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PERMIT APPLICATION <br />BUILDINGIMECH�ICALIPLUMBINGISIGN/S�NKLER/DEMOLITION <br />CITY OF EVERETT P[RMIT SERVICES <br />3200 Cedar St., EverE:tt, WA 98201 425-257-8810 FAX 425-257-8857 vrnnr+.everettwa.org �/ <br />�-a�i�/5 <br />ADDRESS: � �� � <br />� <br />7ROPERN TAX U <br />�n�/i 42 Do/�DUOC� <br />'or new conslru[tion'. Short PlaVsutdivisio� Lot N0 �_ (attath [oDY ot lorg 1e9a1 desc�ption) <br />: �l/��FTl f/odr�NG flUTyo2 �����e-m��� �Z � <br />IoX <br />ZZ� <br />��Z% <br />PPLICANT:�O�+Ter trxnersAc�nt _CAmractor ConVactorsAgent _TenanteR.�s�a�o.m�nia:o��i��e���^+�aw"`on�aown�omaec� <br />'ONTRAC70R f�^�O�A� Slate Lic. # WCs!a'C ��� IQ 1 Z City Bus. Lia t <br />,ddress Pnonc�Emad <br />�ENANT BUSINESS NAME CONTACT FOR PERMIT q,,,a y yEz r���- <br />��N� (//�W PhonGE�mail L- � Z � � � �� � ��� <br />.i _ � ..-n <br />UILDiNG PERMIT APPLIC.ATION <br />PRICE OF WORK <br />Uso ot Building ✓ � /� � <br />d Use of Building SFr�� <br />typo; _SingloFamily _Uuplez_Townhousa _Mulli•Family _Commercial <br />Type o( prajetC New Aaamon q rcemouu� ��=N��� <br />DESCRIPTION OF WORK (additionzi spaeo pmvided on tno back): <br />,r�l� �t�� h,�,�t�,� <br />ECHANICAL PERMIT A <br />Typo ol ProJocC _Now_Addn /� Altora <br />Show Number (a) o! flxlures <br />Hcal <br />I Olher,— <br />SPRINKLER I SUP <br />TION <br />_Rapalr <br />units <br />SY <br />PLUMBING PERMIT APPLICATION <br />ol Pro�ocC _Now _Addn _�Ilarallan _Repalr <br />PdR7isii <br />Mcdical Gas <br />Other <br />I tmrnpy coNfy I�a� I �avo matl an0 a.amino0 NIs . DP������a� �nd Mnow No smm� lo �u tmn an0 cortacl. NI pmvlybns ol I.�wc an� oM��nant0� 9ovem'ng I�is typ0 0l woM1 u?il po wmpl <br />w!n w�ci�or spou�wnd �emin or not. TTo praminp ol a D���� �oos not pmsuma to 0"�u auinomy lo vlo�ain o� �inwl mn OmvlJon ol any Nhnr clalo or loc�l I.iw mpulitinp con; W ctbn <br />iTal l om oal�o�i��o� r Nl, pmpeiry tO potlorrn l�o work lor wn'cl� app`.uillon 10 m.�Eo nna I wmpN ��� ��^ ����'�n Gwnmcm.^. Law 1 � 2i RCW an�t i90 ]OOA VJAC. <br />- �/�/�� <br />� (P,ovised JRO15) <br />Ownu�lAuthorlmA Agon[ Slgnaturo �'��0 <br />