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� • <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />� CITY OF EVERETT PERMIT SERVICES y. ?�-O —i y <br />3200 Cedar St., Everett, WA 98201 425-257•8810 FAX 425-257-8857 www.everettwa.o�9 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - <br />VFOVERTY TAX d PE MIT a L� <br />"� `� � 1 �� • F_ � -� �9�a o r , <br />� ...rc�- r� �. �crc � <br />.�—�—� <br />4� for neH wnsVa� ion Shcrt PiaUsubtlrvision_ /� <br />Lc� No._ (attach coPY of io�g i�al Gescnpt�o❑ <br />\/� PnonelE ma 14�s• as5 - os� 1 e JwiCq�e{non\4 �"`^_ <br />ica � In .. l�olCliv� ah /l � � <br />�% �3 L.Gv� f`C�1 Vri Ja. • �" �C tyl5la�e/Z�p I� 1/C� •�-i� W ti � v��� l <br />ANT: Owner Owner's.�gen� �Contracto: _Conlrador'sAgent _Tena�tim�.:+nT•d^o�e�nrm�semromm�c�a•i�ae..oai�mo:w:�l <br />p � O� COE 8us Lic. tt <br />ACTOR ��n _e..� �tTti1� S� Cn r. L 8� Lic #� / i� �� a o 6-7 a 6� I�i 3 <br />S CiFi 13�LZv� H�k., � V� ��'� W� 9� I° 7 Fnone�r-ma i <br />T BUSINESS NAME CONTACT FOR PERMIT <br />Pnor.e�E�maiI.�O6- 706 � � 7� I `- tl'�:1n�'n c <br />DING� PERMIT APPL�CATION CONTRACT PRICE Of WOR a 3, 5 5. �ii _ <br />=xisNng Us2 of Bwlding J f� — <br />r /�,i�jq Gas__ F.ecmc Otne <br />Proposed Use of Bullding <br />Bwlding type�. vSingie Family _, Duplex,_Townhouse ,_ Multi�Family _. Commercial <br />T� e o` ---�ect� New Addilion ✓ Remodel _, Repair TJ. Si n S rinkler Demolition Chan e of <br />DESCRIPTIQNOFWORK(etld0onalsp cep ��tletlont�ebRck) T�nS}���c.il�n 0 C„ 5, ���"� ���^ <br />SLrs4cr� w� Il �.� c. '� n S�v-� �� om ��oY aP I�c. s; �� ..�+ � c- � <br />MECHAPi1CAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />ot ProjecC _New _Addn ,_Altewtion _Repai� 7ypo oi ProJecC _New _Addn _,Allorotlon _Ropair <br />S�aw Num�er a) ol fiutures <br />Show NumOer (a o! �xtures TOOet <br />i NC - air handlmq unRs _ „_,"_,,, <br />Cinlhes wasn <br />wator hea;or <br />Metlical <br />Olher <br />P <br />- � Number of Heads <br />i��.en�CYu'��1' nl��ave a�an]evam�.nedlniSapG�����b"�^4�^owlPosaaoloDClrueonCwrte[LA�ID���5lonsollnwsenEONna�ces9o+'�mingln;slypBolwo�kwil0eeomp'e0 <br />��rnnnnv�a� ecAean �normm �Gr�^Lngoldpertntlaa�sno'Frxsvma�oS��ti�^15 aaeane1lwm ^Nl�nineS�eContreaorslawt02�1RCwan03e0'20 WA po^ <br />lo edonn Ine wad lor nmdi aDP�i^ 7N <br />taaiiama onie0e cown^r iispmveM v �� <br />� ��_ 3 U, ��� z <br />(Rev�setl 6�.012) <br />