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PERMIT A�'PLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROPERTY TA% N ��Tr <br />ADDRESS: .1 ��2n� (i"'1" 2 f'i� - � dl � — <br />n_..�, rl.. a.,�: _..l On C.ir:/..rr /il� <br />for new conslruction: Short <br />(attach copy ol long legal descrip�ion) <br />ltc�,>�r Sct �F,�'.F1t AJ9 �1f 2c��air�s�oie�zv �r�i--i2fli l���f 7R�o� <br />_pwnei �„Owner'sAgent _Conlractor _Con�raclofsAgent _Tenantlm�stv��aeeiar,ermw�.emim�meow�enoao.o�k�nurespa:e) <br />L <br />�%�ii�:,�,I CU✓GJh{�rif"l� f=l�G. �U•�.�'� <br />BUILDING PERMIT APPLICATION <br />I Lic. # <br />_... _.... .,,—. <br />7-3252 <br />5-�r��e <br />PRICE OF WORK _ <br />Existing Use of Building � " �i �'��•�i�i•nrN � <br />Proposed Use of Building l7%1�'l�lN�`�r'1/Z+"` �i�'/� <br />Building type: Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />Tvoe of oroiect New _ Addition Remodel _ Repair � T.I. _ Sign ,_Sprinklei <br />�'(�I�,bE Bus. Lic. # <br />N� QK+,vs - M7G1417� G f <br />�iv6 � A/'G �i '1'1'G j';� . L1C� 11l <br />��41 a�m • `'� <br />HEAT SOURCE: <br />y Electnc_ Olher_ <br />mlitinn Chanae o( Use <br />iSCRIPTIONOFWORK(edditiona�space proyidedonfheback): ,`� • <br />lis— Il�cl �C��i G�Lt�VE: 1�°� �L �•�q Atnc� 14� C,O)s,� ,I�, �loVr <br />G/n� fJ,^ce lkt5 /��','eirq j�/r,d� '- J i/ � «�.e. cc�; �I lar:, ���i,art qe <br />-t�D�-�; .'i�q!'Jc;r�e./��4rT�p :�lu:f-� ;,ta<� t- �� / /� <br />r tl' L7~L.� n�-i"t«� eiv,�d-Sr+r Uc�. �c��n� . <br />��..y-;:1rr�Y ��i�f�lr+t-Ll7'li7 <br />MECHANICAL PERMIT APPLICATION LUMBING PERMIT APPLICATION <br />�oofProjecL• _Now_Addn _Alloratian_Ropair TypoofProJoct: _Now_Addn _Alteratlon_Repalr <br />Show Numbcr (p) o! lixtures Show Number (p) o/ /lxturcs <br />Other <br />Medical <br />Other: <br />Other. <br />I hereLy cerhty t�at I have reatl and examined this apP���otian antl know Iho sama to 6a lmo antl cortect All provisions ol laws antl ardlwnces 9oveming this type ol work mll be comp�ied <br />with wAe�her spec�ed herein or noL T�a pranting ol a perm�l doea not presume to give emhanty to violate or wncel t�e pmvision ol any other slata or local law regulating constructlon I <br />That I om eut�orizeA Ey tha owner ol l�is pmperty lo pedo�m IOo work IorwTich appl�wlion Is medo end I comply wM tha State Contractors Lew 1827 RCW anC 2%200A K'AC. `� <br />(Revised 62072) <br />