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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNlSPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereltwa org <br />.Z�� 2-1 �lckQ.��.11tr /�tiL <br />"- <br />�� <br />PERMIT <br />LEGAI lor new consvuaion Shon PiaVsubtl�vrs�on Lot t�o (auacn coov oi m�g icq,i ecscnpi�on) <br />DWNER r�%yC� �ri�t"1l_,Q \`� PhonC/E•mal'.� l <br />C;1r.Sl@� e1�2� <br />aaa�ess')yL� t�oiL'c�Cl�t,./.Z�LL. cn isiaicrz� i'. , �. ' �� v <br />— r � L C� c' � �� L�/ i� I c;�-cl I <br />LICANT: _ pwnr.r Owncr's A Cnl `� <br />— J hCOOitdGO� ConlractoYSAgent ._TenanliTmio�o..an.�anr�acame+iram"n..,-�e�me��,o..�Nosc.�.i <br />ITRACTOR irl�(C �'l.iti") (�1 C rC � � \�KJI�I ; SlaleLic. n�-��� ����(-%���.�'� <br />. �-- C�ty Bus. Lic. a rj % ( <br />rss��.�,G � �Lc"�� �{ P�onc!Eman�•��1�1'-1 �I 1�' •. <br />�IG, � �C I,,��L�l��k'a� - <br />ANT BUSINE55 NAME CONTACT FOR PERMIT �' � <br />�_�1�>���Cl ` l��l.� c�_t��j��L3�Sli „ <br />PhanelE•mail 11r1i-�; '.� � i a O �' � i' l �� i: �� <br />�,..o,nl�- ���it_rci�_ _ , ct��i� �t - ! <br />ILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �_�,��! I�' I <br />Ex�sl�ng Use of Bwltl�ng HEAT SOURCE-. <br />Proposed Use of �utl0�ng Gas � Eieur�c Oincr <br />Build�n^y lype �� Sirgle Famdy _ Duplea _To�•nhouse _ Mulli�Family _ Commercia� <br />�e of projecY New Atltl t on Remodcl F2epa r T I S�pn Sor nkler Demol I on Chanoe of Use <br />DESCRIPTIONOFWORK�add�nonarspacouro��dnnonll:eoack)�. , �,� <br />�����>���nII TrC��LL�1S�;id��1L'� I�t���s�l �(-r��uzr�,c,.-,���a��lc ,�.���'cl C���C�j <br />.fi.,� ��-,c<<.�� <br />PERMIT APPLICATION <br />ol Pro�oct: �New _Addn _Allcratlon _Rcpalr <br />- a�r <br />7ffiI <br />Othcr <br />y <br />healer <br />STEM <br />G PERMIT <br />Type of Pro�ecl: _New _Addn _Alterallon _qcpalr <br />Show Numborlql a/Oi���r�� <br />Kdchen sink <br />D�shwasher <br />Clothes wasl <br />W aler heatc�� <br />S�nk (servicc <br />Oachllo.v pre <br />Urinal <br />Dnnkmq Fou <br />FIaOr CrBin <br />Grease trap <br />Ro01 drdins <br />Medical Gas <br />Olner <br />I r� �riM1er 51�.1I hava ICaa �nd e�ammeOl�is �CD'K�lo+nn4 Mnnw i�e samo b po We anC ca�mCl. AilO�ovisbns of Uwp antl CN��ancei govOmmg t�p rypo o1.wA w�li Du mmy <br />Mo`ua herem or nol. ll�o gram,og o� n nermit Uves nol pmsume io gNe aulnonry to vqUle o� canco� Iho o'ov6qn olTrry o'her sL�to or bcai 4�w rogutaLng mns W cten <br />Th011 lm dU1f1O�i[pa Oy IM1C OH+1C� O� RIiS O�PCM �� M�O�R11nC WII� 10� wlli(11 dpplK��%p p n�dliC:1�0I COTpty Mn1Il Ipp SUIO COO'�8(IOI] I Aw 1811 RCW nnd 196 700q W4C <br />�r" � <br />-5���'� --- �u..�� �; iy <br />OwncrTAu(honieA Agen! Signalurc Oale <br />(Rav�sed 4.70 ta) <br />