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, v <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-2��-ss5 �3 �� ap �� caFr� }_�3,y � <br />)DRESS:Z �� / � <br />,, <br />for new construclion: Shoh PlaUsuOdivi <br />' �qwttS �ouS�ncry <br />y �Q � /1'i �G �� <br />PERMIT # <br />9o/s� � gwi3�� " <br />No.�S� I(attach copy of long legal descnption) <br />�� N�5 - 3�g � 9 Zoa <br />P �UC2T' �'l�LC�j <br />_Owner _OwneisAgenl vGONractor _Contraclor'sAgent _Tenanl�^���+�o���-�aosieser�iw�se-uro„moo+.�^rma�M��n�n��e:p�-r) <br />TRACTOR S, L. J. <br />�55 �g��'j 1� . G <br />4NT BUSINESS NAME <br />�`. _. _."`_ � <br />�! �G <br />C I Il(;� :;Al?�: <br />�� <br />:� <br />ILDING PERMIT APPLICATION <br />Exisling Use of Duilding ��^ r <br />5fsza3 <br />L� <br />LiC. # <br />--,�5.3— �! 7O 6 <br />iMIT�7,�J t Sd N�=� <br />4zs- 3s3- �>oo <br />PRICE OF WORK <br />Olher <br />�osed Use of Building L(�"`�""'-r�e�» - — — <br />ding type'. Single Family _ Duplez _Townhouse _ Multi-Family �, Commercial <br />e of preject New _ Addition � Remodel �, Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of� se <br />SCRIPTIONOFWORK(sddrtionalspaceprovidedon(hobackJ: �/ � Z^Xzs�lr /�S�j7S <br />���' il iv��..�2s�'��� Gl�s o?�r �^' ' � <br />�e�o� Ga� �'na'�c� co�n � o-i�twto il.o djf4��n9 �9n <br />�,✓s% l� .�c w �s ',! �Q -� s, � rvl <br />A�/S .�,ti,o nlon t��crw„ c o�. �� S�S,�rs. �erts�2 l,,,i <br />MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION in �! l�^• <br />0 of ProJ�cl: _New _Addn _Alteration _Repalr Type ol ProJnct: _New _Addn _Aileration _.,Repair <br />Show Numbcr (N) of lixfures <br />Show Numbcr (M) ol /ixfures � 7pilEl <br />i Arr — air handlinq units . <br />S10 <br />Other <br />Gas <br />� Number o( lieads � <br />1 hemby cetlify Ihal I have read an0 e�aminetl Ihis eppllcalion znd knmv Iho same to Ee Ime and correcl. All provisions ol iawa and ord�nances governing ihis lypa ot worY, xiA he complied <br />wAh whet�er specRietl herein or nol. T�o g�antinq ol a permit Ooes not presume lo piva authorAy lo no�aie or cancel the pmvaion ol any oiher state or bwl law regulating constmclion <br />7hat I am autnoirzed by ine ovmer oltnia pmPeny to pertorm tne ��ork for which eppiiwlion Ia ma0e and 1 mmpyN��1h Ihe Slate Ceniracton Law 1B 27 RCW and 296 200A WAC. t <br />lU-.30_ /3 I✓ <br />,��'�����i�`i� -S�C V L V d �� � " <br />� <br />