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S <br />� <br />PERMIT APPLICATION <br />BUILDINGlM�CHANICAL/PLUMBING/51GN/SPRINKLER/DEMOLI710N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everatt, WA 98201 425-257-8810 FAX 425-257-8BS7 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRO�JI B AM TO 4 PM r1 � f 5-i3 <br />ADORE$$: . 7POPF.NT'TAXY PERMITtl _ _ <br />ror new wnsimction: ShvM1 Pledaubdrv�aion Lol No._ (attaU Copy ol lao& Icgal Cesulpllon) <br />�. W Mu k11�.0 B�Ud Iciry�Scsie�Z�a EVPXCiE i� qK211?� <br />_Qwnar _Owr,oYsAgent �COntt'aclo� _CCnlractofsA���l _7EOd0!(n��dpmltca�cierGceni�itn�chw.rmnaoxc�haa�pam� <br />c <br />L 8 I Lic. ri � Cl COE Bus. Lic. X(]+J <br />Ola. PhanrJEmall �q��gg�'0��� <br />CONTAC� FOR PERMIT �q.�� 4b5 _0\\� <br />PnonclE•mail �C(lYnd�rnrncrs�nr�ero�Fir,n.cmh <br />PERMIT A�PLICATION �CONTRACT PRICE OF WORK <br />3xisting Usc ol BuIlding,.�\Y�� 0 1M� Y-P�1QeYYFIQV HEAT SOURCE: <br />°mposetl Use of Buildin9 �� �� Gos� _ Elednc._ �Iher__ <br />3uilding type. �Single Fum11V _ Duptox,_._.Tovmhouse _ Multi•Family _ Commerc�al <br />fype af orojacf New Addltlon _ Remodel � Fepalr _ T.L _ S�gn _Sqdnklor _Demo�lUon_C�ange o� U5e <br />DESCRIPTION OF WORK �aualnanai spsa� provmea on th: cseW : <br />1. Pzmove.11o,yer pF tA.dar Shc,`ut <br />Z.Ih51-o.�.Q A7A-Ux�li�ica COX p�ywood <br />3. �nSkaQ.411a o� c.w.. os i�'ion sh.� �►s <br />MECHANICAL PI:RMIT APPLICATION �� PLUMBING pERMIT APPLICATION <br />otpraJctt: �NGv�tltln _Allarallan�Rapalf � �TypoolPmfncU TNeW_Addn �Ilefellon_NepPl� <br />Numbor of <br />I horoCY uWr Nal I Aava road onC emminee Inle e00�ee11on BnC knoa Iho :ume ta ha Ime ond carto7. WI prov�el�ne d invn nna er0lnan[on oovemfip lAK troe olwork w:n oe com0���tl <br />tNln wneNer :panf.oa no'ain ar not. 7 na prenunp el e permll aote no� Drt:amo to Ch'o aolnodry �o vlolale ar exncel Ihu prod: vn el any athar otmo a kcol mw roo��'o�4�0 �onalmrnon <br />Tnat I am au'dotlmd �y tho owne� allnis {+�opaAy b pedcnn Ihn waF lor wAlc� oppaenuon Ie meae ena i eompywip Ihv Slom LoNreemre La.v tn.:9 FCW and [�n,2o0n wFC. <br />�;��i't�� ��g�13 <br />JwnerlAuthodiad Agent Slgnaturo ate (Revlsad rv10v2) <br />