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� � <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISFRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everethva.org <br />,uncoa. <br />=� � i Z 4 { �+ ,tis�. <br />lor new wnSWclion�. Short Plallsu <br />�Cn.�� Pr�cat <br />12.0 5w ��`��� <br />J( p <br />�5tnn�i DZ2 <br />No.`3 (:+��ech copy of IonB le9al desc�iption) <br />ai �iZ� � —lS 3 � Z'�i E-iC' <br />a�J Fc,e-�-T vJp. . ga za `i <br />Owner OwnersAgenl Contiactor CONracto�SAgen� _Tenanl(r.���r+a��+b�'n��ro^f0111fO"'�^em.+xvo-,co.onmvw•a.�•1 <br />iR +�q� t'L,jL_ `� p,�� �—� G..- State Lia t��2/����"OOS$U Crty �us. Lic # 0� 'Z-�LV �� <br />5 ti <br />PERMIT APPLICATION <br />IPhonMEmad SHW�tL—. <br />�R PERMIT �'OFktJ �-�>L'-"� <br />��cZS � 3'S �= ' `i`c.�Z <br />PRICE OF WORK _ <br />Existing Use of Budmng _ ----- � <br />Proposed Use of �uild;ng_ <br />Bmlding lype: �Single Fumlly _ Duplex _Townhouse _ MuUi�Family __ Comrt e;cial <br />Typc o( pro�ecl', � Ne:+ _ �ddition Remodel Repair T 1. Sion _Sprinklr. <br />DESCRIPTION OF WORK lada�Gorrol spaco provlded on tho bacq). <br />i/ <br />SOURCE' <br />Zzc�� z �-� �3�s�c.� ���yv3- 005 <br />MECHANICAL PERMIT APPLICATION <br />TypcofPro�ocC �Now_AtlAn _Allorotlon_ Rupalr <br />Show Number (al ol lixfures <br />� NC — air handhnq umts <br />Gas <br />Other <br />heater <br />�i <br />�' <br />Use <br />PLUMBING PERMIT APPLICATION <br />Typo o( Pro�ocl: _._Nrw _Addn _Allcratlon _Ropalr <br />SnowNumbcrldla/li.rtares _. _ <br />� Other, <br />T <br />Gas <br />I��me�y cedAy �nal I nave ¢�tl on0 e�ammetl �ha nppLc.rro^ a^� know ihe sama �o be Ime nnC coned. /.n f•m�islons ol laws anc oedinnnces 9ovem�nq Ihis type ol wo�k w+A Ae com�+ed <br />win w�elher :per.dmd �o�ain d nW i�a 7rpnllnq al n pernA does nal pe)ume �o O��e oulha�ly la violnie oi oncel l�� p���non nl nny elne� :hAo a� locel lew requinling consWcl'ion <br />T�.:V l nm i1��ir O EY ��`^^� n11eb 0�opetly b PMam 1�e work IM aM1�N npplqalron i5 m:Me ana 1[dnD1y wM iM1r �In1e COMmclun �a� 10 P1 NGW on,f ]36: WA \NnC <br />l��� �— 21— 1 l` �, <br />- � Ddlc � (Ruv�sr.J.1/7013J <br />Ow JAulhu�izud Agm+� �iqnn�urn <br />