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• <br />� <br />PERMIT APPLICATION <br />BUILDINGlMECHANICALIPLUMBINGI5IGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVlCES <br />3200 Cedar St .[verett, WA 98201 425-257-8810 FAX 425-257-8857 vnwv everetiv+a org <br />SITE ADDR <br />LEGAL'a rew consU�cucn Short <br />OWNER <br />�d�ress <br />Oemer O��ncYs A9en� <br />� <br />RTV TAX q <br />� <br />I<o __ (anach copy ol lony �ega'� des.•.pl��o�l <br />ei �c iyrsia�ciz�o C� V�'�Tt V1! Cl �"II}Gu/ <br />CONfdClor Co�'ractofcAgen; _Tenantfn�s�c�m<na'rr.,+dac^....ir._m^,eo..n^roc>..en..n;n�::acel <br />�3 P���e,E�,�,� <br />Loui e� <br />oce'[����a.� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Usc of Bui'diry __ S FR—_ __— <br />Proposed Use cf BudCm9_AI O �--� w�r.�_Q� _ �' <br />� J <br />Bwldmg type. _�/ a�rgle Fam�ly _ Duplex _Tov+nhouse _ �dulA-Fam:ly _ Comm?raal <br />Type of pro�ect _�( Nev+ Atldition ___ Remodel _ Repair _ T I __ Sign _. _ Spnnklrr __ [ <br />DESCRIPTION OF WORK(acercna!snaceprcv,cevontne0acwl <br />�+ eplo�c.e.- �i� d�o-r�e.cS tiom� • <br />Ne w 5 Ff� <br />MECHANICAL PERMIT APPLICATION <br />of Projecl: ✓New _AJdn _Alteration _Repalr <br />Show NumberlNl a� ��sfures <br />L <br />I <br />– an handlino cnAs <br />of Heatls <br />� C�ty E3�s L�c # <br />c� 5aa Qs �o . <br />; �0 5�/a�/� <br />_ So ru i �e5 . �0�+'� <br />'��$� 000 • DO <br />HE.'1T SOURCE <br />_ [ieUnc_ Olnei___ <br />ol:I�on Channe cf Use <br />PLUMBING PERMIT APPLICATION <br />Type of Projecf ,[New _Adtln _Allcration _Rupair <br />Show Num�cr (a) o! fi.tures <br />�-'� I Totlel <br />sink <br />s washcr <br />hcater <br />M1�tetl�cal Gas <br />Other <br />�Oere�ycen'ylhall�.co�e�iaade•ammedm�sapG�'���•�enanGtnoa.tnesametoeelme.nGconecl ABpmv�s�on5o11auvsanCortlmancesyooemmgl�istypeolwodw�:l0eeompbeC <br />w�ln xpelner spenli ne em cr nel ire g�anlmg ol d perm�l aCes no1 p:esvmC to give awnenly Io v�o'a'e or wncel Ine proris2n at any elner s�ale or lowi iaw �e9WaLng ronslrveiion <br />T�al l ani auIDcir,e . C . c ne� cl m, pc er1Y �'� �e�t�rm Ine.�o�e tcr ���c� aFC'-wbrn is m:Je a�� I<empiywil�t�e State Cen!rac!o�s Law t8 2i FCYJ an0 2951CC4 R',\C <br />//'�,'�/� `( � <br />O V V � <br />�...___,.. ._ ".. __ . __....., nni fRecuc�3?0731 <br />