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� <br />PERMIT <br />� <br />APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425•257-8857 �nnvw.everettwa.org <br />� -ao-1� <br />rnx a <br />Z' <br />lor new conslruc�ion: Short PlaVsubdivlsion Lot No._ (attach copy ol lon� lepat descnp0on) <br />�fa5- �n3 -I la <br />_Ovmer _ONnersAgent VConlraelor _Cont2cloYSAgent _TenaNim„nwo+menene�ormnsemirm�mce«,crmao„aw�� <br />0200 �J (:� <br />LDING PERMIT APPLICATION <br />uc. u J IQYY <br />'��� PhonelEmail <br />Use of Building <br />d Use of Building <br />type: _ Single Family ✓ DuDlex Townhouse _ Mufli-Family <br />B�S. ���. # 053301 <br />o��p_.��•i. <br />t�( """" — <br />iu1�d �Com <br />PRICE OF WORK <br />Comme�cial <br />SCRIPTION OF WORK (admt�onel spaco pmv�ded on tne eeck): <br />��J � � � p �%LCLC.F—r� � � lD—YJ� '�-� (U1�Lt^/C.s�JS <br />� ����- ` I\ <br />U <br />MECHANICAL PERMIT <br />olProject: _New_Addn <br />Other <br />TION <br />_Repalr <br />PLUMBING PERMIT APPLICATION <br />ofProject: _New_Addn _AttenUon_ReDair <br />Medical Gas <br />Other: <br />1 hereby corMy Ihal l neva reeE onE e�9mmed Ina opplranon and Wlowtne 6omc lo Oo INo a�d cartect. AA pmvrsionc ol IewS antl ordmente5 gaveming Nis type dvAM wl1 Ee Wmp <br />wiNvAieNe�epeufioe�oreino.notThograntingol DBR�111COO6IIOIO��UTOI05NODUAOIIIYIDVI01a20DttgpC01UBD���510�OfP0�0IDBI51dIBC�IOWIIOWIByUC1C�JfA06Wf1bO <br />Thal I am amnMteE e � al Na property eAor.n Ino wotM far wtircli aOOLcaCon r maEe anE 1 comprywl� Ine Slala ConPactors law 18.77 RLW and 296�OOA WAC. <br />� l C�.� �� 9�S <br />Owner th�wkedApent5lpnatura Oale � (Ravlsed9ROf4J <br />