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� <br />PERMIT <br />� <br />APF`LICATIOf� <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVEI2ETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 9820' 425-257-8810 FAX 525-257-8857 www.evereriwa.org <br />y � 2z �-1U <br />ennaFCS• . _ PROPERTVTA%p PEFfMIrR/,�,� <br />for new conslruclion: S�ort <br />C1 <br />_ Owner _ Ownefs Ageat _ Cont�aclor <br />dd�ess ��e Q SQ� 02�� � <br />EN—� BUSINE55 NAME <br />s�9�o�2 � CHi�sl�r9�/A <br />BUILDING PERMIT APPLICATION <br />� <br />No._ (attach copy ol long legal Aescription) <br />COOIf2C10(5/1t]C0� _TC0301(mus�pronCeabMerolcpnse.^.tlromNoOw�crloEowcM1mt�aspace) <br />Lic # <br />i City Bus. Lic # <br />Sad -�'3S'� <br />A��r�� C�s��s�-9�P <br />PRICE OF WORK <br />ng Use of Building HEAT COURCE� <br />ised Use of E3uilding Gas_ Eiechic_ Other_ <br />ng type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />of projec�: New Addition _ Remodei _ Repair _ TJ. _ Sign _Sprinklcr _Demolition_Change of Use <br />�RIPTIONOFWORKfddrhonaispacepmwtletlonrhe6aca): �/�� /n C�/� <br />�.r.Q-�`4 �. • . ,e��� �� �r, <br />_ � <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />o1ProJect: _New�Addn _Alluration_Repalr <br />Show N�m6crlal o/Ilxfures <br />SPRIN <br />Other <br />Numbcr of Hcads <br />Typo ol Pro�ect: _New _Addn _Al�eration _Ropair <br />Show Numberlq ollixtures <br />tliain <br />Medical Gas <br />Other <br />Other. <br />I hercby ce�dy Ihat I have reaa and e�ammed I��s aDP��cation nnd know I�e samo Io Oe bue ona coimci A�I prov�sions ol laws ontl oNimnces 9oveming IMs type ol worM vn� Ge comp!�etl <br />wnh whMhcr speuGeO �emrn or nol Oe granling ol a DermA Eocs nol presumc to grvn mm�ortly Io violato or u�ncel ino piovision ol any ot�er stale or local law regulahnq conswmm� <br />Thai I nm au�hnnre by ine o cr tnis propeny to peNoim mc �^oik tor wtncli appt��wtion Is maEc ancl I mmply wnn Inc Slatc Commdois t aw 78 77 RC W an0 79G 200A WAL. <br />, " �J -- o �_ � � � '1� <br />, <br />. , <br />Ownot u orizcA Agaat Slgnaluro Datc (Revrsc0 3R073) <br />