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os;os�xoia e�n ia:os F':�t azs :s�s ;oas r�.� N.ILUI'nl c,�s <br />Qooi-oo•� <br />/��e�t� �1! -��r �ayh,ci/��' <br />L(2 S ,35s 3s� i <br />PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/QEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St.. Evere�t, WA 98201 425•257-8810 FAX 425•257-8857 www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM17 8 Atd TO 4 Phl L] �- +'I �- I N <br />ADDRESS: /�// [� /�J� �'�"`{ �r Dq07ERtt7AXu ?,€R�Tr�^--�t� <br />� 1p � y �1 � <br />f�! OE�: COOS:NCUOlC $hOh <br />No._ (atlachcoDYallongle9aldecC�D�on) <br />�o Ctizsl z3R ��4�r <br />ne.: I(,ll 1-�oUou �„�le �Pi la�r'sia�dza Ever�eff 9�52(�t <br />PUCANT• O�cr QFriefsA�,ent X,Con•,r�Gcr CpnVaclolsAgeM TenaMi�v.ir.c�c.tvao�w.uenrv„vec..���e.ao.rn�ceu.y� <br />INTRACTOR W�S�+�' �°i^ i�aiurnl G n S � a i��c. a 6d Z �l G 9� t2g CO[ 6us. Lic x 6N L C4 <br />1re.s 2�j �5 U f.�t S.�e Q S'�' L� Phone/Lma�d �f Z S 3 S$ �i1 i'1 <br />NANT BUSINE55 NAh1E CONTACTFOR PERMfT �� �;�r ���� <br />�.t/�Sl.,l,��iov� G�jN'n Ga <br />N � j PnanelE m� i �( 2 S � S S '133 f <br />UILDING PERMIT APPUCATION CONTRACT PRICE OFIYORK 3J�� "10 <br />ingUseotBuiltl�ng /ts�c(CnSC HEATSOURCE: <br />nsod Usn \e_f Bulldin3 /�-0%ii �L csas _ Eieccnc_ omc� _ <br />ingrypc/� SingleFam�ly _Duplex_Tormhouse _hlulti�Famliy _Commcrcial <br />of prolect Now�AAd�tion Remodel Repalr T I Siyn SD�nkler Demolllion Change of Use <br />��CRIPTION OF WORK (aOC:t:ora spaco prmt:odon mc ba.k): <br />/i%'L -�'r �.G'C �'+/'/�(�(.� rh$� O� � � <br />MECHANICAL PERMIT APPLICATION �PLUMBING PERMIT APPLICATION <br />ofProfttC Wew_AAdn Alhmtlon_Ropalr TypcDlPrqttt: _New�Atldn _Al�cration_Repair <br />SU <br />Flocr <br />Other. <br />w.lS�tC� <br />1 �ereDy cerv!y �nn I na.e �eeE ��M e.amnM Pa a;pYal.m an� Ma. Pe ;1me �a Ce true aM co:rett Al pio.hbni cJ ia�n an0 aC:nantts 9wemaq ��n p9e o' �uA w+0 De oeno�e� <br />u+V� wlielne. sptqfCO �tttbi a npL T11e SrJnVq W e G��� OOG �101 fmume lo �Ive oNnoly lo vidale m w�col L1C pTL�n ol Jny oJiCr.t]te or ICW I L�w t¢6uLf4n� Co�::vct a� <br />7Tdllamautlroni'dbythe ne+Wt�' prtpeMloOeN�r.n�euwklcrxi�tnappSw!anisneCce�nlmeG4'u.��e5ialeCmVeCv:Lnw10.77RCVIen�:SG.:00A�':qC <br />��- � ���i-� � 3/��� <br />crlAulhodxed Agenl Sipnaluro 0.ite (Rnriscd fi^077) <br />