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� <br />C� <br />PERMIY APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRIN KLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SI.. Everett, WA 98201 425•257-8810 FAX 425-257-8857 waw✓.everetlwa.org <br />APPLICATIONS AqE ACCEPTEO fROM 8 AM TO G PM <br />ADORESS: <br />brnewconswd�an Short <br />_ Or.nei _ O�mrYs Agen� _ Conlratlor <br />W <br />A <br />No. I�rach coDY allong Icgal dcunOnon) <br />�� '2.o1�'c.��,5 • i �G 3 <br />LO�V3CIOr'sA9¢nl _Teninl�mu7otir4eanTe�a«sn1��v��nee:rubCouu��nL:espnml <br />8 I Lic <br />BUILDING PERMIT APPLICATION CONIRAC7PRICEOFWORKa� ro <br />Eaistmg Use ol Buiidmg _�U�C� IiEAT SOURCE. <br />Proposed Usc ol BuilCinn___�_��+ y�7y Gas_ HM��c _ Ctncr_ <br />Bu�!ding tyoe� %� Sinqle Fanaly _ �uplex _Tuwnhousc _ M1lulii-Fart��ily _ Coininercial <br />Type ol pro�ect New �Addilion 4emoCel Rapau T I Siqn _Spnnkler _Demotdion_Chanqo o( Use <br />DESCRIPTIONOF WORK(addAronalsparc�'owdctloRihcbacNl. <br />F�op�r-��� bµ A ►�r�CR,3�Oa_oo�.n.ar�ctvo�►-a�- �►�i�.>4 <br />Q-nbn.� Ta � irX i5� � r.l �'l �-fo1-�6 <br />IT APPLICATION <br />Type ol ProjM: _New �Addn �Alicrabon _Repau <br />Slrow NumDcr (�) of Arturos <br />NC — air hanAling uniis <br />Fo�ced an svslems <br />Uni� heater <br />�oile� <br />Number of <br />NG PERMIT APPLICATION <br />oiProjecl: _New�,Addn _Alteralion_Repair <br />S�ow NumDn (Mj of Rrtums <br />1 1 Toilel <br />Unnal <br />Dr�nkmo Fauntmn <br />Ron� C�mn <br />Meaicol Gas <br />Olhe[ <br />1 ArreEy cerfi�q ihal l have ioad and e�aminrd �h¢ aCD�cafen a �E Mnpw Om iamc lo Ee �me aM mnrcl A11 pio. uwns ot tarn anE orEinan[es govemng IhS ir�n ol cro�k aF Ec cnmpLrd <br />v:iAwTet�nspeclfieOnerelna�noi Thngr,nGngnfapermBdoeanatpiesumxmgNeeuC.aiiryloviol;leawnaelTep�ov6ianola�ryolnersUteoibqllac;ragubengconsw[Inn <br />TTai I am amho+Grd by Uo nnne� ol Iha piopedr m pedorm No wod ta� v.pkh apphalbn o made and 1 vomp�� wrh Ihe Siale Comrraior, Lar� tA11 RCW and 796 7004 Y:AC <br />.�,� 9� � .�_2�� <br />OwnerlAut on:eE A en ature Dalc <br />(Rcwscn 6Ro77) <br />(�� <br />0 <br />l�2 <br />