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PERMIT APPLICATION <br />BUILDINGlMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar S!., Everett, WA 98201 425-257-F810 FAX 425-257-8857 vn�nv everett�va.org <br />ADDRESS: r� �r,� � I7ROP[RTYTA%tl <br />IOr,Zi '� l/ <br />1L lor new wnst��cbon Stu� c-�aUsueEws�.on ______ ___._Lol No _ <br />��1i ��� �` Sh t <br />_ (ai!a[h cD6Y of ion�'egal dc.a�p:�.�rl <br />zs�25� �i�%`ry <br />��.Y{�o [,/l. �.�z�%SS. <br />ANT:_ Owner �Orvner5��3G��'j�C:nlid'e:or Certrado'SAgenl _Tenan:;-,�;.��ce�o•e��:orsc�;•r.�rao.-er.�e�+:�e'ro:;�.�. <br />qCTOR �%QI/}� �1iC.�r P � j� � ,�a� �� Sta:c L��c # Cny �us Llc # <br />��M �3 H' C'% � VZ� SI` G� JU� ___ _-- I'nonc_'ema.� .�� �Z 3g %��� / <br />BUILDING PERMIT APPLICATION <br />Use of OuJtlmg <br />mi <br />�,5 Grn�s io�,.r <br />n�. z? 8 - /0���/ <br />PRICE OF WORH <br />�{EqT;,UU�C[ <br />ed Use ol �m!C��ru_ � __ I Gas __['ecb�c <br />3�YFe � S�.r31e Family � Duplex _To��v^.house _ �.tulti-Famdy _ Ccmm=rral <br />f proecl New ACdd�on Rerr.odel Repair 7 I __ Sign __Sp�u,kler __Demo'mcn _( <br />kIP710N OF WORK (acd.hcnal sc��cc p�o: �:.� � c- ¢e �:r>1 <br />,� lM � C�,,vti��I�-ti., <br />MECHANICAL PERMIT APPLICATlON <br />ol ProjocC _Now _Addn _AllnraUon _Repalr <br />Show Number I.d1 ollirfures <br />�_ Nc-airhana�mgunils <br />' fciced a�r systems <br />Olhcr <br />I SUPPRFSSION <br />NcmCer ci <br />PLUMBING PERMIT APPLICATION <br />Typu ol ProjeU� _New _Atlan _Altorallon _Ropair <br />Slraw NumOer �ol o/ fix Wrrs <br />Dishaashcr <br />Clothes w, s <br />Watcr heatc <br />Smklscrvia <br />OJCk�GW {lft <br />Uflildl <br />Dnnk�ng Fo� <br />Floordrain <br />Grease Irap <br />Rooldrains <br />Ided�cai Gas <br />Olher <br />Olher <br />I �cre�y :c�'y tra� I na� e�caJ a^a cr,•T -�eC ib�s app��:aUo� an� �.^�ox ;^e same'.o Ce Ime ana corre:t f.11 prcrosions cl!axs a�C orGnances go� eming lnis rype ol Ntn w9 Ce r;+-; en <br />w.,_ wne:ner seec'ieG Pe�e:n or nal The .�o^'r� o! a:e^r1 Coes nct C�esume l0 9'�e ao:nonty'o ��e'.le v cancrl tne p�evs.:n ol aar d�.nei siaie or Ipal iaw reGWa�:�p censivcv„��. <br />� T�:I nn� Butponie0 Py I�o onner d inis prepe]Y io pedem� �ha wei� �ol wTrUi a;p�.2M1on's na]e a�� I cnTp'y w'.b:M1e Sla:e le �'�arcp Lo� +B 11 HQYaM:Mi 2DOA lh'AC <br />�%Z <br />� 7-3� ���i <br />dAGthonzed Agenl5lgnalura i)Yc (�ev�seJ 1:0131 <br />