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PERMIT APPLICATION <br />BUILDINGIMECH�ICAL/PLUMBINGISIGN/S�NKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />� �.-�'j �! 5 <br />: ADDRESS: PROPEPTV TA%N PERMIT # � <br />�1G ����n�, �i ��s�s-9� oo/�ovov Yh1�i0"1"��l <br />for new construction�. ShoA PlatlsuWivision Lol No:_ (attarh wpy of long legal descnplion) <br />eR �i/�/lE7T Hodf�iUG <br />s'"�.�� 9Z Z Z <br />9crTl Li/fI 9.PZ�� <br />Owner _UmersA9ent _Contrador _ConVacto�sAgeM _Tenantlm�:iF�oaaooiovo�oir.w�+�,ir�mmoo�.,o�mao.wnmma <br />�',�iyOl�/�� <br />UILDING PERMIT APPLICATION <br />a (,��!kC �91p 1 2 <br />P�onc/Email <br />T FOR PERMIT ,9ND. y <br />,a�i y�S'293/: <br />.CT PRICE OF WORN �tG <br />Existing Use of Building J/" K � <br />Proposed Use of Building s/�/� -_ <br />Building rypa: _ Single Family _ Duplex _Townhouse _ Multi-Famity _ Commercial <br />Tvoeoforoiect: New Addition �Remodel_Repair_T.I. Sinn Sprinkle <br />OF WORK (addAianal spoco provided on fho back): <br />��-��ictc�e �v r���tr� <br />MECHANICAL PERMIT APPLICATlON <br />o1Pro�ecL _Naw_AAdn _AltoroUon_Ropalr <br />Show Number!#) al flMures <br />/SUP <br />E"'C T��F <br />�� — <br />PLUM6ING PERMIT APPLICATION <br />otProJocl: _Nnw_Addn _Altorellon_Repalr <br />Show Number fk) ol flxtuies <br />heat¢r <br />Medical Gas <br />Other. <br />1 �cro0y c�Nry Inat I h:+vn mad nnd esam!nad I�b appliwlbn nne tnow No como lo �o Wo anC cortacL Ao pmvl;lons ol l,�rw6 anG orainancoe govoming i�la rypa ol workW�l �n compl <br />wd� wpal�a^r spnGhoC �amin ar nol. TTo qmnling ol n partni� dooe not pmsuma la pbn aulnoiliy lo violalo ar uincal I�a pmvlJon ol ony ol�or 6tato or IOL�I law Tpupllnp COnslnmHon <br />TTaI I om pol�pn:oa ov �n� ownar of NL^ pmpnM lo padortn Mo woM1 �or whlrli aDP'����ion la mado nnd I compH vAth ��o Sialn Conlmcror. Law f B27 RCW anJ 298.ZOOA YJAC. <br />`��C `-�{,—�-- ���, rs^ <br />Ownor! uthorizod A9ont Slgnaturo Datc (Rovised 4R075) <br />