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�TE <br />� � <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , cveretl, WA 98201 425-257-8810 PAX 425-257-8857 v.n'✓�v everetn•�a org <br />tai new co�sir�c:•�on. Shon <br />_ Cvmc! _ Owner's AgCrt <br />R .J . M11 • Knel lv �.a. <br />ING PERMIT APPLICATIOPi <br />rnx a <br />0 Z' <br />Xo ___ (atlach coV1 0l icng'�egal tle;u�puon) <br />rnad <br />_CoNrader'SF.geni _Tenanl..��..�,,..�.�. :rcv.:��,•��c^��:c..���uc.,+o+� ,_.:�� <br />State L�,: #�Mk►VEK� 943 NFr Cdy Dus Lic # <br />�Pno��,Em��� �,s 3�a-� <br />�NTACT FOR PERMIT�,p� �e,�� <br />�.as3� .� i� �cPe � , „ , <br />CT PRICE OF WORK <br />Existing Use of �udding J�' �/_,Q�1�"'��—� __ � <br />1 <br />Proposed Use of Budtl rg <br />6wld�ng ;ype ✓ingle Famdy _ Duplex _Tor:nhouse _ Multi-Fomily _ Comme�cml <br />Type af oro�ect New Adddwn _ Remotlel _ Repav ___ TJ __ Siqn _Sprinklei <br />DESCRIPTION OF WORK �ado:no�a� space prov:dedcn me eactii <br />%,,.��,���, �{ .Sf'R �i�.� �s q /o�� /�s � �,�. <br />MECHANICAL PERMIT APPLICATION <br />Typo ot Project: _New _Atldn _AllcraUon _Repair <br />Show Numbcr (M) ollix(ures <br />— dif h7ndhPq 11f1d5 <br />a�r <br />Gas <br />Boiler <br />Olher <br />$ <br />Number of Heads <br />aT SOURCE <br />Eleclnc_ Other <br />on Chanqe of� <br />PLUMBING PERMIT APPLICATION <br />ol ProjecC _New_Adtln _Alleration _Repalr <br />Show Mm�bcr fa) o/ hxfures <br />Founlain <br />Floor <br />� �detliCll Gd5 <br />Other <br />, OIhCr <br />ip���epycr�fylhallhave�ea:fanOMammCCt�,app"ca'ionandAno�vt�.esamelo�elmean��o�re:� Fllpmmsv^nso�iansnnde�Cnan�e•qa•e�n�ngl�alyp¢OlwaAwdlbera�-:L.d <br />Ndq Melh�� 4pCOLe� nrrem or npl iCC granLn� r,l J p2rm,I :oes r,t presome l0 9ne dWrpnt� Io �i0!dle er c,ItcBl if.e preusien el anp et�C� sld:e ol ICCaI �Jrv regNaLlfJ ee�slNc� c� <br />1��1 I am a�l�cn:ca p� rt•.e oane� el I�i. VroPetly lo pC�iu�m Iltc r.0�� lo: n�4M1 aCD��CdbOn �5'.naJe .�^�41 ::mp'� n'M1 ;n�� $Ia:C Cc;�lroci:ra La,v IB :i RC�: a"�:°G £�_:.� C.4C <br />��,G��� � � /� <br />0 cr/Authorized Agent SignaNre ����� <br />�re,��soa 3��c r�� <br />