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p:t;�9',��1_ 11: , a��Ig"'_J1_ ;r.I�=t -_.,_Ti = i:1�° ..._- -.��.:i.= <br />� • <br />PERMIT APPLICATION <br />BUILDING/MECHANICALlPLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everetl, �fJA 98201 - 425-257-8810 — FAX 425-257-8857 — vr.�^.v.everettwa org <br />APPLICATI01V5 ARE AGCEPTED FROM 8 AM TO 4 P�t <br />AUD PROPER7V TA%N PE MI7 p - <br />6�d��iovtAve E�'ERETT ll�(�n� -()� <br />�or re+iCo�siru:Irn� S�or; Pi <br />t Cyndi Hakos <br />624 Hoyt Ave <br />JTRACTOR Danika Plumbir <br />rss 3614 73rd Dr N <br />ANT BUSINESS NAA1E <br />BUILDING PERMIT APPLICATION <br />___Lo: 1!0 ._ (iltnch mcY ol �ong Ingal tleso�;.;�c�) <br />Phonc/E�ma�i �i2�J-22�-���i� <br />c�:Y;s��«,zp �VERETT VUA 98201 <br />actin L 8 I Lic. N DANIKPC916LQ <br />Ile, WA 98270 F�� ��� e-�� �� (425)335-3515/in�e �danisacc com <br />CONTACT FOR PER�dIT <br />Cyndi Hakos <br />=�•��<�=.m�� 425-220-1040 <br />CONTRACT PRICE OF WORK � 5500 OO <br />Ewsting Use cf Bmid�.ng _ H[�T SOURCE� <br />PrcposeC Use ol Bci!ding Gas Eiectnc _ u�ner_ <br />9uiltling lype. � Sin91e Family _ Duplex _Tov:nhause _ P.lulii-Fam�.ly _ Commercial <br />Type of praecC _ New _ Addition _ Remode! _ Repa�r X TJ, _ Sign _Sprinkler _Demolilion_Cnaog9 0l Use <br />De,cr;p;i0n of YVork !atlC�fanal;U��e previdetl on Pio DnckJ � <br />you started working wilhout a permit? .�YES _NO <br />MECHANICAL PERMIT APPUCATION <br />�'ProJecl� _Nrw_AtlAn _ AlMnllon_Rnpair <br />Shaw Numbor �S/ o! llrfu�e. <br />, A/C - au hanAhna unds <br />r.it <br />KLEit / SUPPRESSION SY <br />Nwnbe� ot Hoatls <br />PLUMBING PERMIT APPLICATION <br />ot Project: _Now _Addn _Ailuration �(Ropair <br />Shnw Numbrr (N/ ol l/sfuros <br />� To Ict <br />-� Bsthiub <br />I�i�h7TJ <br />f <br />I?oo� �7rams <br />Ma:dical Gas <br />O�her, <br />I nereby certdy !hai � hu�ro read antl utdmmnd IIJS apV�icalipn onU know ihe same to Uu INe and cUrtncl. All provisicns ul Iaas antl orU��ndnces govarnmg <br />this type cl xnrk �nYl be compl;ed ��ilh whel�ei spec�fietl herein or n;1. ihe granfng of a pormd does nol prosume lo give aulhenty �o v�olalo o� cante: <br />IPe prov5ion o/ any olner Slall' or Iecal 18v: rJpu'Olinq Cpn;lNchon or Ilte po�ormdnct U C:r9mct:nn. Tnot I am aulnonzetl �y IPe oNner of tnis �rcpeny <br />ro perform Ihe wOrk 6� afirth ap '�cAlun is m:n!r nntl I co�nply.cdh Ihe Slatn ConLaclo'a l:a,v 78 27 i2CW and 29Fi 20� WAC <br />I .S �V� <br />Owner Iho :ed Agent Sl�naturo Dai� rl7ev�ser17i201I) <br />� �� <br />