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��RM� � Ai���.����'9�� <br />�UII�l�INGIM�(:H�NICALIPLUMBIMG/SICNISPRINK� ER/D�6UI(�I,ITIURI <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Si., [verett, WA 98201 475-'257-8810 FAX 425-257-8857 uw�rva.eve qtiwaa. � 15 <br />lor new canstruction: ShoA PlaUsu6d�^is. <br />FFh/ iZ�iN <br />7� � N.�I �-rscn/ F�-c <br />�aner _ Owners Agent _ Contrac;or <br />BUILDING PERMIT APPLICATION <br />Ezisiing Usc ol Building <br />No._ (attach copy of tong Icgei deschption) <br />�25-__337�Co7�.s' <br />stale2ip � (/C�C=��. ���� <br />n9Cp� _TCOaplfnuslF��eolelle�clwOw�IfiomUmo.m�tWCpwo�hl�e:pau) <br />Lic. # <br />Bus. Lic. # <br />�/? � - S/C9 - <br />7R P RMI I / ����� <br />�y i��� <br />,�t�s'/b- �13��' <br />PRICE OF WORK �� _ <br />Proposed Use of Builtling — <br />3uilding type: �Smgie Family _ DuAlex _To�mhouse _ Nutti-Famdy _ Commercial <br />Type of p�ojecl: New _, Addition �. Remodei _ Repair _ T.L _ Sign ,Spnnklei <br />nFSCRIPTION OF WORK (addtional spare pmvided on the back): <br />rro � o � <br />otProjecL• _New_Addn _A��eration_Rrpair <br />unils <br />HEAT <br />���� rc�rL .,.� <br />otprojecL _New_Addn _AllcraUon_ftepair <br />cn,.W N��m6rrlp) of fixtmes _ <br />Other. <br />Gas <br />� Number of N,eads - - <br />IMdhwA�heispeufied'�ereinor�otThe9iAe�ingolalD�r'mldacsknotpmsumeto19Neau�ho;i'yfovlolatelar�canccithepravso�ao�a�9 ����s»°orlawlhw�egulzn9 olnshuo1m�nlled <br />lhal oniad�Y �he o�mer Ihi pery Io peAorm tAe voAt lorwhich �pp����lion Is maUe n�d I�omp�y �+'•IA the Slu'e Cmtliaclofs Law 1827 RCYJ and 2BG 200A WAC. <br />i G <br />� / "�� l� (Revlsed 4/2015J <br />OwncrfAut imd Agent Sfgnat c <br />f7a�e <br />