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� � <br />PERMIT APPLICATIOfV <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett, Wti 98201 425-257-8810 FAX 425-257-8857 w�w� everetfi:a �g, <br />�/1 � a.� `/ <br />ADDRESS: �^ <br />� <br />for nevi construdion. Short <br />PROPERTYTA%1! <br />No (altach copy ol Icnn iegal descnption) <br />Phonc/Emad <br />GlylState/Zip <br />�,� <br />APPLICANT: Owner _Ovmer'sAgenl �Conlracter Con(ractor'sPgenl _Tenanti�,��,in«�•��������;'����"co,;��io-�mi���.���.�,�>c�..u�����_��.:.,���� <br />CONTRACTOR f� � .0 FiYe YOTY, toN SlateLic # tLZAFi�ID�L� CityOus Lic.#O3(095 <br />4daress P� �b�' /�� iGS�h vv% ��U�� Fhone/Em�il p�Dr6 d-0��6 <br />TENANT BUSINF55 NAME CONTACT FOR PERMIT v�� � �p � m o,,,a <br />- Phone:[�mail �j6 -�dJ.-IJ��f, �e/+ %L l:inlcl.�.•(oJ <br />BU�LDING PERMIT APPLICATION CONTRACTPRICE OF WORK %r300 <br />Exisung U5? of F3uila�ng Ch�i�d�-a[ � <br />Proposed Use of Bwlding f�-Lc' .k,-c� _ <br />Building type �[ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Ty�e �f project New Addition � Remotlel Repav T.I. _ Sign xSpnnkle� <br />DESCRIPTIONOFWORK(aCdrt�ooalspacepromtledonli�e0actg�nG� l��fy�y���� <br />ha�4a <br />MECHANICAI PERMI'T APPLICATION <br />�ype o� Projecl: _New _Adtln _Alteration _Repair <br />Show Numbc� (q) ol lixfures <br />A/C - a:r handling units <br />� <br />PRESS <br />of Heads <br />HGATSOURCE- <br />Demoldion_Change of Use <br />S7 `7'•a.�- � n ex 5 �;�� <br />PLUMBING PERMIT APPLICATION <br />TypcolProjccC _New_Adan _Altcration_ftr.pair <br />ShowNumher(#J o/fiafures <br />Sink <br />o�he.� <br />Medical Gas <br />Olher. <br />i I'.rretry ceNly Ihal I have ieatl and eraminetl t�is appi.cal�an an0 Vno�.v ine same to Ge Im� and cerred. All provisions ol laws and arG�.nances govemmg �his Iype ol work �.c,v te compl etl <br />.:'h':,�C��[lSPCCiliC011CrCi00tf101 ihp9fd0�i'Ig0/3pPf111tltlOP5110Iplp5u�OCIO91vEduIhU11!ylOv:01d'COl[dOCP1lhCpfOVi5iC00120y0111pI5IdIP0lIOCdlldwfP9ul�liOQCOn�INtl�".f. <br />Tr•.;r i am iu;hrn:ce py 1lie o;:ner ol mc property lo pedorm Ip^ ��ort lor �s�¢h apphcalion is made antl I campty wll� I�e Slale Conlaclo:s Law 18.47 RCW ��� 296 20oA YiAC <br />� � <br />,._-- �5�---� io-a��� <br />Own rlAulhorized Agenl SignaWre �'��'" <br />