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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBlNG/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PFRMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 �125-257-8810 FAX 425-257•8857 www evP�ettwa o <br />lor new conslructiore Short <br />�C3N i� � <br />'r P� N� <br />p <br />_�a�-�3 <br />No.� (allach copy of long legal tlesniption) <br />d,cE uas <br />..., ,^,-.��. ., �..,- w n -i s � r r <br />� Owner _ p�vner's Agent _ Conlractor _ Contraclor's A ent <br />9 _TC�aqi(mosipmNoualeneraoonseni�mmmocwnar.oaawo.Mmmespn:o) <br />� � � .. _ . . . _ <br /># NOR�ae <br />o, 6ox �qa8 , Woo�.�,��u� w� <br />n <br />GVNaN�A D1cKf,�S c(Ic(Ccc�tcn,,��,�,n�,;j. q,� <br />Phone/E�mail 425- 44 2 yb y � �� <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK �'Yj,i <br />Existing Use ol puilding _�u�� .E�Q f <br />HEATSOURC[: <br />'roposed Use of Bwldmg �c.5 �N�� <br />3uildmg type. Sin le Family _ p — Gas__ [iectric__ pp,e�_ <br />-.�. 9 Du lex _Townhouse Multi-Family _ Commercial <br />......,.�_._.__. .. _ — <br />. — ._- —..���,���� _nernooei rtepair_T.L_Sign_S <br />CRIPTION OF WORK (admhona� s�ace prov�ded on me back) : <br />�[PQJ ? fccc�vcr roo6 � Gt1R�CJ cIC1.Mr1qa (il !l�yW2u <br />J <br />MECHANICAL PERMIT APpLICATION <br />ProJoct: _Naw_AAdn _Alleratlon_Ropalr <br />� ShowNum6er(p)o/Iixfores <br />� � NC - iv handl nn �'�� <br />� I f orced av svsteR,� <br />PLUMBING PERMIT APPLICATION <br />Typo ol P�oJact: Nnw Addn Al�aratlon _Ropair <br />_� ShowNumbcr(a)o1/ixtures <br />f-loor <br />I -- ------ r � Olhec <br />Numbcr of Heads <br />� Olhcr <br />I �ereEy cenAy ���� I ��ve reaC antl evamineE 1�6 appl:G�lion anC know I�o samo to Oe INe inE rorrect All prwisions ol law. nntl ar�mdnces gaverhng In¢ type ol work will be complmtl <br />wdb w�elhC� specAmtl �erem or nol Riv gmnlmp ol n pertnii Coes not presumu �o qlyo aui�on�y l0 vlolate or Wntcl Iho provision oi any ol�cr sla�C or local law requlalinq consiruclipn <br />T�aI1 am aulhuiscE by I�e owncr ol t�q properly lo perbrm Ihe µork tor w!ucry npplcation is maac nna I rnmpty wi�p Ihc Slalc CONrxbrs Law IB 97 RC W, nU 77G 200A N'AC <br />L`"L��'�.'`r(�� b%2y(!3 <br />O nor/Author�zetl � „ .�,.,,,w.v <br />Dale <br />_ (Fewsrd:J?013J <br />