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PERMIT APPLICATION <br />BUILDINGIMEC�ICALIPLUMBINGISIGNIS�NKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �wv�v.everettwa.org <br />� �a9-►5 <br />�ROPERTYTAXH OO �DUO� <br />aos�3 9Z � <br />._ _ — �_ <br />lor newconstrucliont Short PlbUsubdivision Lot No._ (at�ach copY ol long legal descdpfion) <br />R �i/F/1�T1 HodriNG <br />;�o6oX / <br />CANT:,� Owner <br />���0, �ZLi� <br />��-rr. w� 9�Z% <br />o�S <br />_O.mefsAgent _Cont2qor _ConUactofsAgent Tenantlm�s�w��aooi000�oico�.mirmminnw+�o�ioao.wn�nNo <br />� <br />a <br />G'.�Ir�/.D�/�� <br />UILDItiG F'ERMIT APPLICATION <br />lit. #���s� �� �O 1 Z City Bus. LiC. # <br />sz <br />PRICE OF WORK <br />=xisting Uso of Building SF/� - � <br />Proposed Use of Building <br />Building typo: _ Singlo Family _ Duplex _Townhouse _ Mulli-Family _ Commcrcial <br />...__ _. _._.__.. ni,,,., en.�-at..o Y Remode� Reoalr T.I. Siqn _Sprinkle <br />DESCRIPTION OF W ORK (additiona� spaco provided on the back): <br />(� � •IGl G2� t;W GI��ZV I��A.�-f�l/ <br />PERMIT <br />o1ProJett: _Now_Addn <br />o( <br />/SUPP <br />_Ropalr <br />SYSTEM <br />y yF� r�� <br />35"�!� - TE <br />%�n_ a� <br />PLUMBIivG PERfA1T APPLICATiON <br />of Pro�oct: _Nnw_Adtln _AltoraUon_Repalr <br />Medical <br />Olhor: <br />I �crvby wNfy innl l �avo maC �nE nraminnA Nlg aDp���tion ona Mno�n No snme lo Oo Iruo anU cortect. All pmWslons ol l,iwe antl or0'�nanco59ovoming Nls rypo olwod wili �o fnmpl <br />wdn whci�or spn(lriod �om!n or not. Tha qnMlnB ol n pormlt Oooe not pmsume Io gbo auinoMy to vlolalo or cinul ��a pmN!!on o/ any ol�or slale or Io��l law roBulaLnp conslnic0on <br />TTaI`�mout�o x enymo wnoralNL^pmpnrty�opa�ormMowo Io�w�lUapP[�i1lonLsmadnnndlwmplyw!:OI�nSta�oConlmtlorsLaw1B.77flCW��a29B.200AWAC. <br />� � %���/S <br />OwnodAuthorlxod A9ont Slgnaluro Dato (Rovised 4R015) <br />