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if:'lit6r'�(�13 pR:32 2E167',;21303 <br />OLSON ENEP.GY FAr,E 02��3 <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/�PRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98241 425-257-p8� 0 FAX h25-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �-�� �� <br />ri. . �enncer.�rnvx PERMITY <br />A�DRE88: ��� �G <br />for new construcUon: S��n <br />Ne._ (ettach copy ol long lepal tles[dpllmi) <br />APPLICANT:_O�wer _Owner'sAgant �CCon!tattOr �Con�roClor.Agen! _TCnant(+vetprc+ma�mr«C.cTaan:':mitwavrn�wao�rrtntrewe�e; <br />& I Lic # <br />�( <br />BUILDING PERMIT APPIICATION <br />Use of Build�ng <br />N <br />I'nonaiEma�i 9_/J(o iA7 5�22� <br />fY7Gf � OISd�Jf'�1�f`i�GCv"� <br />PRICE OF WORK _,y 3(X� <br />PrcDa3etl U9e o( Builtling L_ <br />Buildinglype �jSingleFamily _�uplez_TownhOUSB `Multi-f�mily _Commercial <br />Type of proiecr New Atlditlon kRemodel Repair T.I. Siqn Sprinkie� <br />DESCRIPTION OF WORK (addlfional spaco prov�dai on fhe back): <br />��'>lqt� �tib F'q�.2�� aJ,!'h ,l:✓.�/ �s5 %�i...-,2aq <br />�!/'�' Lc l�/G /i�Y� tiJ, S�l•r j�„1 e G✓�i�? S�f v�^-C <br />MECHANICAL PERMIT APPLICATION <br />Sypu of ProJoct: _Nnw _Atldn <br />adv <br />PI.UMBING PERMIT APPLICATION <br />01 Pro�ocl: _Nrtw _Addn _Altorotlan _Ropnir <br />�.v-it�.�rv <br />Other. <br />I M1amGy cMily InM I h;rvu mo,� ora emm�rC'! 6.a nuU��rnion en] MM� thi� iume to �e tmG 0ntl COttaq. All pmvifpns Ot 1�w6 BnC artllnances qOVOKiinp Ihle lype a/ wMk will bp mmo6eE <br />U��11w�01iiflfl�Of��l�M1lfp001qG: TIICf�TT'15f.lOpNnTfl4L`!'�tICI�RSub<�Oy'.�09u'IhpIArl0v�d0!fpICP'1CPIIh9(�TVIS�Of1CIP0YC��1Q!lI01BOIb��:IPG'p3a0������CO�SINCiCfI <br />'�rtl I 0m Bu1hM:ed hy the pM`Cf ol Pnv p•bprrty iJ C1^C'M tlo. wa�k for vA,i:M1 dpy.u�bcn �s ms�� antl I CamclY wlt� I�e Stale Ca:nrncic�e Lew 191] RCR' cn� Da!::m� W.�C <br />��✓� � <br />Uwnm�Authorizad ApnN Sl�nnluro _�. p:tle (RBv15eJ fi/10121 <br />