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�ERMIT APPLICATIO� <br />BUILDINGlMECHANICAL/PLUMBING/SIGNlSPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, VJA 98201 4�5-257-B810 FAX 425-257-8857 www.everettwa.org <br />-� N <br />fc� new conslmction: Shoq <br />ER SCEA�T7 <br />S�� TcJ�rc1T <br />Tnxa <br />LOt No , (attath capy ol!ong legal tleSvipPo�1 <br />�mail �qZS � —'153 — Z V�� <br />OSW iL�i�(lZ.�LT V�M1lLW��{S l�oo laty/SIaIe/ZiP�Z��/L�I� �N`+. �1gZOq <br />T: Owrer CwncYSAqenl _Co�lraclo� __CoNrada�sAgenl _Tenantp-.m�y::x.�s�errm,ev�•.rm��.o.m�oo..:nn��ti,xe; <br />fOR ..7�G�[T�_ \ AC1�=�[.. �-tA/,�E,s SlateLic. t/.S�Ar(>H CAS 13 V City Dus. lic tt(�p3-�41 <br />��Y1ti� �nonarvmau <br />���...�.� o.,��n��orrm� wnin�i rvHrtnmii ��li� �.!?fo��,FO�C...Ci <br />Pnone/E�ma�l 4Z5 ) 3so - 400'L <br />8�!IDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />[xishno l!se of Builtling HEAT SOURCE. <br />Proposed Use of BwlCing Gas � Eieanc Cther <br />Dutlding type�. � Single Fam�iy _ Daplex _Townhousa � tdu�ti�Family _ Ccmmcrcial <br />Tyoe of pro�etl� ✓ New Atld�tion Remotlel Repair T.1. Sign Sonnk!e� Demold�on�Change cf Use <br />DESCRIPTION OF WORK (aod•rwnai space provrded on rne nack) . <br />���',o � z c�e c�,�u�,�. �3a5 ic.._� ��rNd3-o0�0 <br />MECHANICAL PERMIT APPIICATION r PLUMBING PERh11T APPLICATION <br />o1Pro�oct: ✓ Now_AtlEn _Allantlon_Rapair <br />-- I wG - av nandhno unns <br />healer <br />Woodstove <br />ol <br />! Naw_Addn _A�loratlon_Ropalr <br />Snow Number fMl ol fisfures <br />heltcr <br />1iU0t df3.15 <br />�dedicai Gas <br />Other <br />Olher: <br />I lra<Cr cenAy IOeI l Aeve �wd and a.unned �M5 nppire�on an;f krow me same lo Ea We nn� cortecl PO piorslons o� 18ws ontl MCmancea govem�ng IOif lypt ol wp�k vn7 pe [amp4M <br />wM wnelner �peetic0l�erem or rwt. iTe qrenlnp ol e pttm'I dnf rwI n«wme �o �ne aNnmiy ro�qiale n carcel tne pmrtmn of any otne� slMe or ixal bwrtgu!aing consln�7qn <br />in�l I am N� ' �y In xrwr of IM propwry lo pMortn Ihe work fw wniN epD�icalbn b maae ona I com�� wM me Slat� Ce.^,Uacfors law I B 77 RC W mJ 7?G 2tt`A WAC. `1 <br />p 11 � <br />�_ l'ZCo' �c{ <br />O r1AulhorizoG Agon� 51 naturo Dale � (Revrsetl.Y2073i <br />