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�� <br />� <br />� <br />PERMIT APPLICATION <br />i�vi�D�N� „�,� <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everettwa.org <br />APPLICATIONS ARE ACCEP7E0 FROM 8 AM TO 4 PM <br />Nl <br />�rNc7PERTY TAX p <br />=(�) 7Gncl <br />Z. C Z� c� <br />a <br />lor new construct�on Short PlatlsuhCrv�smn lol Yo <br />_ (atta[h copy allong le9al descnpbon) <br />C v� a-�r r 41 <br />��Io�Gal <br />;i <br />lll.t. Ip�ooe�e�ma:� �I LS �� Il ro�n s�l ��i �.s��, r <br />_� <br />� <br />_Owncr �owne�sngent _comractor comrenorsa ent <br />— 9 Tena �f–' tl.aiene�erce�im�ra�;��oa�r�meoncnnre;wce� <br />Pi�orr.L p'�ri' (1: <br />_ Q , r=1�Pn hT�l- � <br />BUILDING PERMIT AppLICATION <br />�J�y�pj���i.-h C 2 <br />� �37Z / W A�JDA;i <br />PRICE OF WQRK <br />xistng Use of Bwltling N!(� � <br />HEATSOUftCE <br />roposetl Use of Bwldmg f+l �' �� �}. If � �i "J[ Ut,� �TS <br />� Gas Eiectnc <br />uAdmg rype. Single Famdy _ Duplex _Townhouse MuRi-Famd Otner <br />— � y _ Commercial <br />ype o' pro�ecf k_ New _ qddaion Remodel Repa�r ___ iJ _ S�gn _Sprinkler Demo6tion Change of Use <br />ESCRIPTION OF WORK (adamonar sparn prov,ced on rne Dact): <br />�— _I I <br />P�ns� 1Z �r ��o�,-j'�� Co�""t_<�,,�„r� �� DUii-K'��:� (j cah'}�ti�v 1� �-fS�rC%�i'�n� �Nil-s <br />r�t= pw�T� F�.,, l y �{��<<N�� �E� QCt`-F�:it "b13�7_-U�`� K�n_ P-FL.DT%�i�o,r.,Ss F1tvp <br />t'� 1 t n.� � 2 ,a rn�'PJvI� 7�• r <br />MECHANICAL PERMIT App��CAT10N <br />pcOfPtqett: _New_Atldn _ql(Cralioa_Repav <br />_ ShawNumher(n)olfirfines <br />_ A/C–avhBndhnaUnitS <br />C� � <br />APPLICATION <br />TypeolProject: _New_Addn _qi(eratian__Repair <br />ShOw Numbcr (#) o/ 6xfures <br />Other <br />Gas <br />1 nem�y cenAy t�al I bare rea0 anC caam�neC mis ap0��uilan anC kno�v ine same to De Iruc ond <artecl. 0.'I Om�arons ol bws anC orC�weces Oovem�ng V;iz lype ol woM w,:l �e mmp'.ea <br />.�in v.nelAer specLea nerein or not. Tne 5ram:n9 0l a oertml aaes no! O�esume lo q�ve wlnortry Io v:o�ale m wnc¢I Ine o���s:on ol an� aNer slate or beil U.v mguiai�ng �a�swciron <br />Tnat i am aut0an:etl Ey i�c owner ol l�rs DreCeM �o Gertp�n �ne vmrt forv,n¢p �pp� �Loo is maac ana I �omp�y wiN t�c State Com�atlors Law iB.27 RCW anC 29fi100A NJAC <br />----L=-- y i �. � � �( ` <br />OwncrlAuth i:ed Agc Signalure Date <br />(Rev�setl6Q017J <br />