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PERMIT APPLiCATI N <br />BUILDINGIMEC�ICALIPLUMBINGISIGNIS�INKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Evereri, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />� �a���5 <br />ADDRESS: <br />S <br />p <br />? Do/�ovov <br />for new constrn[lion: Short PlaVsubtllvision Lol No._ (a1taU w0Y ot long Icgal doscnplion) <br />�Uc��ETT' Hvr�N6 <br />�o �ox /s"s�7 <br />�z.�z.�� 9zzz <br />��Z% <br />i <br />APPLICANT:,�Owner _O.mefsA9ent _Coniraqor _ConUactofsAgenl _Tenant�m�scro.�momvo.mw��orn�u++o...,o�meo..onmma <br />� <br />�,Q9���//�� <br />BUILDING PERMIT APPLICATION <br />Lic. N/TC��%!� �5 �b 1 Z city Bus. lic. # <br />PRICE OF WORK <br />y ,�FLT��F- <br />3s6�3-TE <br />/�D D_ 0� <br />Use of Building J{/`i� HEAT <br />d Use of Building s�/� � Gas EI <br />rype: _SinglaFamity _Dup�l/ex_Townhouse _Multi-Family _Commercial <br />nrniecc New Additipn A Remodel Repair_T.I._Siqn Sprinkler Demolill <br />OF WJRI� (additionaf spuco pmvided on fho Gack); <br />r�place <br />MECHANICAL <br />�U' nGtc�ei <br />ol Pro�ncl: _Now _Addn � <br />Show Numbcr (#/ 01 <br />n�c _ ilr <br />healer <br />SPRIN <br />APPLICATION <br />ratlon _Ropair <br />ON SYS <br />PLUMBING PERMlT NPPL <br />o( <br />ol ProJocC _Now_Addn _Alloratlon _Repalr <br />Show Number (#) o/ flxtwus <br />I Tailel <br />Medical Gas <br />Olher. <br />1 �erooy eonlfy I�al I �avo ma0 anE oruminoe IMs apPiteiihn an0 Fnow Ihn ;nmo lo bo lrun and eortod A� pmvL•lon� ol law� anA or0iwncoe 9ovaming tTl5 ryDo oiwoh will Ca wmpl <br />wu0 whui�nr �p9 d nomin or nat. Tho pnnlmg af a Dartnll aoo, noi pmsuma Io pNo aulnonry io vioiato or cincal mo P���Uon ol any anor clato or loo�l law mpulailnp cons�mclbn <br />TTall��moul��tlx �yt wnarolNl�pmpartylopndonnl�oworkforwh aDD4oi11onlamiJonn0lrnmplyvA:�1�o51J�nConlmctorsLaw1011RCWand198200AYJAC. <br />� �'�`�� �� 6 I 5 <br />Ownorinu hodzotl A9ont Signaturo Dalc (Rovised OR015) <br />