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� <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHAN[CAL/PLi1MBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everetf, WA 98201 425-257-8610 FAX 425-257-AE57 �:::^;: everzlC:+a�rg <br />APPLICATIONS AR[ ACCEPTED FR01A B A�! TO 4 P�d `I <br />EADDRE55: PROPERTVTA%u P 'IT� � <br />�0,3 L/ND�i✓ S�S91-oo/-noo-oo�y j�0�' <br />LEGAL lor ^.e.v cc:+sHoc'¢n Sn�a PIZVv <br />DWNERrIFiE'�/% y[IS//✓(i <br />Lel No lzi!ach ¢,I clloog'egal �_�cnpbcn) <br />Phone�E�:na�,i y1Sr3n>'.��G� <br />�!/F/'E-Tl G,%q `/�7-0/ <br />APFLICANT: ✓O�;ne' _O�.+no:,Fg<�I _Con;racto, _Conlrac'or'sP.ycr.� _7e�aqi.,_��,�o:�:oaiera�na-�.,��=�cr�..srnao...n��.c.e::,_�i <br />8 I Lic a <br />t�r,�� ,/�d.,i�✓� av; ;�/a.� � r <br />� yz <br />fii 3 l <br />UILDINGPERMITAPFLICATION CONTRACTPRICEOFWOR <br />sling Use cf Bui!aing v�iQ . <br />�Fesed Use o�f /6mltli,�a `Sf � � <br />Iding type. �! Single FamJy _ DupW�; _To�,vnhou�se Multi-Family _ Cor ;,�;c;ai <br />;c of prolecl� New _ Aticition V Remoael V Repalr___ T.I. Sio;i _Sprmkler <br />CCF Gr L�c .- <br />6 J 9e <br />q`/U�aob, �'Z' <br />HEPT SOURCE� <br />�E!e<tr:c_ Oin=;_ <br />�emolnlcn Cnar.qe et Use <br />)ESCRIPTION OF WORK (add�hona� space p,-o�-�deoon �`.e o_:k). <br />/7�iyoc.iT/o� �.�/a/Yc�, w�•�powr� ,'�,r�CAT/o.v D/lya%q�C <br />MECHANICAL PERMIT APPLICATION <br />olProjeel: _New_Addn _Alleration_Nepair <br />Shaw Number (aJ allirtwes <br />� NC — air handlinq umis <br />Forced air svsfems <br />ust <br />SPRI <br />EM <br />PLUMBING PERMIT APPLICATION <br />TypeofProject: _New_Pddn _Alferation_Repair <br />Show Numberlkl ol Gxfures <br />OtAer <br />1 ncicov a:iLty L��:I �avc ma� xn0 mam�.�n0 P� ;.C'.�.:cq�. �r. acC � ncv, um sam.� Iv Lv ;�'vu antl ccr.ad F': p;o.Cmne o! lo::; an] Gr��paocc; 9�.C'�+nq 11�t qpu otv.�o.'M r: I pc camp'a� <br />,.n.Oe;I�erc�.rnfsd�tteinornalTrtemm�in� �.-i�n•...:i�r,��^t�r,..,_�nme�ryio��.�-.i.i.��civ�P'o��.-�c'a',Ici�. ..m.ur�oc. irnWaio:_�;ivc4ci <br />rnia aulnmmauYlhcawnerolP.D"-Fr.ryi __,=.nn� .�o-.,n�_�a:;.�.i n:n�.,_. �tcu��.lr'rni_ _c"Coc.a:. ,laeidP3r. r.2�L'z,:C4`:.._. <br />�L <br />' O�vnerlll . Y ed Agent Signa�u�e Ddlc lF_vised 6.ZG1;J <br />