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� � <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERh71T SERVICES <br />3200 Cedar St., Everett, WA 98201 425•257-8810 FAX 425-257-8857 www.everettwa.org <br />lor new canslruclion. Shotl PlaUsubd�vision <br />:St--� �rcr� PR ca c-.c._ <br />TAX p <br />No _'t (attach copy ol long legal aescriplion) <br />�� C4z5)�53-Z�oo <br />�Zp SvJ . �.�J�C,g.Li VY�6L�,�l,�.,.` ICitylStale/ZiP ��j(.�.(j `y%�, . ��ZQ—\ <br />ANT: Owner OwnefsAgent Coniraclor CanlraUorsAgent _Tenant(mus�o�onaooianero�m�sem�mmmeo»mr.aao+.onmmospaco� <br />ncroaS�AITLti �4F� �o+�:zS State �ic �a�p�T'QdCpSl3J cny s�s ��c. n(Q03-� <br />S�� � PnanelEmail SA VH�- - <br />f BUSINE55 NAME CONTACT FOR PERMIT <br />7� <br />o�bHN C/✓��.Ftil 2�'c,-�iO�L <br />LbING PERMIT APPLICA710N CONTRACT PRICE OF N <br />ng Use of Buildiag <br />�sed Use of k3yilding <br />ng type: �Single Family _ Duplex _Townhouse _ Multi�Family _'ommemial <br />of pro�ect�. ✓New Addition _ Remode' _ Repair _ T.L _ Sign __Sprinklei <br />CRIPTION OF WORK (adodiona! space provided on the Dack): <br />✓ <br />ZZ�e'1 p��v 2 GA2 �,a.2��L _ I�J 1 if'��- �765 <br />MECHANICAL PERMIT APPLICATION PLUMi81KG PERNIIT APPLICATION <br />'ype of Pro�e��: ✓New _Addn _Alteratlon _Repalr Typo of ProJect� _New _AdA:i __Alterotlon _Repair <br />ShowNumbcr(N)ollixfures _ _ ShowNumber/p)o/lirturet <br />.� <br />- art <br />heater <br />I SUPPRESSIOt� <br />NumberofHeads <br />r I Urinal <br />Orinking F <br />� Floor drain <br />� Grease tra <br />r►► I Rool drain <br />�. � Metlical G: <br />� Olhec <br />I �cieGy ceifdy Ihal 1 �a.e �e�E anE eiammea �hrs appbcaLon and Anow I�e same to be Irue en 1 wrretl. All pmvrsions ol laws ond orGnances goaeming I�is lype ol work will be wmplicd <br />wiID w�et� r sp cifie em or nol Tlie graniing ol a Permc does nol p�esuma m grce aNrtomy o violato or cancel ��e provision ol any ot�e� sia�e a� iowl law regulaling cansvuction <br />T�nl I am t� rze 1� aTer ol i�is properlY �u perlom� t�e wa�k lot �Mich appl¢aiion Is ma le enE I comply wi� i�e State Cmvactois law IB 27 RCW arN 796 700A N'AC. <br />� <br />4-L8- � 4 Z <br />�wn /Aulhorized Agent SignaNro Date (Rewsed 3/?017) <br />