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,, . � � <br />PERMIT APPLICATION <br />�UILaING/MEC!iANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />, CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Evereil, WA 98201 425-257-8810 FAX 425-257-8857 vsn�w.everettwa.org <br />�i-1� -1 S <br />����..��„}�� , <br />3 0 0(� �;/ M�, ,��e 1/,'e,.l �> <br />nx <br />0o4-3�t=� 21-02 �}oo <br />LEGAL Im new conslruclien Short Plal/subArvision Lol No _(atlach copy ol long legal tlesaiplion) <br />OWNER �q�G N�r�"jl, G PhoneiE�mail �?� - Gr� - 6�� � <br />�ddress � �'J � � �, ��y. I"W''1 � p\ City/SIatNZlp �'w+� ' ���1 /�� } 2- <br />APPUCANT:__O�mer _Owner'sAgent _Con�raclor _CoN�actor'SA9ent _fennntp��nio�o�ac:����n��oico�xmi����meo�..+e�moa.oa��me <br />CONTRACTOR . SP2� DnS u�� �1 �o�ii��'L(� J�ILrI Stale Lic. # v�/ l� 0'T �I Ciry Bus. Lic. # <br />? s rr8 <br />BUILDING PERMIT APPLICATION <br />9d ��"tS Phonc/Einail %� V � <br />CONTACT FOR PERMIT <br />� ,-�- _[ �'�`�� G <br />Phoncl6ma�l �� V�U ^ V�6 <br />CONTRACT PRICE 0�- WORK I� <br />ng Use of Buiitling T v t <br />�sed Use o( Building� C k �' <br />�.ng type: _ Singlc Family _ Duplex _7ownho^use <br />ol projecl, New Addnicr, Remodel /�Repair <br />CRIPTION OF WORK (atltl�tmnal space provided on me bacN� . <br />� �t,'�^'�uv!' <br />,� <br />MECHANICAL PERMIT APPLICATION <br />ol Pro�ec�: _New _Adtln _Alleratlon _Repalr <br />Show Number (F ol /trfures <br />A/C — art hanAl�n unils . <br />Forced au s slems <br />Gas piping <br />Walen c�atcr <br />PRINKLER I SUPPRESSION <br />__ Commeraal <br />Zz- �i-S y;� <br />,L'���A NG <br />3 0 0 �.✓«, �i4 <br />r <br />�7 J � , � ° <br />HFATSOURCE�. <br />ol Use <br />�ti� Lq,� �,�5 ed L�i �li�r� �-vc1Fi P�l, <br />PLUMHING PERMIT APPLICATION <br />Type ol Pro�ecl: _New _Atldn _Altcratlon _Repalr <br />Slrow Nunrber (a) ollirt�nes <br />u <br />nnai <br />nnking f=oun�ain <br />nnr diam <br />Rool drains <br />Mr.dical Gas <br />Olhcr <br />I hClCby CC�Lfy Ih.11 I havC rNtl anU Cvd�n�nCA IIuS dpp�'Cni�on Tnd Fnow Ihc s.lrpC W bC INC Jn0 cOncU. All prOvbions al l�v , antl oi�����nr.�b qnvCrmng Ihn Iypt •d wnrk a^.II p� cr,inp <br />�mlh wfielhui .peafiud M1eie�n o� nol T�e 9������9 ol d permA does nol piP.sume lo grve au1l�oNy lo vio�aic ui cd�¢al lhc pio�i;mn ol ,�ny oll�ci ::n�a o� lut,al I,iw rrG,ilaMq �nnslrucLon <br />Ihal I am, pl on]CC OY I�n ownc� ol lhu IopCM lo prMorm Ihc work lor ��T2h BPpLtalion is mJOr and I cnmply w�R� Ibi SLtle fnnVaclm: I o:v 1C :) i.CW an0 905 ]OOA l9n(; <br />��j�`�'�. � �` _ �� s�,� / r� . <br />OwnodAuthorized At�onl Slqnaluro ' Da�e (Rcvisc�� � <br />