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� � <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGlSIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everetl, WA 98201 425-257 681 D FAX 425-257-8857 w�^,nv everetbva org <br />ADDRE55: <br />Z�� 4�u <br />'ar new consuuU�.on S�on <br />a l' ist_. � � <br />ROPC0.TVTA%p I PE I.IjpO (,' �l I/_ <br />�.� C/ tf, <br />-�- Lol No .� �altach coGy ot !orq Icga', de,cnpl c^�) <br />hone/E-ma.1`'4ZS � �l5 3'— Z`a �G <br />Sw �� `o2�Tr tvv��.l, l.vA. c iy�si,ie�z o E�i FzQ.�\T V�%a .�9 Z� `� <br />_C.vrn� _OwnCiSA(JC'11 _CDnILICiC� _COn;r.lUCf'SA�Cn1 _1CfBf11(n�..:t:�c.caa��.••c'coac.•'n.r�.reow+�rloca+<n�snt:..cm <br />R'�¢ATIX� �A���—�<— SlateL�c ��zA�pNOOS�U C•.ty�us Uc Z(p��'��p 3�4C <br />� A <br />BUILDING PERMIT APPLICATION <br />iPERMITJ01-ZN �+�w�� <br />�izS � �S`c.` -- �l�c'L <br />CONTRACT PRICE OF WORK <br />D�sung Use o! f3u��'d�ng -- � <br />Pioaosea Usc of �mld�ng <br />Budang type �S�ngle Family _ Dupiex _To�.vnhoase _ h1un6Far�dy _ Commeraal <br />T;pe ol Oroiect � Ne�v Adddion _ Remodel __ Repair _ T I S�an __Sprm�hr <br />DESCRIPTION OF WORK laCd nonoi scace p.�ov�ded cn rne oac.1 <br />� t�t�o z c,�. � �� <br />�1lECHANICAL PERMIT APPLICATION <br />Type of Pro�oct: � New _AAdn _Alleralion _Repau <br />ShowNunrbcr�aJ olli�fures <br />,� � NC �- a��r hanai�ng units <br />Olher <br />.'71:7 <br />hCod <br />NS <br />��3�s.� � <br />IiFAi SOURCE <br />� Eiectnc Olher <br />o! Usc <br />PLUMBING PERMIT APPLICATION <br />ol Pro�ecC ✓New _ Addn _Allera;ion _ _Repatr <br />Show NumOcr /b) o! fu fures <br />( KAchensmk <br />\ Dishwasner <br />, � Clmnes wasl <br />� , ci , <br />\ � Sink �sernce <br />�— � HaCkPmv prC <br />� Unnal <br />� Dunking Fou <br />�— � floor dram <br />I CifZaSB �fdP <br />� � Rool arams <br />� Medical Gas <br />— � Other <br />— I otner <br />ii�r.c�ycm�'yi�atl�,.�ereadande.ammeCi�rappLruuo�andx�owteesamembevue.nCmnecl Ailprovacnsollae:antlmCmances5o��em�ngihsl�prto�Mrikwxi�eeomp'�.e:f <br />ni!n onciM1e� ;pea'ieE nerem a� nol Tne granLng al a pe�mit tloes nol presume lo give aulnerAy lo viol. �e e� cancel �]e prons�on ci any clnei s�al^ c�'ow� �an� irgu'a:.n� conelrucc on <br />Tpat I a aut� c¢ ���c c �er oilk: pmpC�Y �0 pcq0���e ��ak I<r whrt� aOPL[atlen , maEe nnU I[rrp'y �.iT mc Sioie Ce�maCc's lan iB D NCC �-] ]95:CO�.IVAC <br />�-��- � � <br />�1z <br />O orIAW rizc AgenlSignalure Date (Rev�scA3:0�3) <br />