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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wwv+.everettwa.org <br />�—���1 <br />ADDRESS: PROVERTY TAX p P RMIT i <br />SZ4S /I�RR�,�tK /9v'e, �I�,O$-01�] <br />�L tor new tonslrudion' ShoA PlaVsu�division Lot No._ (attach capy ol lonq Icgal descnption) <br />[' <br />UC/t i7�7- lit/� ! ,FZG <br />Owner _OwnefsAgent �Contraetor ConlraetofsAgenl TCndni�muvo.v.�aeaie-e�c1¢nsrmncen��ea+.norioao.on�nmooDace� <br />iW �fiU✓� �i�e.i�il 1 i �n� I�'i- . Slale Lic. #�c�+�Af S�FSYC /-f Glv Ous. Lir i; <br />BUILDING PERMIT APPLICATION <br />Use of Budding <br />P�one�Ematl / L 1=GZZ- i f'}/ 7 <br />NTRACT PRICE OF WORK <br />�sed Use of Bund�ng <br />ng type: �Smgle Family _ Duplex _Townhouse _ Multi-Family <br />of proiect. ___ New _ AddRion _ Remodel _ Repair _ T I. _ <br />OF WORK (aCa�honai spaco p/o��ded on rne oactii . <br />�{c�C` f�C �✓1.r <br />MECHANICAL PERMIT APPLICATION <br />of ProJoct: _Now _Addn _Alloratlon _Ropalr <br />Show Number (p) o/ fixlures <br />A/C _ nir handlino unitc <br />Gas <br />of Heads <br />HEAT <br />Commeraal <br />of Use <br />PLUMBING PERMIT APPLICATION <br />o1ProJecl: _New_Addn _Allorallon_Ropair <br />Show NumDer fq ol lixtures <br />Kitehen sink <br />Water heater <br />Medicai Gas <br />Other. <br />I here0y cemh I�at I Oavo mad antl examined Ihu applitation m�E know Ine some Io be Irve anE corren All pmvisions ol laws an0 o�eiaances govemmg Inn type ol work w:l Ec complietl <br />wf.� x�el�er specRea �emin or not 7�e gmnlmg ol a Dumn aoes nol presume lo grve aN�onry la nolale or e�ncel I�e prorision ol any e'Se� sta:e ar local law ieoula9ng cnnswdion <br />Thai � am nzeU Cy tne oxner ol Nq p�openy ro pertorm �Oa work fo� wtt�Ui app!ral�cn is ma�e ana I comDN wM Ne Sta;e Cantroclen Law 1B 27 RCW anC 296.100A WAC <br />� l/�`� $� 2 �/3 <br />Ow uthorixedAgontSlgnaWro Date (RevisedYZ01J) <br />