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�PERMIT APPLICATIC� <br />BUILDINGIMECHANICALIPLUMeINGISIGN/SPkiNKLER/DEMOLITiON <br />CITY OF EVERETT PERMI7 SERVICES <br />3200 Cedar St., Everett, WA 98201 q25-257-8810 FAX 425-257-8857 w�vv+.everetiwa.org <br />i�-13-1� — <br />ADDRESS: <br />��l <br />b <br />Do/�DUOl� <br />fr,r newconsiro_tio� Short PI�VsuDtlivivon Lol No._ (atla� wpy of �ong lega� tl^sc�o�ion) <br />t EVF/�FT� �✓riNG AuTyo2 Phor.rJE�mail J � �` .S � � � � <br />/ D 13�X �J 7 / .__ C�hlStateJZiP �!z /cc i/� �//� 90 ��/ <br />Owner _QwnefsAgenl _ContraCcr _ConVactofsAgenl _Tenant�m�s�o�o��,00,iam�cim�eam�+u+ao�..�o:��ao.cnmmo <br />� <br />Lic. # <br />PltonelEmyl <br />�,�j v� (/ /r G� Pnone/E-mail L- � � <br />BUILDING PERMIT APPLlCATION CONTRACT PRICE OF WORK _ <br />Ecisling Use o( Building s/�i� <br />Proposea Use ot Building SF/� _ Gas <br />Building type: _ Single Famlly _ Duplex _Townhouse _ Mulli-Family _ Commerciai <br />aty E3us. uc. tt�JG' <br />y yF� T��F <br />3S6/3 - TE <br />600, a� <br />AT SOURCE�, <br />Electric _ Olher _ <br />,ii�inn Chanae of Us <br />:RIPTIONOFWORK(adadionalspatopmvitledontheback): � <br />�r��� -� r�acr� �+-��` W�'�e.� <br />MECHANICAL PERMIT APPLICATION PLUMF,IPIG PERMIT APPLICATION <br />ol Project: _Now _Addn X Alteratlon _Repalr Typo ol ProJect: _New _Addn _AI(oratlon _Repalr <br />ShowNumDer C olfixtures SOowNumDer a o�fiY(ures <br />NC—airhandlin units Todel <br />Forced 3ir sVslems BathWb <br />ra <br />Heat pump <br />Unit heater <br />Oth¢r__ <br />1SUPP <br />washer <br />n <br />Medical Gas <br />Other <br />Number of Heatls """". <br />I �em0y wMy I�al I �avo mad ana oxaminaa INs applirala^ a^E Fnow Il+o :ama io Ee Lvo anC eorted. At pmNslo+s ol laws anC aid��nancas goveming mis typa ol waM1 w•II bo eOmD� <br />wA� whel�er spoufietl �emin or nol. TTa 9�Ning of a porm�t does nol C�sumr to gNe aulnorYy lo vrolato or e�ncel Iho p�ovlson ol any ol�er slala or laail law �pBulaling consW ction <br />IDal I am am� y� o aw^er al N�s D�GeM �° PadoRn Na woek Nr wNli aC7��w��on Is maae enC I comptY'Mm ino Slaw Conime�ors Law tB2l RLW ane 29B ^.00A WpC. <br />���� �� <br />OwnerlAulhonzetl Agenl Slgnaturo Dale (Rwaed 42015) <br />