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n <br />� <br />�� <br />u <br />PERMIT ApPLICATION <br />BUILDlNG/MECHANICAL/PLUMBING/SIGN/SPRINKLERlDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vn�nr�.evereltv✓a org . <br />A[]DRESS: ��� �o�UsT S <br />LEGAL'arre:vcarst:uct�on. Sncr,Pi�Usub����s��on <br />._./ l <br />PE t.11T' <br />oviUUUDU ��C-���' <br />lat No (aliac� coOY ol long IeSal tlescriptionJ <br />�Q�� % y P�cne�E�ma�l ����,� �7 Z � <br />f '/ o <br />_ CiiylSlalelZiP �(/���� �✓� �Q1 �6 <br />(�..ner _O.�neisAgent _'"Canlr�:Ior _ConIr3CloisAcenf _Tenan�('r�:ina.nea'e.^..�cicons:��te.-xec..�ermeo+:c.h� <br />TENANT BUSINE55 NAfdE <br />�,Pfl/�1� �i%�`� <br />BUILD{NG PERMlT APPLICATION <br />Enisling Use of Building Sr/�, _ <br />Proposed Use of Build�ng <br />Buittling lype: _ Single Family _ Duplex _' <br />1Stale Lic. � <br />, PhD�e/Ema�l <br />CONTACT FOR PERMIT aN <br />PhonelE�mali �G �7U.�, �j j � <br />� CONTRACT PRICE OI- WORK � <br />f{ <br />Ga; V <br />✓fdulti-Family _Commercial <br />�Dair T I_ Sion Sonnkier nart <br />3SCR:�TION OF WORK /aCtl�nonalspac: F��'.-idedon me Dack): � <br />C�/�i��G� AT /i�I��� y��i��:� <br />MECHANICAL PERMIT APPL9CATION <br />of Project: _Nev+_Addn _Alteration _Repair <br />Show Number (#) o/ (slurrs <br />NC — air hanAlinq unils <br />Forced ar svstems <br />14�� <br />Gas <br />SPRINKLERISUPPRESSI <br />Number of Heatls <br />PERMIT <br />Bus. Lic. �'. <br />ti <br />Type of Projett: _New_Addn _Ntcra�ion V Repair <br />Show Numbcr /xl ollirru.rs <br />ountam <br />Hootdrans <br />Ivletlical Gas <br />O�her: <br />N <br />�� <br />I �emby ceriM Nal I Oave maa enG r+.min^A 1�¢ appliwU>n an0 know I�o ,ame to Ee W^ anC mirect. A7 pmvisi��; cl �vr nn� ordinances govemnp Nrs q9e oiwork �ri I �e mmpl <br />w,t� nnelne� sp�P(e� bere'n or nol Tpe gra�A.�g of a Oertmi does nat G�esune lo g�oe auL�enry to vlolale or canccl Rie C�ovisicn of any olner stale m Iotal Imv regvialing con;�r�q;pn <br />inal I arp.e ;n c0 oy �he mmcr ol lnls omperty to pedorm Ne work Is vficn appi�wG; � is made antl I compy'mm me S�ate CcnvaGors Law 10 D RCW antl 296 200A WFC <br />��i <br />j� � �/ // <br />Ownetl No zed Agent Signalure Dzle (Revised 4�201C) <br />