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� <br />t <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIG��ISPRINKLERlDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetlwa.org <br />ApPLICATIONF ARE ACCEPTED FROM B AM TO 4 PM ��-`�a" `� � <br />fornewconstruclion: Shotl <br />No._ (attach copy ol long iegal tlescnption) <br />�H �QV�S ��L City/Slate/Zipf}�L7}L�},�'IGIiA� VrT•^dvvrv.— <br />Ovmer O�++ieYsAgenl Contractor ConI2CtOt5Agent _T2�3nt�m�apro.acakneroiw�um�rommeownenoao.w�inmespaul <br />'T. •n f7 P•._ 1�_ , i c i i�� re COE Bus. Lic. # <br />NG PERMIT APP4ICATION <br />Zll'Ill2� /Ei�I. l I'R �� Frcnfle� <br />LleaiiLjOZ-�3�j c��" <br />PRICE OF WORK � �20� ' �� <br />;isting Ose of Building K PS i [7v «�'- � ��- � <br />.i i� <br />oposed Use of Building Gas_ Eiecinc_ Other_ <br />iildingtype: � SingleFamily _Duplex_Townhouse _Multi-Family _Commercial <br />rpe of prole��: New __ Addition Remodel Repair T I Sian Sorinkler Demolilion Change of Use <br />ESCRIPTIONOFWORK(ao,.�tionalspacepmviderlontheback�: '' ��� <br />��cr p-%� e�.' St��+-�� W�` Slu�,k� roo-l= -/n s� % Z P)� <br />Pl�i�o�'d- j�tisi-c� ��rhunt�� Landi�-ark 3D r�� C���P, <br />PERMIT <br />ofProJecL• _New_Addn _Alteralion_Repalr <br />Show Number (pl oI fixtures <br />I A/C-airhandlinaunits <br />Gas <br />1 <br />PLUMBING <br />of Praject: _New _Adtln _Alteratlon _Repalr <br />Medical Gas <br />Other: <br />� � NumberofHeads I I i vu�e�. � <br />I �ereby cen.y Nal I have reatl an0 eKamineG t�is appliralroo an� knmv IM1e same to �e We ana cortect. NI provisrons ot lavrs antl ortlinances Bo�eminB Nis rype of woik wiY Ee mmpYeA <br />vnlhwbe�herepealrtdhereinornot.7 granbnBolaOe^�ittloesnolpresumetogrveaulhoiirylovi leorcancelthepmvisionolenyotnersteteorbculWwregubtinB�nsUutlbn <br />Thal: n /ae/Q� y� e er of s pmpeM �o petlorm Ne work �mwhich nppl�at is maEe d I compty wi�� �he State Conbadors Law 1827 RCW ana 2962WA \NAC. <br />/1�/// ovi i <br />� �� � Z <br />Owner/Authorized Agent nat e Date (Revised N20f y <br />