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� � <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGlSIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257•8857 vnV,v� ere�+a� rai <br />(� <br />- S�a ��O �L, ��PROPERTV TA%p <br />a <br />fer new wnslmchon� Shotl PlaUsubdiv�s��on Lot No _ (aiiach [aoy ol long legal Ue;cnnhon) <br />�,/�wi ,9-yJ <br />�3 �v -lsb .rr <br />J <br />t/ �- sa/-�I9}c <br />Ly.�.vc✓�a� t� S'��3 <br />_Owner _Owners�genl __Conirac�o� _CoNractor'sAgenl _Teranl,-,�.tic�m�aan��-.•a�a��+e-�i��m�ac,ra�:ocs.�+����.�es,a;�•1 <br />TOR <br />BUILDING PERMIT APPLICATION <br />E+�st�ng Use cl Buatling <br />��C✓Z' <br />; � Ciiy tlUS. LiC S <br />Fhorc�E:rrad <br />�T FOR PERMIT S�-v � � �-`- l /�'' <br />mail c-,� z r-.�'7Ji —�/ 9�. <br />4CT PRICE OF WORK 3 9'� <br />HEATSCURCE <br />Propose;i Vse el DwlCina L <br />Budding tyce _ ingie Fam�iy � Duplez Towrhouse Idulu-Famdy _Commerc�al <br />Tyce o( pro�ecl Nmv Addiuon ,_ emodel epair _ TJ __ S�gn _Sprinkle <br />DESCRIPTION OF WORK ieoct�onaispaceFruv,devonlrebacal <br />/,3 �� �--L i'"� 6/J t- L!' . /�/� `{C/�- l� <br />MECHANICAL PERMIT APPLICATtON <br />Type ol f'ro�oct: _New __Addn _Alleralion _Repalr <br />Show Numbcr(p) ollixfums <br />I Alf. — air handlinn units <br />WdICf �IPd�Cf <br />Gas 5tepiace <br />Gas range <br />Clothes dryei <br />Ranqe hood <br />Gahausifan <br />Hcat pump <br />UnA nealer <br />Numbcr ol Heads <br />Ot�c� <br />ol Use <br />PLUMBING PERMIT APPLlCATION <br />ol Pro)ca�. _New _�ddn _Alleralion _Repair <br />Show Num6er (p1 0( IixNres <br />hwasher <br />heater <br />Medical <br />Olher <br />I neroty ce��.!y Inal l nave ieu0 antl c.am�n¢d Uns appi�cei�,cn a-.� �r.o..l",e same to Ce Ime dPa tor2cl All prav�smns ol laws ��d ora�.nances goveming IMs IyDe oiwork x"� D^_ cmr,Lei <br />.v 19'.:M1:IM1e, sPec�icd �erein ol not Te graN�r�g ol a perm � CCes nC: y�e,ume ;o a ve a'dl�cnty lo vm'ale cf can:el I�e G'oriYcn ol any e'�er sla'e cr low� larv �e9u1nL�0 mnsltichc� <br />inai l ain au'��arceC 0y 1 owncr c' Ips prop[9y to pcform l�c ��o�k loi wn¢� appbw'•o� �s a�?de a��,f i r.�nply x� n IPe'.iVne Co� tra_tois lan IP 11 FG\'✓ on].9E ;A04 \:'AC <br />Y � � <br />OwnedAu wn ed Agent Signaluro Dale (Per�sed 3/7073) <br />