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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />� CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 982U1 425-257-8810 FAX 425-257-8657 www.everettwa.or <br />APPLICA'�"IONS ARE ACCEPTED FROM 8 AM TO 4 PM J2 a—�-1 Z <br />SITE qODRECC• PERMIT M <br />�O . GCa�d Av� fi(iy��7�7af�nntinr� ��"� .,,,,a <br />fornrweonstruclion: Short <br />(altach copy ol long legal descADtion) <br />_Owner _Owner'sAgent �Contraqor _ConhaqorsAgenl Tenant�munpru.peaieneroimnsemr�omtlmonneriepov�wl,huwsoea� <br />n . . ' .. - .. <br />APPLICATION <br />Use ot Building <br />1 OI� lLJynoneremad,�(jU — � <br />:ONTACT FOR PERMIT <br />m�c,� 360- �-aoi <br />�hone/6mail �"��C�n SnnY� <br />:ONTRACT PRICE OF WORK _ .iil <br />Proposed Use of Building l'1i �) I <br />vL__ <br />13uilding type: _, Single Family _ Duptex _Townhouse _ fdulB-Family ^Commercial <br />1 ype ol project New Addition Remodel Repair T I k Si n Spri�kle� <br />DESCRIP710N OF WORK (addif�ona� spece provideo on the back) : <br />�° �Ne�,- � � <br />of Use <br />O , iN(� - Fi9CE Cq?3►NE�i iv ClRG✓/-f PC/I�D <br />�Y OTH,E2S <br />PERMIT <br />of Pro�ect: _Naw_AAdn _Alteretlan _Rapelr <br />SAow Number (a10l firfures <br />A/C _ pir hondlrnn ��nae <br />PLUMBING PERMIT <br />of ProJect: _New_Addn _Alferetlon _Repalr <br />Show Number!/1 M Fnume <br />Gas <br />�y��F�m <br />-- -- --- -- ' _� � ....... ... v . em Other. <br />Number ol Heads Olher: <br />I pnmEy eetll!e I�al I havu mo0 anU a.amnna IMs applietlpn nnE Mnnw t�n 5ama lo Go Wp an0 canoU pp provisbnR ollnwe nnU oNingnfns govnminp I�u rypo ol waiA wJl ba comploE <br />wu� wtinlhor specl�ntl homin or nol lAa qnn4np ol a p�rtnit pons nal 0�nu�ma to pWo nul�nnry lo vblaln or rnnrnl IAa pmvisbn nl nny ol�ar statn or b(al law ioguwfing ��struciion <br />TApI I8m qu11i0tlIM fly I�� Ow�01 OI �p15 plpPpliy I poAo�m mo won lo� wnYfi nppOruuon b maao ana I rqmpry w�m Ino Siala CaNnclnrs law IB 27 R�Y! an0 2B61UOn WpC. <br />a•p - `fZ <br />OwnarlAut�oriz d gent Signeturo Dale (Rovisea 6�2017) <br />