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� <br />PERIVIIT <br />� <br />APPLIG/�TION <br />BUILDING/MECHANICALIPLUMBINGlSIGNISPR!NKLERlDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 96201 425-257-8810 FAX 425-257-8857 www.everetM��•� IS <br />171� <br />fornewconsWction: ShoA <br />�, Nn �� Q G l <br />` <br />veoaean Tax a <br />Nn._ (attach capy ol long legal Aescnption) <br />APPUCANT:_Owner _OwneYSAgent _Contractor _ConVaclofsAgenl _Tenanllm�sic�++aoo�.ne�c�mvemr:omunvvner�oaa+aMmmaewul <br />acroa Mvcr� 1���^�'-� h'_ <br />l�SIS y1=`S�- <br />NG P�RMIT APPUCATION <br />Use of Building <br />� <br />���. <br />wla 4�zkv <br />PRICE OF WORI( <br />Proposed Use o,f/a uilding ' <br />Bu�lding type: y� Single family _ Duplex _Townhouse _ Mul6•Family _ Commercial <br />r..___......:.,..�� u��» Addition Remodel _Repair__.T.�. Sign Spnnhie <br />DESCRIPTION OF WORK (addiriona� space pmvided on me eack�. <br />J-nf��l a' Mlu� � Cn...-�Z uv� �lou� <br />N �� <br />(�.Nn �./Y S i � <br />MECHANICAL. PERMIT APPLICATION <br />Type ol ProJect: _Now_AEOn _Altnra[lon _Ropalr <br />SnowNumDerlM)o/ftxtures _ <br />j v Clty BUS. LIF # �5 �� S <br />-cn�i l M�i.n ��..-,� r w v� c a <br />V <br />HFJ\T SOURCE: <br />Electnc_ Othcr <br />�..ru�n Chanae af Use <br />y�- I��z LG.c-c-ti' J<.�v-c_ qn <br />df � %✓� <br />PLUMBING PERMIT APPLICATION <br />of Projoct: _New_Addn _Allorat�an_RoD�ir <br />Show Numbcr (N) of fiMures <br />Other. <br />� Number of Heatls ' <br />1 �emEy ee�HY �hat I Aoro mad nnE emm�ned IAM applimticn end know Iho same lo Cn lruv nnd eartect A� Orovielonn ai �n.r nnd ordlnonma Bavemin0 t�ls ry0o el �roik vnil Oe mmpl�ed <br />WV� wnoNet epeo�ieE �emin or not. Tha 9nnting of e permN Eves nat pmsvme IoqNa avlhotlry lo viola�a of cancel NC D�Nslon of efly othet Stule at IotEl law regulell0g Wnslrudlon <br />il�et 1 a,m aut�/orixcd by Ne owner ofNis pmpe�ty lo perfarm ma vmrk farwM� ePD��ni�on Is ma7e enG I comDN w� �ne Slale Conlractors Law 19?7 RCW on0 29�.400A WAC. <br />G %� �if..,�� S -2 �- �,� <br />� V (Revlsed3/2o73J <br />OwnedAu(horizod Agunt Signature ���� <br />