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� <br />�J <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOL ITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM E AM T01 PM �I --'3-O `I� <br />ADDRESS: �SZZ G'"1�Q+'K� CV�YII.«� �V�- PpOOERiYTNfM �W��t�DY� I�D <br />tor new m�structiort Short PlaVsubtlivlsion Lot No _(attach coDY a� long legal Oescnption) <br />Z91S Colbv h�e., <br />_ Owner _ Owner's Agent <br />��� <br />%-1 � �Q� <br />W-4 95� <br />CoNrador Cont2clorsAgent Tenantcm�s�o��a«emr.orwm�wm�mu,00.,��meo.otimmasoacs� <br />rr%iv,a 11 G L 8 I Lic #�O o 3°�� Z 6 O coe s�5 u�. r E�mo� <br />��Z2� IP�on�JEma�l 2��-/� <br />��i�� <br />��- � �,� <br />BUILOING PECtMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Use of Building Mu`�i tGrnl ����,1S un I f S <br />Proposed Use of Building IVN.I I h�l m� �'� �T U h ��`� G: <br />Building rype�. _ Single Family _ Duplez _Townhousc � Mul6-Family _ Commercial <br />Tvce of D�oject. ._ New _ Addition �( Remodel , Repair _ T.1. __ Sign,_Sprinkler _[ <br />of Use <br />)ESCRIPTIONOFWORK(adaihona�spacep�o�ieedonrheeack) ��an�caS� �n°�llnil 5'. adci eqrlh$dKke Siruj <br />-}n hoj WGI[/� �eA�"P^ nnd al{�och P�rs3u� ��Ircf �nlx +o �o do�✓� ond oufvde Ce�n51�3oes� <br />Un�t'�3- eXP"�'�'r'9 +b �'`� bdrm unit [e�irnivwfin9 olcl l.�n�� 5i - Sinch. �9�y ha5 �}�Ycer� <br />s�ne.(u14ho��h nok�4cl,.> �+v�b�+o�le-{- ar� baihrcr�m � tl�y A}FachTd. A�� need pzrm��-�'o- <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ofProJetl: _New_Addn �AlPoratlon_Nepair <br />heater <br />otProject: _New_AAdn _Alteration_Repair <br />SAowNumDerls) o/firtures <br />dra�n <br />tlrains <br />Oiher <br />oine�. <br />� nomny rfnM mn� � nave n,atl nne a.nminno mis eoo��non ane know me Umn to De imo ana cortW. nn omvisrons ot laws nnn om�nancos 9ovoming inis rypa ol wnn� w�.li M �'nmoM'n <br />wllh whel�c� speMirtd tlemin ar noL Iho (Jnnllnp nl n pamiM danx nnl pmsume 10 pivo auNotlry lo violale or oinfcl Ihc pmvlsian af nny nl�ei xtaln or bGl Inw mqulatinp mnsimd�on <br />That I am auN a0 by �owner ot I�Is pmpnrry lo podorm I�c wo�t lor wiirJ� apDlicilbn �6 mnGe nn01 mmply vnln Iho Statc Canlmclors Lnw 1B 27 RCW nna 27G.700� W�C. <br />; <br />� 91301 �y - ��z <br />OwnorlAulhorizod Agent SlgnaWro Doto (Revrscd f�1072) <br />9 <br />