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�PERMIT APPLICATI(� <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVECES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vn+nN.everettwa.or9� <br />� —�l—/j <br />E ADDRESS: ,� Z' / C �.3 <br />Lf; <br />T49 Do/�DUOC� � YYl��in� <br />for new constructiort Short PlaUsubdrvision Lot Na_ (attaU coDY of bng legal oescnpUon) <br />: E�/�,�FTl HUfiNG fluTyo2�Y P�onelE mail / � �( � O , � � � <br />�D �DiY I.S�Y / . . CiryiState/Z�P �G���� Gv�% �0 �n� <br />:ANT:�Owner _6wnefsAgent _Contreclo� __CanVactofsFgent _Tenantlm�s�v�o.aeamno•oimmemno.,u�oo�a�meown.inme <br />� <br />G',��Ii�.Gd/�� <br />BUILDING PERMIT APPLICATION <br /># <br />zsz <br />PRICE OF WORK _ <br />Exisling Use of Building J/" �C __ � <br />Proposed Use of Buitding S/�/� � <br />Building rype: _ Single Family _ Duplex,_Townhouse �. vlulli-Family _ Commercial <br />T,,..n ,.( ...�In��� Nn�u Adduinn � Ramndel Reoair T I. Siqn Sprinkle <br />RIPTION OF W ORK (adtlitionai spaco provrded on tne Dack): <br />� I ct ce �,1,+� ��a�.., <br />MECHANICAL '?ERMIT APPLICATION <br />ol ProJecl: _Now _Addn %S Altoratlon _Repair <br />Clothes dryer <br />Ranqe hood <br />Exhaustfan <br />Heal um <br />Unil heater <br />Boiler <br />Refri eration <br />Woodslove <br />Duclin <br />O�her <br />SPRINKI_ER I SUPPRESSION <br />Number of Heads <br />� .,�,a �- �� <br />PLUM <br />City Bus. Lic. # U�% <br />y .�F�T��� <br />3s6�3-TE <br />i/�n. v�a <br />� L <br />APPLICATION <br />o1ProJocC lNew_Adtln _Altoratlon_Repalr <br />Medical Gas <br />Other. <br />I �erooy wNfi t�al I naw read anG ovamina0 NI5 apP'I�alb^ a^d know Il�a samo to Eo Imo anE cortatl. �!I pmvlaons oi lzws and arElnanw, govem'nq Inls typo of worR wIA �o co npl <br />w.!n wnelnor speu�!c0 �erein or not. The granling a10 pertnit aaes nat pNsume te gNe aulna�;y to vrolatn or r�nccl Ne pmvislon o1 any alner elato or loeil L�w rcguLtpng Ca^slm:llon <br />TTai I am I �zea b Uie OwnG ol Nis propeM �o ped� ^*� ��o work fOr v.Tk7� apphwuon u maCc onJ I wmp/y MIO I�o Slam Conlmctors Law 1917 RCVJ and 2^B.]OOA YJAC. <br />��� � /� I / � (RCv�Sed 42015) <br />Ow�honzad l,gent SlgnaWro <br />