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• <br />C� <br />PERMIT APPLICATION <br />Bl;l��INGIMECHANICALIPLUMBINGlSIGN/SPRINKLERIDEMOLITION <br />CITY OF EVcRETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettw� rg r <br />p <br />ic�— O6 <br />Iornewcor5iruction�. ShortPlat/subtlrv�sion LotNo._, (attachcopyoflonglegalGescr�ption) <br />� <br />.25 < - ��i�i0 <br />.� f� . �v h- � <br />�O�+�ner _OwneYSAgent _CoMrettor _Conlractor'sAgenl _Tenantlm.ao�o.yoni.r.c,oim�semi�.rmeo..+�onoaow��w�omo <br />)NTRACTOR 'f" ' YI� ltil.✓V� <br />c,�SS �f q28 - 81 5� la.c� WQs�" <br />INANT BUSINESS NAME <br />UILDING PERMIT APPLICATION <br />�islmg Use of Bwlding �5 /�L <br />Stale Lic. #����P'��17��i"i 1 Ciry Bus. Lic. tt <br />"l(.��Q PhonelEmail �%Z�' `� �V • Jo�G <br />PRICE OF WORK <br />iUseolBuiltling �"�\WL�I,��"�--( I <br />lype: �Single Family _ Duplex _Townhouse _ Multi-Famdy _ Commercial <br />ESCF IPTION OF WOR K(add�fiona� space pro��drd o� tne Dack) <br />�l{,pair /�9 hnu.se_ d�nzr�i .�'JGu�vt�i�( <br />b <br />MECHANICAL PERMIT <br />TypcofProjecC _New_Atldn _Altemtion_Repair <br />Olher <br />SPRI <br />au <br />RI� <br />HEAT <br />F_UMBING PERMIT APP�Icw � �� <br />ol Project: _New_ Adtln _Allcration�Repair <br />Kilchen <br />Rool drains <br />Metlica! Gas <br />ome� �avinul17t����i� <br />rGt <br />I nemby cerliry I�al I �avu mad antl eeimme010�s appb�ilio^ an0/now t�e same to Ge Irve an0 wneG. All pmvisions ol laws. n� ortl:ndnces govermng I�u lypn al wmA wtll �e cnnipi <br />wi0i wt�citmr spcuGal �crtin or nat 7Tc 9�aoLn9 0l n pe�mil docs nol presumc lo grve au�nonly lo v�o�ilo at rincel lhe pmva�on ol rny ollmr,lale or local law �egWaling wnsVucJon <br />Ihal I om mm�nnrc�f by Inc awner ol l��s pmprtly la peiiorm Inc wor� lor wMcl� appl;wlion is matln nntl 1 cnmply w.:� I�c Stalo Comrazlors Law 10 ?7 RCW nntl 290.3WA W�C. <br />C�— <br />( ��'��� '��/J <br />Owner ul � nzetl Agonl Signalurc Da�r. (Revised?q01•Q <br />