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PERMIT APPLICATION <br />BUILDINGIMEC�ICALIPLUMBINGISIGNIS�NKLERIDEMOLiTION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 w�rw.everettwa.org <br />6 ��7--�s <br />SITE <br />�� <br />�aoveaTvrnx a <br />ooy.� 9Z o� <br />vov <br />4L for new conslruction: Short PlaVsubtlivision - Lol No:_ (atlach copy of �ong legal descnption) <br />�ER �i/F,�ETl Hdrii�G A�ryo2 PhonrJE-mail 7 (� �Z�O , !� � � <br />�5s f o dDX I.S�� c�n�sc�i�z�a F1�/PE7T �/f! �Z�/- <br />LICANT:,�,Owner _O+mefsA9enl _ContraGor _ConVactofsA9ent _7enant�m�.io��iae.iom�oi�m,�n�.u,ew.oa�m <br />G',�Ary�d/�� <br />UILDING PERMIT APPLICATION <br />Lic. #��A-%�isla"C �5 �(� � Z City Bus. Lic. # <br />Y HEZTMF <br />yz.� 293/s6/_ <br />PRICEOFWORK I(ODO, <br />I Use of 6uilding J/' �C <br />:d Use of Building SFK � �� <br />� rypo: _ Single Family _ Duplex _Townhouso _ Multi-Family _ Commerciai <br />' project� New Addilion Remodel Repair T.I. Siqn Sprinkler _ <br />RIPTION OF WORK(addifionalspacoprovidedonlhebetk); <br />�� �GIC-C 'ILUYYIGt.�� � �.0� �UGt,i-i�' �1.��1 <br />af ProJoct: _Naw_Atldn <br />of <br />APPLICATION <br />_Repalr <br />� <br />� <br />_, <br />� <br />Olher <br />nao ol <br />NG PERMIT APPLICA <br />ol Pro�act: _Now_Addn _AltoraUon _Repalr <br />Shnw Num6er /A1 0/ flxtures <br />washer <br />Medical Gas <br />Olher <br />I �nmCy cortMy I�al i �ovo maE ana mnmina01�15 �pD�l�illon onE know No snmo lo Da W q anE corteq. M p�ovislons ol l.iws anG aN�nan[oa qovum!ng Nls typa ol work vAil Eo compl <br />wen wnolnor spo�M dd//horoln or not Tho pnNing ol a portnll E000 nol D�sumo lo gbo aut�oMy lo vblalo or wncct Uo pmvl9on ol any olnnr ctaln or loral law repubUnp con;lmctbn <br />TTaI l nm oul�o�lz�ho o� ��. pmporly Io Vurtorm 1ha w� IorwMrli �pAcitl'on la nado nnd I wmoN �� ��o Slalo Conlmnort law 1017 RLYJ antl 478.100A WnC. <br />OwnadAuthodzod Agent Slgnaturo ' � Ga1c (Rovlsod 42075) <br />