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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3?_00 Cedar St., EvereU, WA 98?O1 425-257-8810 FAX 425-257-8857 vuenv everatM�a.ory <br />�i_U��U <br />Si <br />bi ncw ccnstruct�on� Shoi! PIaU;uCdicuion <br />� Ki�n/ci.sTEDN.4�fF_ �" <br />T' _ C"•.^�cr _ U:,^crs F7ent � <br />TOR Dr�o- n1�-r� P�� <br />R1YTA%4 <br />Lol No <br />i <br />(a!I�ch ccpy ol lor.g !cgal dc.crip�icn) <br />-9/9-Uo� <br />C.'thac'r' ...Centia[to'SAgont _Tenardi.-�.��G:���=•ai.r.,c:mnsr..u¢ncnc,r..n:m.c+nr.eenncel <br />BUILDING PERMIT APPLICATION <br />� ("(�( , �State Lic d <br />��3� <br />uo u <br />� 4zs-��S—���y" <br />�kk� �ec.��+= <br />�i6ma�l L}� L7' � �` <br />TNACT PRICE OF WORK <br />Ex�shng Use of 13uJ�ir,g _ _ � <br />Preposed Usc ef �uddmg _ <br />fiu�ld�ng type �S�ngle famiiy _ Uuple� _To�.vnhouse _ L�Wh-Fa�n�i� _ Cornmernc+� <br />HEAT <br />lyceofu�c�ect New _�P,dd�bon f2emodel ReVart TI _ S�qn__SY�:�n61�r Cemc��t�cn _Ch;no� clUsa <br />DESCRIPTION OF WORK�,��crm.-.�vspacp�c.,,e=nonmcoack) �C��� €xl5n U� �5 ����-CE <br />W/� H ilJ-e� Q�iS J�t,'�✓�4Cc � S�r�n� [OCA7?G N�✓VU NQu) <br />�s OP�N� � <br />MECHANICAL PERMIT APPLICI.TION PLUMBING PERMIT APPLICATION <br />ol ProjecC _ New __Addn Q�AI <br />Show Numbrr (p) ollii fi <br />�.'C — au han <br />�i3�Cf ��C.I�Cf <br />��as ilicplace <br />as iange <br />luthes dryci <br />angc hood <br />*hausllan <br />Number u(lieads <br />on _Repa'�r <br />VIli�S <br />n�Pro�ed: __Ncw_Addn _AI(cralion_Nepair <br />3hmv Numb rr 1 e) o! lu fures <br />CIo�hCs wa51 <br />bVn!cr healcr <br />SmF (scrvi[c <br />Medical Gas <br />Olher <br />cfisVosal <br />I nni � y certly thal I �ave mzd and raam.+ �� ih. s:��. Gc�',�o:i and Anow 14^ sam^ lo be I�v^ . nd correcL FA p�nvieiens ol laws anE oiEnances gouem:ng Ihis type ol wo�k wi'I Ae mmpLed <br />nvha�cih^ispeu!ICAAerrmoinel Th�c :�,.�3�lap:�m�.ldoesnotpiesumetogrvea�e�on:yiovio'.a'cerca�oel��xp:orisrnola�l'cNus�a'eorlow�lawiegula',ndm�s•mct�c� <br />Tnat l am au:noriuG �y Ne ewner M mis p.���.t�' �>=rtem� Ihe v:oi�. fm v.Tich apphcauon o mxJe a�� I wmpiy w,:.", t"e St�!e CONaciu s �avi 1 B 77 ftC W anC 19u 200A l\ aC <br />�� ,��� <br />Owned hnrizedAgCn�Signai pae (Hrvserl?4U7?) <br />