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PERMIT APPLICATION <br />�� <br />BUILDING/MECHANIC!�l..I;�l..UMBI�v�/�IGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-[57-88'10 FAX 425-257-8857 vn�nv everetl�va.org <br />�I �-� � �--! <br />7��5� I i(/�. lJ��P 71 I PR07ERNTA%71 PAIMII/I!J-,II �~T <br />(or new canslruction� Short <br />No.__ (altaehcopyollongtegaltlescnplion) <br />YYIIGANT: O,vnm O::ner'::A9ent Can!r�tNr _CeNraclor'.Agent fenanl���o;icc,�eoa�s�rc�m,;a�w;nmae•ca�meo.wti�nnvs;acp <br />DNTRACTOR � ��� �� Sf f � Slale I.ic # �. , j ��Q �y City Bus. Lic. #��i� <br />Idress � �jU•.f� V 53 � U�1� Q. G� PhonelEm;�il S�' —� —� � 6 <br />:NANT BUSINESS NAh1E CON7ACT FOR PERMI7 <br />iU lllC7'T/ ` ,lS L( I ahcre/E�ma�l "��—��pZ� ��� �� <br />UILDING PERMIT APPL ATION CONTRACT PRICE OF WOR��I <br />Use of Ouddmg <br />i Use of Ou�l�:r <br />Bmld�ng lype: d Single Famdy _ Duplez _To�,vnhouse _4}ulfi-Famlly _ Commerral � <br />� <br />Type 01 p�O�r?C� ___ New Addition _ Remodel _ Repair ' T I. __ Sign _Spnnkler _Demoltlion Change of Use <br />DESCRIPTIONOFWORK(aCert�cnalspacoprov:Ceden�heCac4) , <br />���s��UE ��IS�I�Jc, �U�A%dG� � %�f/��dCrc. �/jJEGtl !—tr2NLtG�- <br />J ' ' <br />t,'2� � S�%'/��, f� <br />MECHANICAL PERMIT APPLICATION PLI" '91NG PERMIT APPUCATION <br />Typo ol PmJec�: _NoH_Addn _Altotalion _Repalr Typo of ProJecC _New_Addn _Alleralion_Repalr <br />Sltow Num6er (NJ a! /Irfures Show Num6c� (pJ o/ /ixtu�es <br />A/C—airhandlinounits i T,.,i.,� <br />Gas <br />fan <br />Number <br />ION S <br />Oiher <br />Other. <br />hcaler <br />I Anehy ren,y Ina11 navc read anE c.am�ned tAis aDG6faGon and Ino+v Ihe sumc to Oc Ime and mrtect. FII provisions of lam und ortlinaMes goveming ir,is rype ol woA wll ee mmE n�:l <br />wr,� wneser speutieC nercm cr nol. TTe graNm9 0l a Ceim;t Caef nol D�eswme io,rve auNmty lo Nciale cr cancel No Fmvisron olany oIDa state or loral law�egula¢�g construa,on <br />IDal l am auNonzed Uy Inc o�mrr ol lhis pmFerly to pertorm Noweth Ici wh�rh appliwt� 1s m�Cc and I compty mA Ne Siale Con7atlon Law IB P7 RCW anC 7?5 2JOA WAC. <br />-����ll. �`ti � � -�/�/�y <br />�n_..:.._a �nn. o� <br />