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• <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-885i www.evereriwa.org <br />3 �l) —1 <br />9 hC"S� LI.dlJ (l�O GrM p`ry�,.� R PROPERTY TA%p P�A II � D� - I% I <br />for new construcliore Shart PlaVsu6division Lot No._ (aUacn copy ol long legal description) <br />Owner O�vner'sAgenl �CoNractv CoNractoPs�genl rC110nt(muslpmv�dealenelafconscnlOomNownenoOowoM1inPespaco) <br />�R � Q(� r rulcA� Slate �ic. # E.1�F-R-�T OZ.,SP{�I City Bus. Lic. # <br />'J29 � Vl�. � '�^"'Q.�-Q_, 982�-2 PhonelEmail 5Q. p) �Q/�' <br />fINE55 NAME CONTACT FOR PERMIT f U�jpr�_e�1 Q I,�M^ <br />E) Sa6ordf Chl h1AA�1Aq phone�E.mail �Z� 13�` OS�� <br />LDING PERMIT APPLICATION <br />Exisliny Use of Building <br />PRICE Of WORK <br />HEAT <br />PrOpos¢d USe Of �uilding 1"�7 �'�-1 l-u"� I _ I ve� ,- <br />Building type. _ Single family _ Duplez _Townhouse _ Mulli-Family %�, Commercial <br />Type af projecC New Addition � Remodel __ Repair _ TJ. _ Sign _Sprinklcr _Demolili <br />DESCRIPTION OF WORK (aUd�honal spacep�owded on fhe back) <br />(ns-�q(� Cl�iss � Hoc�o �d r1al�.c, u,p f��n., 5��t�m . <br />MECHANICAL PERMIT <br />Type ol PwJecl: �Nr.w _Addn _AlMration _Repair <br />Shnw Numbcr (H) o! lirfures <br />LER <br />air <br />Olher <br />Number oF Heads <br />of Usc <br />PERMIT APPLICATION <br />po al Project: __New _Addn _Alteratlon _Repair <br />Show Num6rr (p) o/lixfures <br />Dishwasher <br />drain <br />e tra <br />Medical Gas <br />Olhcr <br />bas <br />1 �ere�y cendy t�at I �ave ieaE and e.amineA Uis apphcabon and know IAe same 10 �e Ime anJ conect All prov�sions ol laws ontl nitlmancr.s goveiron9lhis IyDa olwork w:l be compl:etl <br />w�l� whclher spcu�ed �crein or nol Tlio 9iaNmg of a pcimA does nol presvmc lo gne aul�onty lo violaie or wncel t�a pmvl5ion oi any ol�er slnio or local �aw regu�abnq eonslmtlian <br />T�al I. aulhOr¢eE Ey I�C er ot lh¢ property lo pcito�m thv woik lo� �M¢� nppLcalion is made an01 comply wAh ine Slnte Conbaclora law 10 )7 NCW nn� 79G 70DA WAC �/ <br />2 <br />�� 2•Zo.( <br />OwnndAo hmiand Anent Sinnalurc DBIC (RBVISCd JR01JI <br />� � C O� � <br />