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� � <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />�, �3�-ICi <br />k; 1 i-e o f3 � � c� <br />q <br />for new con;imcimn: Short PlaUsubdivision Lot No (allach copy ot lang legal descriplion) <br />( � QT ��� pE PhonelE�mad y�% S—S.3V —N�I Z u <br />k; <br />wA `t8za3 <br />:ANT: Owner _Owner'sAgen� �onirictor _Conlractor'sAgent _TeniN���s�p�a��eeairua�dro�u,iimminoo,.�c.•oaowcn:�n��azo+:o1 <br />'ACTOR ,�u�ln ViiPJ + l���l vh h���. State Lic. # Sd� ( NW I�d��CCvCity Ous. Lic M 03qo3 <br />z�i0� $�(� }��aSICq S-i-, PhonelEmaiIZCJ(7�%3Z—����- <br />LDING PERMIT APPLICATION <br />�7 ed/w2 STcIULEY <br />Lv%"LiC��-�ls.�io <br />PRICE OF WORK '�,ZU(J. `�_ <br />Existing Use of 8wldmg �oSi d!'m �l-� � � <br />Proposed Use o( �uilding �oS+�����'�•a � �_ <br />Builtling type: � Singie Famdy _ Duplex _Townhouse _(viulti-family _ Commercial <br />Type o( project. �[ New Adtlilion Remodel Repair _ T I. _ Sign _Sprinkler _Demolitior <br />DESCRIPTION OF WORK (adaiaona�spaceprov�dedon �hebacx): <br />l�F��4CC w2�-Or SPrv}Ce %r'ne. �o�M nt¢�r 'fo {���52 <br />MECHANICAL PERMIT APPLICATION <br />ol Project: _New _Addn _Alleration _Repair <br />Show Number (p) o/lixtures <br />i nrc _ ,�, n,�,�i�„� ��„a� <br />SPRINKLER / SUPPRESSION <br />of Use <br />PLUMBING PERMIT APPLICATION <br />olProjecC �New_Addn _Alteration �pair <br />Show Nam6cr INl o/ li.fures <br />Medical Gas <br />Olher: 1,..1�} <br />I hereCy cendy ihal 1 �ave �ead an0 examineA Il+is appVcalian nna `now I�e same b Ce Ime ond eorrecL All pmvrsions cf la�vs and orainances govermng t�is rype ol xvrk wdl Oe wmp?e0 <br />wun wnelher s �c0 �crcin or not. Tnc 9ranl�ng ol a permn tloes nol presumc m givc aW�anty lo violale or wncel me provrsion ol any o;ncr slatc or local law �egulaimg mnswr,ion <br />That I am au ol eC Cy Ihe o'.vn^r oi I�is pmpetly lo PCtlarm tlle Noik Ior w�it� Oppliwhon i5 mdCe �n01 COmDIy wil� I�e Slat2 Conlractors LJW iB27 RC W dn0 2?6.:OOA WAC. <br />, - � 3 0 ��� <br />Own dAu oriz d�gent5lynaturc Oale fReviseA3/:Ot3) <br />