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PERMIT APPLICATiON <br />BUILDINGIMECHANICALIPLUMBINGISiGN/SPRINKLER/DEMOLiTiON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 � 25-257-8810 FAX 425-257-8857 w�vw.evereUwa.org <br />APPLICATIONS PRE ACCEPTE� FROM 8 AM T04 PM <br />iITEADDRESS: �jl � C � F��-�",,i-��- �� ;e� <br />9 <br />LEGAL for new conslmclion�. Shoe PiaL'subd�vi;�on <br />OWNER (/NI��S����%i L�'F <br />���� �-F���,�Fa� rr;� <br />aadress C`_ <br />TAX p <br />r�•3 �C. jc��c�c <br />No.__ (�ttach copy o� Inng legal description) <br />KyS-z��3 - ro�-�r <br />�tIF�%,! �, vt/F <br />Owmer Owner'sAgent,�Contraclor ContradorsAgem _Tenanl�muao�o.�aeaie^.e�c�ca.ze���mnmam.�e�mao•on�nv^c=:,'��i <br />�R �� !`/GF.�.�vF= (�'�IJf��'%^ �'�'�'��'� L& I Lic. # Si!N�� rSC4��J `j COE Bus. Lic. K <br />p n i .. �!'./Q (` <br />�C��✓) %"�/1%.�� ���l.ld �"/F �����/� Phone�Emz�i ��c-� �a! i��� <br />SINESSNAME CONTACTFORPERMIT ����/A��l�fl'/�(.%,✓ � F'MS�J <br />BUILDING PERMIT APPLICATION <br />Use of Building <br />pRICEOFWORK '�rm•"" <br />�roposed Use of Building_ — � - <br />3uilding type: � Single Family _ Duplex _ Townhouse __ Mu�ti-Family _ Commercial <br />fyUe of projecC __ New __ Addition __ Remodel __ Repair � T.I. __ Sign _ Sprinkler _ Demoli�ion_ _Chanye ef Us� <br />DESCRIPTION OF WORK (addrt%ona� space p�ovided on rne back): // ^ <br />��/i'�ic`j d-r'^/,:'- /� /�.�l.�../ �%L/(^![E('f I/ililr-S�CJ % !�'FJ°�/C�U� <br />MECHANICAL PERMIT APPLiCATION PLUMBING PERMIT APPLICATION <br />TypeolPiojecl: _New_AAdn __Altc�ation_Repair <br />ShnwNumGcrlZ) o1lixNres _ <br />air <br />Unit heater <br />Bciler <br />Ref�igcr�!ion <br />W o0dstove <br />Ducbn�l <br />Othcr <br />I SUPPRI <br />b:un�.lmr af I i <br />ol ProjecC _New _Addn _Alteratlon _Repair <br />Shaw NurnGcr (#) o/ �xtures <br />Olher: <br />Other <br />heater <br />Gas <br />. , �.tl.typia111invo�c�Jandv�anineifihsnpplctla� i��1 � � ct��ct� •onEcorrc� Ailpro isronsofl�wsanlc� � -Jo ��igihstypcoiwwk��lipomnf�'.��� <br />. . � , orcn, rneno.��o,o� � .ie�ui�erm,n��..n• .i,� nco��mci:m <br />_ ..�..�iurs0��f dAornmornot Tho9ranlmgolapermildoe w� �<. �.� '�. y <br />. . ..a�,Ahor¢ bYll uwnerollhisVropertylopedormlho�oiAl,..i.� .i� i .,.li:.".V,. . +.1__.'�.1.� J.,_Lirv18 +(. '-'IC�'�«OAl'..0 <br />i� <br />'� � �� �� � IRe�rSJdd.Ofll <br />�i .. <br />O:.ni ilA�lhodi Agen15iqnllluro <br />