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C� <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 42, 257-8810 FAX 425-257 8857 cn+nv evereth��a.org <br />A <br />5 <br />l�i <br />'crrc:�conslruUcn Shc�i <br />arv rnx u <br />LDI NO <br />E.mail <br />(aUacn cepy ol ic^�g'egal Cescnpt�on) <br />r�r« �e�u�'s �� f1oL ,Cp��9 <br />t/ere N <br />��� <br />�Q <br />Ceire� Cwn�i';:.gent _Contiactu _C:r!rac!oYsAgenl Tenant�-�.��nasa�u:'rrc�amecna�muo.rcr�oco+.c:���..•:.,:•,^, <br />Bus L�c. � <br />�vtio�� e�,,, � <br />ONTACT FOR PERh11T y,LS ,�c� , ��jv y <br />�-���a�� LCS �►'��I..ew�sc� ADG Co�✓1 <br />BUILDING PERMIT APPLICATION CONTRAC7 PRICE OF WORK <br />6isling Use of 13w�ding �rG�� �___ -- <br />ProFosed Use of OwlC�ng <br />Lui�ding type _ Sing!e Fam�iy _ Duplea _Townhouse __ hlutti�famdy __ Commerval <br />i;;,e o' �•iqect C:e�.v ACd�ticn __ Remotlel __ Repa�,r 1 I S•a�` ___5; rmklrr <br />DESCRIPTION OF WORK �aem;�o��ai space p�c���eee o�� rne ba�4� <br />�k �o�-�' Ga��S� �cr� <br />MECHANICAL PERMIT APPLICATION <br />Type ol Pra�ect: _Nc+v �Addn _Alteration _Repair <br />Show Nurn6cr (p) o! listuics <br />I �1'(: - av handling units _ <br />SP <br />I Fo�ccd air <br />NumCer o( <br />M <br />T SOURCE <br />_ �cr•�,ad�on_ <br />ol USe <br />PLUMBING PERMIT APPLICATION <br />ofProjeU� _New_Addn _ Nleration__Repair <br />ShmvNumbcrl�l olGxhires <br />r <br />Other. <br />Other. <br />Su�k <br />Gas <br />I PereDy cen'y'.nal l na� o�ea 1 an� e.am.n¢tl th�s aC�'.cano� aN V no�.v �h.e szme'o Oe Ime an0 wrrecl AA pmnxlon5 0l larvs ��4 or0inances goceming Ibis lype ol wa� w'� [^ � e,";, =- <br />�e�in ndel�er speOhe� �CrCmcr ncl i�e 5�ant��ng U� Fe�mi dce; �ci pmsume lo gae aut�or�ly to v�c�a!e or <a�ce� tPe C'owsion cl any cl�e� s�al! o� loW� laH re�W3Lig co�slrc:4<n <br />iPat I am au;hwiteE CY Ine tr;.ner cl INs C�oFe�Y'o per!o,m 1 ne ,..: k fcr nn�ch a:eL: aUc� ��: ma]e .:".0 I r: -'t'�i ':. •�""n b'.a•.^ C:. ^'ra:!o:. L,.v 1 P i' n,f ::' ao� :5g : c.4 :'J;. G <br />.�- � �� 51� _ os a � � � <br />Own rlAi Ihorizetl Agent Slgnalure Da, ` (�ec�>eJ ''.01J) <br />