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PERMIT APPLICATION ����p��G A <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEIPf�ZI�T� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425•257-8857 w�vw.everetriva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM1l <br />AGDRESS: PROPERTYTAI(tt PERMITP <br />>np 12ANI� R,� f-��rtiF�rr �eZ01 2`loSl�n��-lzsrO �J_�07— i��� <br />�Uor new constmcUon� Short PIaL'subd�vis�on let No �(at;ach copy o! Icng legal descnpLon) p Tf1 � I�� <br />ERr`�Cti�-�'� �}�il1yry�efl�l'J��QiV?Ti`c�-tL�lCPhonelE�maiI�JLS �VJ ��Q7/1+$F����Li�U�A,27��(1 <br />;s 31 ��l �.el, (�i Q.:1= '�u 1 s`�'1 crtrrstatc2�o G�/E�<xt �,�A `i 3Zc+�- 1.j�� �] <br />�PLICANT: O�mer 1LOwrersASe�t _Contractor Contrac;orsAgent 7enant�-�.:icmmc+���c..am�,um-o.,,:wo.�r��aa.c���e�sc.,-e� <br />)NTRAGTOR �'j L 8 I Lic. # COE Dus. Lic � <br />aress PnarelEmad <br />:NANT BUSINE55 NAME CONTACT FOR PERMIT <br />p � !� � S�j�1= l.rpr�ec tii C��G "L <br />l IVoin�� �o�-,��'\��Pi��r��o"*i� pnooerE�ma�i7�63z:. ���2Z WGN�LS���,�J�rz�RLCL�,c�liYO S.C�N <br />UILDINGPERMITAPpLICAi�".+" CONTRACTPRICEOFWORK_ �.a�9, �O — <br />risting Use af �uilding r1�= __.. �__ � HEAT SOURCE: <br />�opo5etl Use of Bwlding MU �'r i� Ilnv��� .��. U+� +�Y cas eien�c �C omer_ <br />idd�ng rype _ S�ngle Family __ Duplex _Townhouse � Mulll-Family _Commercial <br />rpe of aro'ect �( N0w Addd�on Remcdel Repair TJ. Sign Spnnkler _ �emohtion_Change of Us[ <br />ESCRIPTION OF W ORK (aCa�eonar spare prowded on fhe OacAJ: <br />f N�s� 1) �;• �l �^- �i1.L c,o..-�.�,a �,{ Q�,IP..S � ���1�-Air�1��,� ,,13�� �N�rs � <br />I�vL}1—r�rit•�`� ��'�✓�' N� � SCE �E'-1�'1-� �}1 5�7� '�Cll"1 ��i�C.. ���j�1 ��'1L7)�Y V�!' /�'VJ <br />MECHANICAL PERMfT APPLICATION <br />ol Project: _New_Atltln _Ailcration _Repair <br />-aur <br />etl air <br />/SUPPRESS <br />Number of Heatls <br />PLUMBING PERMIT <br />o( ProjecC _New _ Addn _Atleration _Repair <br />Shaw Num�cr /pl of lirfuics <br />n�5my,5ne� <br />Sink <br />Other. <br />Other. <br />I tneby cert��y lhal I �ave �va� antl ee�m�neC ID¢ aCp' w��en and Fnow Ihe:ame lo oe W c and wrtecl NI C��rsir, ol laws and ordmdnces goverr�ng Nrs type ol wvM1 w� �e m:npl etl <br />H a wne�l�er speui�ed nemm or noi Tne p�a^I ng W � pemut Eacs nat presume lo B�ve auU�onry ta viciale or ein:ei me O�cnsao ot any cmer sfate o� locd Liw reBuiaun9 canstvnion <br />TTa�lamavl�onre4�yl�emmerollmsprcpertybpeAartnNewoMlorwnkhappLeiLo^+smaticanUl�mpry�uinNeS'a'cConuacb�slawiel'RCWac47op2U0AWAC � <br />, � <br />�--� / �/� r�� s <br />Own f�Auth�ed Age f 5ignat re Oate (Fevned 6/t012) <br />