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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SI�GNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SI , Everett, WA 98201 425-257-8810 FAX 425-25 i-8857 wwv✓ everettv+a.org <br />�_71—I�f <br />O � u�.+,. � . � <br />�p I Vc�. IPROPERTY TA%N <br />lor new co�struU�on Shon PlaUsuoO�v�;ion Lcl No _(artac� co,� ol long legal descnpuon) <br />ER �pL�y�I� G � LP <br />55 3sv o[v�-r« Qlv•#' <br />360-�-��-4ri�3 ��6(ee����ti,.rn <br />,�'�E-ff-- �" �� ��'zas <br />Owner O«neisAgent Comraclor ConiraclorsPgent _Tenami.r„s•r�=..a�+�^-.���w�f.-��:�-�.^an-�:�»�•a`�^�'•sc.•�i <br />OR �— S Q`'t—' Statc Lic tt CAy Bus. Lic # <br />ILDING PERMIT APPLICATION <br />CT �RICE OF WORFCY 8 S o <br />s;mg Use ct dmltl-�rg l�� %a'-'-� � � <br />posed Use o( BuilCina ' � <br />idir.g type � Sing!e Family _ Duplex _Townhouse _ h1uL'rfami:y ,_ Commercial <br />ie of prolect New �' Atld�Uon _ Remodel Repair _ T I _ Sign _Sprmkle <br />SCRIPTION OF WORK;aea�Pon�lseacep•e�4rd��fr,enackl <br />��,s�-f ni�... ��-�' -�-.,� a.-..c ✓��-t' P'i'�` <br />MECHANICAL PERMIT APPLICATION <br />ol Projoct: �( Now _Addn ,_allcralian _Rupalr <br />Show Number (M) of lirfures <br />� NC — air handhng untls <br />�— Porced au svslems <br />fan <br />heatcr <br />Othe <br />/ Sl <br />Use <br />PLUMBING PERMIT APPlICA71on <br />ol Project: _New _Addn _Aitcralion _Ropatr <br />Show Numner (�) of l/rtures <br />1 loJe; <br />Shoucr <br />Ktld�en s nV. S <br />f7ichwasher <br />Sinh <br />drain <br />Med�cal Gas <br />olher <br />� Number ol Heads � """' <br />i hrmDy cemry i�at I �ave maC ana manineC ���is af nl�ca'ion anE xr.ow t�e same ta C Im^ and mrtect Pd piov�s�ons cl la•�s anG oianances govemmy I�i. type ol wo�4 a91 Ce comCbttl <br />w�h wpetl�er specA2A �erein or nol iTe granling ol 0 peimn aoes not pmsume lo gNe aNnor9y io vn�ale cr c.v�r�� �nr mcvivon o( anY ���e� sL Ir m kf�il Crw� reG'tlatmg �nnsVvdmn <br />ihaf 1 am aNnOnieO OY I�f oxnet cl �hi5 prcpe�y lo peAorm NC worA fOt w1u.� BDVIitaLcn �5 maC_ an,11 [ompry vnt� O�C S',a;e Cenfrad��s l aw 1 B 27 RC W an0 75G ]00. \\^.f, <br />(/�_��-- D3�'�L�i y- <br />Owner/Authorized Agent Signaturo Oa!e (Revaed 3R0�3) <br />