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� <br />PERMIT <br />� <br />APPLICATlON <br />BUILDING/MECHAPVICALIPLUMBINGISIGN/SPRINYCLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvaw.everettwa.org <br />a - a n- �S <br />rnx a <br />a <br />(or newconstruqlon� Sho� PlaVsu6divlsion Lot No._ (attach copy ai �ana Iegal deccdp9on) <br />-.30,3 - 1 I a-8 <br />�a <br />_Utnor _Owner'eAgont ✓ ConVatlw _Con�rdGafSAgsn1 _Tenanl(nucipe..cenYreciwner-iimmu�wnu!oeo�.adm <br />Lic. # <br />S E� <br />NG PERMIT APPLICATION <br />Use o1 Buil�ing <br />PRICE OF WORK <br />C Use of Building � <br />type: _SingleFamily ✓ Duplex_Townhouse _Rlulti-Family _Commarcial <br />o J ciry 6us. �ic. � OJ: <br />,Z6�- 7/ 9-oz y3 <br />, l' ,� <br />�a � ���.9.,� <br />1 <br />projec�: Nuw Addition Remodel Reoair T.I. Siqn Spnnkler DemoliUon Chanpe of Use <br />tIPTION OF WORK (ndd�t�onol speco provMnd on ma 6nckJ: <br />_ f �' �� � ./ l�l �j7., ��9r//��1� � �E`U���(��`�/� �L`ubi—,JiS(� <br />c��l ! " h/ C�/ C/ <br />ANICAL PERMIT APPLICATION <br />ofProject: _Nuw_Addn '!AltarMlon_Ropz: <br />PRESSION SYSTEM <br />Numher <br />PLUMBiNG PERMIT AP <br />o} proJeel: _New _Addn _AllcraUon _Rep�lr <br />Show Numbor ryJ1 0/ flrfums <br />M1ludical Gas <br />otner <br />I horeEy cerc�y �hat I �ove med onG e�nR�ne0lns eDP���'a^ �nE Mcw the cnme lo Ee bve e�tl w+ecl A1 pmvislo�s a! laws entl aNlnan[es goveming Lh�s lyoe cl wprk w11 ba comp <br />�.1'fv.holhnrepocf'aE m!nornoLTlinBranVngol armACoosnolOresumtloS^��ouNwlryrovbC�eorrancnllhe0�`�slonofenym�o�sNlocrlocnll�wro6uNtlngmnsWtlAn <br />Tha! I am auN y Nn a c ot Ih�s proOOKY cdorm I�a v.wk �orwhk� a fwVan I moEu o�tl I comp!y w+�h um Sata Canoacmr, Ww 182T RCW anG Y8520DA WAC. <br />/ 9 /� <br />Owno ulhu dAgenlSlgnaWm �ala (Revlsed9/2010) <br />