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� <br />PERMIT APPLIC�TION <br />BUILUING/MECHANIC!1�..!!'l..UMBIN�ISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIi SERVICES <br />3200 Cedar St., Everett, 1,VA 98201 425-257-8810 FAX 425-257-8857 �^n^nv.everethva.org <br />IarnewmnshuUian: Short <br />r <br />7 <br />Tnx a <br />x <br />f:o._ _(atlach copy ol fong legal description) <br />i�ddress � .� �' Ciryl5lale/ZP � {�; `/ , U/ <br />��APPUCANT: Owrer OwneisAyenl Contraclor _CcNracicrsF9ent _Tenanll.-.=:�e2�.�a�:amr�•�nu:.:�mr,:nUo,�*,���oao..��xmc�•:��a�� <br />CONTRACTOR �j, � � �T�� � ( ;���SfP�1r � S!ate Lic. p , � , �%Q � Cily �us. Lic. ,Y Vt,��.% �� <br />Address ��. �jG�., � J3 G �G� ' G/ PhonclEma�l„c..r,3 —�'/`�j — C� / 6:� <br />TENAN7 BUSINESS NAME CONTACT FOR PERMIT <br />/ �TK ) lS CI ' PhonelE�mail — 'IIo�S `�' <br />BUILDING PERMIT APPL ATION CONTRACT PRICE OF WOR �l�L � — <br />Exls�ing Use of BuJding / OU% �.uc: i' n � <br />1 <br />Proposed Use ot Bwldin��Q Lf,� /,Jl� l �[f� S <br />9wldmg tyFe�. �Sir.�le Fam:ly __ Duutex _Tc�vnhause Ylutli-Fanuty <br />iypa o` pro�ec . Nevi ACddion Remcdel Repair �T I. <br />DESCRIPTION OF WORK (adat�onar <pac=pro::Ced en the bacF)' <br />�f,��ov� ��C,'s�,',.,C, �U��nc.� � �fPlac 4.. <br />J <br />MECHANICAL PERMIT APPLICATION <br />ol Pro(ncl: _Nevi _Addn _Allcral(an _Repalr <br />Show Numbcr(aJ ollirfures <br />—r A/C — air handling units <br />I Forced air systems <br />Numberof Heads <br />HEA7SOURC[: <br />_ Ccmmercial <br />of U=_e <br />�/jJ E���„ra 2n1Gt G �. <br />�i�N,� s�,�F.�tf� <br />PLUMBING PERMIT APPLICATION <br />ol Pro�e-t: _Nmv __Addn _Altcrallon _Repair <br />Show Num6erla) ol lixfures <br />�Vatcr <br />Other: <br />Other. <br />sink <br />I �ereGy cenAy I�at I �ave fea0 a�d e�amineA Ihi; app:ita0on and know Ihe same Io be Ime �nE cartecl. All pmvisians al laws ond or0inances goveming Itis rype ol �rotk Hti be camp5ed <br />w�u5 wheNer spenfed �ercin ar nol. TTc 9ranling ol � pertnA dacs not prescmc lo give a�Uority lo violale or canul t�o provision a� any a0ci s�ale or laeil Isv requtaiing mns•,mc;ion <br />that I am auNorireE Ey �ne owner cf �Ors F�openy lo pederm ihu we�k fer wTich apFfiw�mn Is mate ana I compy wrn Ne Siafe Cantracfo�f Law 70 77 RCW anU 245 200A WAC. <br />--..�-�lil/l_ ,`-� �, � -�/ro/�y <br />> » ,o_.....,, ,.,,,. „ <br />