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�PERMi7 APPLICAT{ ,C� <br />BUILDINGIMECHANICALIPLUMBINGISIGNI'SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SE:RVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX �25-257-8857 vr,rrw.everettwa.org <br />� -� -� S <br />ADORE55: � .�O � <br />PROFERN TAX k <br />i .,nvt 99. Do/�OvOC? <br />1er new constmcLon� Shon PlaUsubdivis�en lot No __ (ailaeti co�y ol long legal descnption) <br />E��F�ETi Hodr/NG <br />aD i�dX /, <br />Z���� ����i <br />c�'�ETi': G//1 C',�Z�/ <br />Owner OwnefsAge�l _ContraCor _ConlracrofsAgent Tenantt��s�o���aoomm�oiw�:omr„mmoo�e�meo.wnm <br />Lic. # <br />�,�A�/O<�/�� <br />Ci,y Bus. Lic. # VG: <br />ND y /�FL TM� <br />2_ 43 S6 /.� - TE <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Use of Buiitling J�/�//�� -- <br />Preposed Use of Building SF/� �� <br />Buiitling rype: _ Single Family _ �uplex _Townhouso _��1����-Family _ Commercial <br />OF W ORK (additional space p�ov�tled on the b�ck)' <br />�`(� A11 U,LC' '�/V 1 ll�.l�C/ <br />-� - � - <br />MECHANICAL P <br />o(Projecl: _Now_Addn <br />NIT APPLICATIO <br />� Atloratlo� <br />flxfures <br />Unit heater <br />T <br />PLUMBING PERMIT APPLICATION <br />ol Pro�act: _Now _Atldn _A��arallon _Repolt <br />8 <br />Medical Gas <br />Olher. <br />Number ot lieatls - — <br />I �ereCy wPury ina! I �am mae anC evaminoG Nls applir.�llon anE Mn�w I�o samn lo Do W o an� cortect. NI p�oWslons ol laws an0 ord.nance: goveming NI, fypo ol woA vnl� M wmp� <br />wn� wnemer;Daufietl �erein o� �oL Tho 9�����9 a� � Permit Eoes no1 pmsume lo glve authony lo vblaio or canwl i�o p�ovislon ol any otPer slam or�owl4�w regutaVn9 eonstrucnon <br />TTaI l am ayl o� eca o I�e owne� ol I1�Is pm0orty lo pedorm i�o woM IcrwMN apD'�iwtion 4^ ma7e end I eompry vAt� �Po Stam Ccntracmrs law �82� RCVJ anE 2'39.70DA WAC. <br />/ i <br />� ��/� (Revised 42015) <br />OwnoriAuthorized Agenl5lgnature �� Oate <br />