 fiCW antl 296200A WAC. <br />�(r .,j... ,l �,.� 7 ��l"�/I 5 <br />OnncrlAu:horiz dAgonlSignaturo Dale (Revised32073) <br />