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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITfON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett. WA 98201 425-257-8870 FAX 425-257-8857 wvr,v.everetWia.nm— <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���_� S__I_ <br />4DDRESS: ,. _ _ � CNOVERTY7A%k GFRA�ITN _ � _ <br />lor new wnSUUCbon $hoN PlaVsuha�v��scn <br />IlI <br />Lot No <br />PnonelE-ma�l <br />�� <br />(altac� copy ol long Icgal tlesc�p��en) <br />� <br />� <br />� �I'—i��`[Y /Yi'r �VC' YCG� l I IC�IYIStatc�Z�p / a�O l <br />w _OaneiS�gen1 _Cont12[t0� _Conlr�p0�'SA9eni _Tenant�m�;i,�mwenacero�mmem�vmmuc..�ar000..a+ne�uspsol <br /># <br />Pno�c�Ema�i <br />COE B�s Lic a <br />BUILDING PERMIT APPUCATION CONTRACTPRICEOF WORK f�U� -� <br />Ea�siing Use ol Butldmg �� S i— R— HEAT SOURCE. <br />Proposetl Use ol BuJOin ���� s Eiec;nc Olner <br />Bwiding type S�ngle Fam _ Duplex Townhou5e _ t.1ulh�Family _ Commerual <br />iyVe of D�oject. _ Adtldron emodq Repah _ T.I. ._ Siqn __ Sprmkler Demohtion C�anac ol Use <br />)ESCRIPTION OF YlORK (aee�nonar ;pacc p�o.•eeo rm m� oacwl <br />A-J.� ,� �'�-���. �,F�r�vs ,��.s��,w Asrx 900 ,v�w �,q.�� <br />nE4C. ir _- <br />ICAL PERMIT APPLICATION PL BING PERMIT APPLICATION <br />ot ProjecC\ New _AUOn _Alteralion _Repalr <br />Sf ow NumDer (al of lixtures <br />A�C — air hand9nq �nds <br />Farced arc svstems <br />heater <br />Other <br />ol PrafetC _R fw _Adtln _Alleralion _Repair <br />Med�cal Gas <br />Other <br />7 <br />i hereEy cerl.ly I�al I huve rea0 on0 e.amne0 Nis oppl[a!ion nnU lnow Ilie same lo Eo Irue anC wnecl. Ail pmvrsions ol ��w an0 mamances 9ocemmp Iha type ot woA �K� Oe comCl ed <br />w�;�nTelberspmfic0�ercino�nol i�epranUnOolnpertnAdoesnolpresumelogNvaul�ontylov�olalea�cance111eC��'smnolnnycl�cr5lT.eorloo�ll�.r�epWa:nqcons!n.c!ion <br />T�al l am iul�onze0 CY ��e owner ol N�s OropeM �� Gertortn;no woA lor wbt� ap0�calron u maCe an01 ccmD7 w=^ ��c S�ate CovVazlon taw 10 P FC W a��.] :Se .00A t\'a(; <br />� �— �'" <br />� /�z 20i z � <br />Qw aizetl Agent Signalure � - (RCri5C0 6/?017) /� <br />