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� <br />0 <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />'Z00 Cedai Si , Everett, WA 98201 425-257-8810 Fi1X 425-257-8857 c�nv everethva org <br />i ..a.'�- l�l <br />i[ �1[iDHl.55' <br />lor ncw con;trochan. Shch PIaUs�GU <br />R !Ju1�i(,� _ Koa <br />5�0� ISISF <br />PROPLN7Y TAR # <br />✓e nr� <r� � <br />�t.c-4i W <br />No._ (auach copY ol iong legal ocsa�p'�mn) <br />PhcneiE-ma�l <br />Vvl AV� <br />Z <br />APPLICANT: Owner _p.vnei's�yrnl �Con�rac�or _CoNraclor'sA9enl _Tenant!mr.��;,,„a.ai�;�e�cru,�;�_c,um,�nno.m��rona..�.x�mw.r:��� <br />CONTRACTOR h� V�/ Sa� l�-�J.�� Sc u� � ; � Slate L�c� E 1�1�"I � �ty [3us L�c ft �5 Z�1 p S <br />p;l0iess 2( d�5 l(6+" � C l JIUI� !� � u�� I Fhane/�mail �'/-5 �/�'! y��j �'CSh� VL�C��L�( �41�i <br />TENANT OUSINESS NAME CONTACT FOR PERMIT "� \�, i� <br />Ruv�(/J' IV`� 1 ?_ <br />rr,one�e-mau �/�_S 77(�-IN.CG �'aNr��.w0�zf1Jk15�.0 <br />BUILDING PERMIT APPLICATION CONiRACT PRICE OF WORK ��jQ" <br />[x�st�ng Use of Ouild�ng Q.����e1C _ ���r�CNL� ____ HFAT SOURCE <br />Proposed Use of UwlCing_ __ _ _____ Gas _ EleUnc__ Other__ <br />Huilding type ^ Single Fam�P� _ �uplex �.T�o vnhouse _ ��4ulh-1� amily _ Commercial <br />Type ul pro�ed Ne;� �dd�lion Remodel Repair _T I_ Sign Spnnkler Demolihon Chanqi_of USC _ <br />DESCftIPTION OP WORK lar�'m�ona� �parc;_�cv,:;��d nn rnc Dack) <br />���� <br />MECHANICAL PERMIT APPLICATION <br />of Pro�ecl: _Ne�v_AAdn _Alteration_ Repair <br />$horv Num6cr (qJ o/ /i� furas <br />� A/C —air handhng units <br />I Forecd air svslems <br />lar,� <br />ra <br />Oihcr <br />PLUMBING PERMIT APPLICATION <br />oi PwjecC _New ____Addn _ Al(cration _.Repair <br />7 <br />Sink <br />Medical <br />OthC� <br />Other <br />smk E <br />i r ertpy cerlAy �`�A I M1nvc ira� and e�aminrd Ih , appPrai�on arvl V noei t�c samu lo be Ime an� mnetl �II pmvisran^, ol laws �nd ortlmances qoveminq I�is Iypr ol woiF r.i I bc �on�f''^� <br />:;'n o.pM�e� spcullr� nrm.n nr nc1 Tne qraning ol u n�'mA Joev nol pmsumc lo glve edM1oru y 1� viatale or canml l�e pmvnion ol any amci ;1ale or iouil law irgo�iling �onsimr.ucn <br />1 n n i;mmm au�bo�ilpE �y V�e m:�,e� ol uus p�opMy io per�orm 1lie wor� fcr ^n�nh aypnca'icn is m��ar ,�ml i� nmyiy v. �i� ihe 5�•�'s ro„i�,i� �ors taw 18 17 FG W antl 796 200� V✓PC <br />! ��_ ll � <br />��/,, _ - 6-Y- � L/ <br />OvAit�r/Au�hon[_�� nd4nc U,�' � (8nmtind i/701 �J <br />� <br />