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b1AY/20/2014/TUE 10:32 A1i Plorth Creek Roofing <br />� <br />FAX No �25 4�6524 <br />P. 001 <br />PERMIT APPLICATION ' <br />BUILDING/MECHANICAL/PLUMBINGISIGNlSPRINKLER/DEMOLITIpN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wv✓�v.everettwa.org <br />APPIJCATlON3 ARE ACCEPTED FROM 8 AM TO4 PM --2Z`� y <br />ADORESS;Z�Z / v�vA� �0111�1.���� ,�Y7A3 DHODERiVTA%p P�IM� V� _O^ � <br />�Q S <br />(o�nO+vcOnSltucUon�. Short <br />No._ (attach wpy o� iong Ie9al <br />ai �lZd - 36S ��S'�I� <br />_p..ner OMnefsA9ent �LCon�actor Con!�ctoYsA�ent Tenant!nweicro�c«ew�rneo.�eerievnr�eo«-�veo.�,�.u�,�� <br />�R O`i'c`!� �.�( U `h� • L& I Lic. tt �O t� 1 lFd ' OO COE Bus. Lic n �,y� <br />2a \S � ►�v �ru c., SE. � lct�'ti �.ttuk\ �i`1v�2 P,��d�,,,o,� �{�t,s- �t�(3 - �-9 � (� <br />��INESs NAME CONTACT FOR PERMIT U�L. MtN i)-��� <br />ILDING PERMIT APPLICATION <br />PR10E OF WORK <br />a-d <br />Existing Use of Quilding � HEAT SOURCE: <br />Pmposed Use of Buildin� Gas_ t�acmc_ ome�_ <br />8uiiding type� � Sinple Family _ Duplex _Trnvnhouse _ Mulfi-Family _CommerrJal <br />Type ol pro�act. _ Nnw Atldi6on �Remodnl Rop�ir T.I, Sipn SU�inkl0t Oem0libOn Chnngc ot Use <br />nF,(RCRIpT10N OF WORK(eddd�o"��elspexp�ov;ecdonmebacW: Ua\tiJVV <br />' 11�'Qj2 0�l� `1 �,'Ut�2'(1— v� lLvn Qo��titov� 3��r�S "U.v�c\ `(It.��-AS.¢. �J� `nl,v- \�wj <br />S��h��i0�. a v <br />Z1 <br />MECHANICAL PERMIT APPLIGAT <br />o1ProJsU: _Ncw_Addn _�Itxratlon,_Rcpair <br />air <br />APPLICATION <br />ofaroJacC _Naw_nean _nirorafion_Itcpair <br />drains <br />O�het' <br />� nemby wn.1y Nal I havo mad antl ommNetl V�Is eDN�wn on0 Isow Cia swno lo �o tvn nnd wrtecC Aa ptovkbn9 0l lunv enG o�O�N�u'a qoremNB Nk bPe W woA sa bc wmD��7 <br />v.;N w1�cNtt sva�od nervm ar nol 7Ac qianp�9 d a pcnnd Eocs rut o�esumo to 9ive auNonly b vbbia or wncel Ne prohswn of eny a��or uatu w bcal Ww reaub�mA mncwcnon <br />T�yt 1�m nutnor�ea oy ne awnvr at N�a piopMry �n pertartn Ine work ror wntn sppo;a7on �s maCe ana I comyy.aU U,a Sldtc Comf3qon W� i 817 RCW and 29B200n WhC. <br />OwnodAu�horized Agent Signeturo Date (Revisetl 620f2J <br />�Z <br />