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PERMIT APPLICATION <br />BUILDINGIMEC�ICAUPLUMBINGISIGNIS�NKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �wwv.everettwa.org � <br />G —l� /s <br />fl y 8 Cs�c�S �- <br />TA7( b <br />-q� oo/�ovov <br />for new conslruction: Shoh PlaVsubdivision Lot No:_ (attach wpy of long Icgai descdpuon) <br />�r/�/1�T1 f/odr�ivG <br />Z.�7�0, % ZLG� <br />fdmss�p64r� �,��/ ICirylStatelLipE�/Z�E—%/ Lt/f1 ��j�J'Gv�-' <br />� <br />PPLICANT:,�,Ovmer _OwnefsA9ent Coniraclor ConvactofsAgeni Tenanttm�,�oro�eae�om�a�wo,�,inommoo�a�oee.onmu+a.o� <br />ONTRACTOR f%OC'aA�Q State Lic. # �fs!� �5 �b t Z c�c� s�s. u�. a �Z� � <br />dtlress PhonelEmail <br />�EnNANT BUSINESS NAME CONTACT FOR PERMIT ,qND }� /�E�LTMF <br />�7i�//L� ✓ /�v'� Phor.GE-mail YL � � 7� �b �J � �E^' ' - <br />ILDING PERMIT APPLICATION <br />Existing Uso of Building <br />Proposed Use of Building s• <br />PRICEOFWORK I��O. � <br />typo: _SingloFamity _Duplex_Townhouse _Muiti-Family _Commerciai <br />DESCRIPTION OF W ORK (addiliona� space providee on Ihe back) : <br />1��IGtC� �u'nctic�J <br />I MECHAN{CAL PERMIT APPLICATION <br />of Pro�uct: _Now_Addn <br />SP <br />PRESSI <br />Number <br />_Repalr <br />ic <br />of ProJocC _Now_Addn _Altoratlon_Repa�r <br />Other: <br />I �ornby conRy I�al l �avo roatl nnU nsaminoU Nis apDllcalbn nn0 know Iho snme lo Go Vuo ond cortuct. AO provL•lons ol Inws anC oMlnanwa go�nm�ng IMs typo olwoh vA'I On coinpl <br />wilh whciAor :po a0nd a In or nol. Tho pranllnA ot n Dort^�� dooa nol pm,umo lo pNo aul�otly Io vioqla o� wnccl Ne Drovl9on ol any ol�or 6tato ot lo�l law mpuL�OnO �^%�N��bn <br />Tlialimm�ul�otlxetl�ownur IN4•pmporrytopndarmi�awodlrwhl appfietOonUmadenndlCompN�N1�O51a�aConlmciDiuLaw1B17RCWan029B100AWAC. <br />� ��_ � S � �-- <br />OwnurlAuthoriznd A9ont Slpnaturo Daie (Ruvlsed J2015) <br />