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PERMIT APPLICATI <br />BUILDINGIMECH�IC�,L.IPLUMBINGISIGNlS NKLERIDEMOLITION <br />CI"fY OF EVERETT PEP.MIT SERVICES <br />3200 Cedar St., Everett, VVA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />_a-�l —/5 <br />: ADDRESS: �z� � ^ PP07ERTV 7AX G HMIT q <br />u<lU,.� �i ooy� Zoo/�ovov � b �p�'1- <br />IAL for new construction: Short PlaUsubdivision Lol No:_ (attaU coOY of long legal descdption) <br />�U�/I�TT f/odr/NG <br />6oX , <br />;,� Ovmer <br />.�7�� 927 z <br />_O.mefsAgent _Contratlor _CenlractofsAgenl _Tenam�m�sio�o.weeiova�oiwmwir�w*m.o..�onoaownmmo <br />� <br />�,�Ir�i� d/�G� <br />BUILDING PERMIT APPLICATION <br />Existing Use of �uilding <br />a /itJL�Cs!��`,�p12 <br />Z,f' Z <br />PRICE OF WORK _ <br />opos.:d Use ot Building s/�/� � L� <br />iifol��',�pe: _SingleFamily _Dup�l/ex_Townhouse _Mulli-Family _Commerciat <br />pe of projecC New Additlon q� Remodel Repalr T.I. Siqn Sprinkle <br />ESCRIPTION OF W OR K(additional spaco pmvided on fho back) : <br />��p��.� . fi-w�.��� <br />MECHANICAL <br />otProfecC _Now_Addn <br />Show Number (a) <br />SPRI <br />� <br />APPLICATlON <br />_RaPair <br />� <br />�ity Bus. Lic. # <br />/�E-C TMF <br />'6/�-TE� <br />0 0. a� <br />PLUMBING PERMIT APPLICA' <br />Typo ol Profoct: _Now_Addn _Alterallon _ReD��r <br />Shnw Numbel /d) al rXfWCS <br />washer <br />Medical Gas <br />Othoc <br />I OcmOy wNfy I�al I �avo ma7 and ezamina0lhla appUwll�p nnd know Uo snmo lo Co huo an0 w�o�1. A11 pmvlelans ol I.'m�t. Ontl oramdn[n9 goveming I�In rypo ol woh vNl �a wmpl <br />wli� wnclnnr ;peufwd �amin or nol. Tho pranunp al o partnit Eoa c nol 0�.umo lo p�va aW�aOry lo aWialo or r�necl Ua pmv� Won af nny ol�or clalo or lowl I�w ropubling [anstru[tbn <br />TTaI I xm out`mf 0 0 t�a awnar ol NL^ pmpoM �o porlorm tl�o wort IorwNUi apPllwllon U mado on01 compN �Ih Ina Slalo Conlmclors Law 1817 RCW an0 23B.200A VJAC. <br />-��--- � /, s <br />Ownor/A Ihorizad Agont Slgnaluro Dato (Rovi;od 4R015) <br />