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�PERMIT APPLICATIC� <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVEREIT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 96201 425-?57-8810 FAX 425-257-8857 ww�.everettwa.org <br />TA%q <br />Z 2.. <br />aEamiT tt <br />oo/�ovov yv����(,- <br />,,. lor new ccnslruction. Short PlaVsu�drvision Lot No._ (attach wpy of long le9al descnplio�) <br />eR EU�.�FTl f/odl/N6 AuTya2T/ P�one/E-ma�l j G� <br />ss�413C�ii �j r � CirylSlatrJZiP � (/r�� <br />Z. Z � <br />w� y��or- <br />:�Owner _OwnersAgem _Contrac,or _CcntractotsA9ent _7enant�m�sic�o.�aaamn��oim.,sc��i'rmm�cw,o�ioao..onin <br />OR /7N��s/�� State Lic. # City Bus. Lie. #(/L,i� <br />�,�Arv�d/�� <br />UIL�ING PERMIT APPLlCATION <br />Phor,elEmail <br />y yF� rM� <br />yzsz93s6i3 - <br />PRICE OF WORK � _ __ � <br />Exisling Use of Building SF/� � <br />Proposed Use of Building <br />Bmlding rype: _ Single Family _ Duplex _Toanhouse _ Mulli•Famity _ Commercial <br />7�nanformect� New Adaition �Remcdel Repair __T.I. Sign Sprinkle <br />PTION OF WORK (atlddional svace p�ovi0ed on me back): <br />1�(� � G� G� -�/Yl �1. (.,tJ <br />MECHANICAL <br />o�ProJect: _Now_Addn <br />Show Number (a) <br />-� A/r _ � <br />air <br />APPLICATION � � PLUMBING <br />_Repalr <br />Unil healer <br />Boiler <br />Refri eraticn <br />Woodstove <br />Duclin <br />Other <br />SPRINKLER / SUPPRESSION <br />Num6er of Heads <br />ON <br />of ProJecl: _Now_Addn _Alloralion _Rapalr <br />Show Number /bl ol (xNres <br />Medical Gas <br />Other. <br />1 nereEy eepify IOa11 �avo mad an0 eaamineC iMs aDPllo�lian and Mnow No same lo �a Wo an� eorted. Ail pmvlsmns ollaws antl vrtlinances govaming Nls typa olwar%will pa wmpl <br />w: n whelner;pe(iLe7 neroin or noL T�o 9mnl�,n9 0l a Oermll aoes nol D��umo lo glve aulnorry to vlo�ata or Uncel Ino p�ovlvon of any olnor slalo or lowl law mgulating conslructlon <br />Tliallemeu Tcob t�aawnerolNispmpnrty�oDONartnmowork�orwh�NapP!����IonlsmaCoan�iwmpHw:�I�aSlatoConlmc�orslaw1B17RCWanE296]OOAWAC. <br />�/%��— �/ ��/� <br />OwnodAuthu izud Agenl5lgnaWre �ate (Revised42075) <br />