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� � <br />PERMIT APPLICATION <br />BJILDING/MECHANICALIPLUMBINGlSIGNlSPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Si , Everett, 1NA 98201 425•257-8810 FAX 425-25'-8857 �wrv+ e(v'eretNra org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P1d y� aa�'�J <br />.nnvvice. 7flOPCflTYTN( C P�(iMli C .� � n <br />ICrnew[qnSWCLOM1 $noM1 <br />_ Owner _ <br />No _ lattacn woY oi iong �egai oexnpnon) <br />Agenl �CC�IfdCtOf _COItl/dL10f5A�C01 _TC��dnl(mmipmnpea�meralmnwmlonNoo��•�maero���vc�D+�ul <br />�,`9/OOC <br />V\v� <br />BUILDING PERMIT APPLICATION <br />�I <br />�R.7�\�1�1�K�1\� <br />�_� <br />.6.Ser�n� <br />`�1ZS-`f`�3 <br />PRICE OF WORK <br />Biis Lic #U.7li�" <br />�3-�°iff� <br />Erisung Use of Bm�aing HEAT SUURCE <br />Proposed Usc al �mld�ng Gas Elenr�c_ <br />�utl0ing type�. �ingic Family _ Duplea _Townhouse _ 1.1uRrFam�h _ Gcmmerual <br />Type ol pro'eU New Addilion �j RemcCel Repair _ T 1= Sign Sonnkler Demohhon_C�ang <br />DESCRIPTIONOFWORK(adeihonaispaceo����eaonmeeack): C� �� `ns�._ 11^ <br />p",,�t�1 � -k.xx <br />��"i�`f 0� ` 1���\L'lt- � �,�Yr�(�OSt�Q. Y 00��,�R-" <br />U <br />�UW.,�uc�FQr "n�tn�..cti� <br />MECHANICAL PERMIT APPLICATION <br />TypeolPrqec�: _New_AdJn _Alleration_Repair <br />Sho�v NumOcr (a) o! finures <br />I AIC — air hand6no unds <br />� 1Nalen c�aicr <br />� Gas fireplace <br />� Gas range <br />� Gothes dry�er <br />� Range hood <br />� @eh?usllan <br />� Hea�pump <br />� Unil healer <br />j Uorer <br />� Reingeration <br />� � Wcodslove <br />� D�clinq <br />� Olher_ <br />SPRINKLER/SUPPRE <br />� Number ol Hc <br />� <br />��� <br />PLUMBING PERMIT APPUCATION <br />iypeo�PwjrcC _New_AAdn _Aryerallon,_�icpolr <br />$/rmv Num�rr (P') ol li�fures <br />s <br />prevenler <br />Grcasc ua <br />Roaf drains <br />Other <br />I LcrcOy U:n ly itld: I t�au'c �eld anU c•dminea ibis apV�.�������� aM \no�r Il�e saiT[ fo �c �nm anU mrtptl ,\9 V�a��s�o�s a� pr.s dnJ ai�mdn[es goaem�ng Ih�s lypa ol woM1 wJ� Ue COinV��04 <br />��in v,neiner speofca n.�e�n or nm me grani�ng oi a permi aoes noi pmsume m 5�•x aumon;Y m.io�alo or wncei inc F�orii�on of any amc� slom m m�ii iaw regulaiing mnsm¢non <br />IL,i I am ounwnitJ �r me o�.nc� o� ���s D�npC�ry in pMann lim v,oM Iar�vnN aVD��uii�on ix ma�c e��01 comph �°'Ib IpC S:dlp LO��I�aUnti law i 0Ii pCW �i��� 7Afi Z��a �'JAC. <br />�sK,(� --��/2�/L-�— ��� • "� � •'►� � �� <br />�vncrlAulhorizCJ� I ign Iurc e��= <br />rr,�,-�s�a e,ao; �r <br />