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�PERMIT APPLICATIC� <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vrwateverettwa.org <br />6 —�1—�s <br />55:. �`,�' � <br />t�z� <br />a <br />? Do/�DvOv <br />fcr new cersWc�ion Shcrt PlaVsuDtlivision Lol No._ (altacn copy ol lor.g leqal descnpllon) <br />eR EU�/1rTl f/odr/N6 <br />.�7�� 97 7 7, <br />I3C%X �J i � IC�rylStale2i0 �K /« // � �T, QO ��/ <br />:,�,Owncr _OvmefsAgent _Cont�ador _ContracmfsAgent _Tenanlcm�.icm.mooi.re�m��ec�i�m�a�+����ea.wninvo <br />RACTOR <br />�,�Ai�.Od/�� <br />Lic. tt <br />/�Ciry Bus. Lic. tt <br />Pnone/Email �V`i1� l� �ev� • or� <br />IRPERMIT �NOY �7�LTM� <br />.f Z_ 93 S6 /.3 - <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existmg Use of 6uilding Si�iC <br />Proposed Use of Building SF� �_ <br />Omiding rype: _ Single Family _ Duple: _Townhouse _ h7ulti-Family _ Commercial <br />DESCRIPTION OF WORK (aaamona� space prov;ded on me b�ck): <br />Y�LP ��1 Gt �YI'V� Ce ��t kl� <br />MECHANICAL PERMIT APPLICATION <br />olProjett: _Now_Adan/� Altorallon_Repalr <br />aif <br />Clolhes <br />NS <br />NumberolHeads <br />� <br />PLUMBING PERMIT APPLICATION <br />ol Pro�ecl: _New _Addn _Alteralion _Repalr <br />Medical Gas <br />Olher <br />i I�.emOy mn;fy mai I �avo mad ana e.amineU Inls appliraibn ane 4now No samo io �o W o an0 cortecl An pmv,lon; ol iaws and oM:nancas goveming �Ns rype cl work w�il En wmpl <br />w60 wpel�cr spec�e0 �oroin or not. ihe qranling o! a pemul does not prewme Io ghe aumonly lo vlolala or canul lAo provl9cn ol anY olhm slale or Ic;�l Irw ra9u:aling [ansW ctlon <br />IDal l pm oW 0 Dy I�o ow C/ ol NI^ propoM �o poAortn I�o work lor wTlrli appliwl;on Is mado nnE I comply wim Ino Slalo Conlraclors Law IB 7l HGW and 29a 7COA Wf.G. <br />_�� �����IS <br />Ownor/Futhorized Ag nt Siqnaturo ' Oate ;Reoised 42075) <br />