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�PERMIT APP�ICATI�i <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />320D Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �w✓vteverettwa.org <br />h��-iS <br />p <br />ooys9Z oo/�ovov <br /># <br />` VL <br />fa new ccnsin:ction� Short PlaVsubtliv�s�on lo� No._ (�11aU wPY ot lorg Iegal descnFiion) <br />� E�/F/1F� f/odr/rv6 fl�Tya/� P�ondE maJ 1 ( �L �O , � � ` <br />��1}C�ii �J 7 � C�ry15tatelZiP��/« �/ �/T� �0 ��/ <br />;ANT:�Owner _6�+nefsAgent _CenUactor _ConVactolsAgent _Tenanlem.��c�o.�c�aioeo������so�+�voo...�o�meo.wni�,ro <br />�er.rnR /Y/���2i�� �Statc Lic X{} J�) I�L �GI '`I �V � 2-Ciry Bus. lic. #l.'�l it1 <br />G,�A��'�//�� <br />BUILDIM�G PERMIT APPLICATION <br />�R PERMIT //�N� 1/ <br />/� <br />y�s�93/: <br />PRICE OF WORK I(G <br />Existing Use of Buildir,g SF{� � <br />Proposea Use of Building <br />BuP�ding type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />OF WORK (ada�rronai space prov�ded on tne Dack): <br />i�i� I i/� C� �/1/}�i�LQ� <br />i <br />MECFiANICAL PERMIT APPLICATI <br />ot Pro�e[t: _Naw _Addn / <br />Show Num6w (tlf o! <br />A/C — au <br />heater <br />SPRINKLER I S <br />PLUMBING PE <br />FL T�'iF <br />6/�-7r <br />0 0, � <br />ApPLICA <br />of Use <br />of ProJecC _Now _Addn _A�larallan _Repair <br />washer <br />Medical Gas <br />Other <br />I pereoy wiLly I�al I �avo rea0 JnE a�aminoE I�Is apP�'���bn ana know No sama lo Ca Imo antl [onecl. All pmvlzlons ol laws an0 a�d'manws 9ovoming 1�I. trya etwort w:il pa tnmpl <br />Nen wnetner aneE noreln cr nol. IDe g2ming af a permi aoes nol presumo io gbe aWnonry lo Woiaio or rancel mo pro�lsion ol any omer stalo anowl mw ropulanne �����+cuon <br />Thal I om �o ee oy � owner al NI5 pmpoM lo padorm I�e woM1 lar wNrh aOD����on Is maGo end I comDh "�'��� IOn Slaio Commctors Law f 8.27 RGW ana 290 i00A WAC. <br />�o �J l� <br />Owner Authorizal 4gcnl5lgnaturo Date (Rov�s^d <2015) <br />