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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PFRMIT SERVICES <br />3200 Cedar St., [verett, WA 98201 425-257-8810 F4X 425-257•8857 www.evereltwa.org <br />TAX p <br />�l+ <br />lo new conslnx�ion: Short PlaVsu6tllv6iorA,f��'-_Ad¢- ` A2'�-- Lat Na �S (at�ach copy ot IunBlegal CesuiDlion) <br />�j�.c.cr ` P. <br />4_`� t��`L PhanelE�mail�`YZ5 `�5 3- Z'`a c�� <br />12.c Sw tcJ `iR�c-T� Yw�w �w Gry�StataRip E.J F[Ai�� V�TA . RS Zv � <br />'ANT:_�v�er OwnetsAgent Con�ratlor _CoNraCor'sA9ent _Tenant(music+s-,an+iorerCro.-+cvo�mowoeruea+cn.imozoi�o� <br />.,.rno YvATiI�L_ �A.�� � L- Slate Lic iir�aA� ����OS$U Cily Bus. �it. ti(Q0� -� <br />1dd�ess SAY�iL. • ' <br />fENANT BUSINE55 NAME CONTACT FOR PERh11T S��N �t,�wS� <br />PhonNE�mad �'EzS`� 35 � ' `»o `- <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF wORK <br />I1EAT SOURCE: <br />Exisling Use ot Bmlding <br />Gas � FleUdc__ <br />Proposed Use of Building <br />Bwidmg type. ✓Single Family _ Ouplex _Townhousa _ Multi-Femily _ Commercial <br />Tyoe ol prc�ecY � New Addilion _ Remodel Repa r 71 S gn Spnnkler Oemolition_ Ghang� <br />DESCRIPTION OF WORK (admnonai spoco provided or rh,o back) � <br />ZZo3 Zc.�a2�'-,�u-Si; �3�'�'��c.� <br />MECHANICAL PERMIT APPLICA710N <br />Typo o/ Pro�ocC _Naw _Addn _AHerallon _RopJ'i r— <br />Show Numbcr (Ml ol �xtures <br />niC - air handlina units <br />0 <br />� <br />PLUMBING PERMIT APPLICATI <br />ofPro�ect: _Now_Addn _Al�eration_ftopa�r <br />_ , _ <br />i o�,��. <br />- � ,,.��. <br />Number af Heads ' <br />I I�eioby a�iry Iltal I nova rcoG intl e�am.naa INs app•.ui6on and know Ne same lo be Ime end corted. All pmvisions ol Ixws en0 o�E:nan[Cs poverning Illis I�pC ol N'ork wi'1 M campUcd <br />��nn w�Mher spen6eE �em�n o� nol. i0e granlN� al a Fertn7 tloes nal prnuma to qrve eut�omy ia wa:ale or cancel t�e provisim cl eny otnn etata o� locul lew iegulb�ig ee�s'Jud'on <br />iTnl I am au on ! E e rner ol Nis propeM �� Detlorm Ne wo�A lo+v.n�c1� oPP���a^ �i ^�a2o a^� ��� wr� I�e Stam Contrac�co Law 10 27 �CW ��tl 296.200A l4AC. � <br />�C� rd-21-1`� Z <br />„_, (Revisod 320i3) <br />�O <br />