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� � <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-6810 FAX 425-257-8857 wvnv.everetNea.org <br />lot new mnSlNction Shotl <br />_ O�vner _ Owner's Agent <br />�P��01�( Pt- �rDtS <br />BUILDING PERMIT APPLICATION <br />rax w <br />No._ (atlach copy ol long legal descnp6on) <br />P�onclE-mad <br />C�IyiSlate/Z�p <br />_CO�IfdCI0r5A9Cf1( _TQI1dN(muiprm�aoalc".c:cl<an:rn�Immmoowr.e�mCoxct�mmospaca� <br />State Lic. # Uz�'�Dac�� Cdv Bus. Gc. # 4��q <br />DR PERMIT '��3�� �'G9'�_i __ /� p f�l <br />r�.��� �� ..��b�-T�I <br />Yc QO�1hUJ1C e�JMCUsr- l��� Na <br />� <br />PR�CE OF WORK 5 O��' , D� <br />Exist�ng Use of Bwld�ng HEAT SOURCE <br />Proposed USe of Bwlding Gas_ Eleclnc_ OUer_ <br />Building type�. _ Singte Famdy _ Dupiex _Townhouse ✓ �vlutti-Famdy _ Commercial <br />iype of pro�ecY New Addition Remodel _ Repair _ T.I. _ Sign _Sp�inkler _Demolition_Change of Use <br />DESCRIPTION OF WORK /addmonai space pmvided on me bace): <br />E,c1�a,�51 va...�:�lal:a.. d•�c�wor� %� 7!e5(cle,�*F�A1 Ct✓�ii-5�CavNv�^ov� �a..."�C: y f�ow^ <br />Cowin-�o.nVjQ-HiVtqn.. t'�ech':C�t1 %oow� �7! l�(-4[.1�tC�n/ �S iY�tS� 2d�He✓ c,�VtauSf' <br />MECHANICAL PERMIT APPLICAiION <br />ol Prajoct: '�New _Addn _Alteration _Repair <br />Show Number(#) ollixtures <br />I nlI` _ �b h�nrVGnn imirc <br />- - � I Umt hea�er <br />ISUPP <br />Number c <br />PLUMBING PERMIT APPLICATION <br />TypcolProJect: _New_Addn _Alteration_Repair <br />Show Numbcr (N) ol hxNres <br />Roof drains <br />Medical Gas <br />Other. <br />1 �erc0y ce�ily Ihdl � �Bve �CJC d00 Cwm�neE ihi5 Bpphcalm0 Jn0 k�Oq Ihe sama lo OB Ime anC CA��e[t An prov�z��ons ol �a�xs an0 o;aiwnces 9ovem:ng �ms tyDe ol work wtl Oe comp��etl <br />�v.in w�etner SDenGeC �erein or not 7ho greniing ol a permu Oaes not presuR.e io 9no aul�enly la rola�e or wncci i�a F�ovivon ol any oiner siate ar iowi iaw regulat�ng consfrucl�on <br />Tl+ai i am aumanxeC Cy t�e onner of in�s prope�y lo peRorm ��e ��oik Por �w�ch app��wlion Is ma0e an9 i cemply w��� ine Sla'.e Ce�lratlors Law IB 27 RC W antl 2?6 i00A WAC � <br />`�2 <br />��-�."`�— Z�(O%S! <br />nedAuthorized AqenlSignalurc Date (Revi5etl34013) <br />