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PERMIT APPLICATfON <br />BUILDING/MECHANICAUPLUM[31NGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Evereft, WA 98201 425-257-8810 FAX 425-257-8857 www everelriva org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM _ a. �� ` I <br />AcDRESS: ..�_ _ �.1� �.1�..�_.11 Q%rJ/�I PROFERTVTA%p I�R/�h/� � %�1� <br />!o�ne.vmnsuuciion Short <br />No _ (��� �PY ol <br />22�J�1�'Cj�1114T1V(i IGryISIatrJLoli�C.�') W/, IOLV � <br />� <br />4NT:�Owner __Owner'sAgenl _Conlndor _ConlnqofsA9ent _Tenantlm„emo.aca�eecrnm�u:m�mms.�.u+me�..,n��coeoam; <br />L81Lic # t1C,V�VI� <br />A- �� PhcnMEmad <br />C TAGT FOR PERM� <br />��-�S�-A.1 <br />�� �� _ <br />BUILDING PERMIT APPLOCAT�ON CONTRACT PRICE OF WORK <br />Existing Use of [3wld�ng <br />L'roposetl Use of �uilAing __ � <br />Budding lype _ Single Family _ Dupler _Townhouse _ Mulli�Family _ Commercial <br />Tvx of ommct New Addition Remode� ReDair T.I. _ Sign __Sprinkler _[ <br />W COE Ous. Lic N <br />s-sn�-sv <br />H[AT SOURCE <br />DESCRIPTION OF WORK (addrtrona� spaa� providcef nn the back): I 1 <br />s0� P.Pe �rc�w.. mcl-`�- %�,✓ne,cE a•1d �..,iwc Na4- waCc2��•1� <br />�n���vni (1CvJ -�.mt,CC . <br />MECHANICAL P�RMIT APPLICATION <br />ProjecC _New_AdAn )[Alteratirn_Reµiir <br />Slrow NumDcr (R) ol liYiums <br />NC — ar handlinq umis <br />Exhausl <br />7:ic' <br />PLUMBING PERMIT APPLICATION <br />Type ol ArojecC _New _AEdn _Alleration _Repair <br />Other <br />heater <br />Gas <br />I nrm�y ceriRy Nat I havr rea0 an0 e�ammM ��a apPLnlon ana Anow t�e samr �o [w bue an0 rn�retl NI provisnns ol L�ws an� oNNanms govemmp Ihis typc ol v.aM wkl [�e a�m1^ra <br />wN wfielnei sprcJmJ �erem or nol IOe grJnlmg nl a P:�� dnes nol pm5ume 10 prvr aul�oiRy lo vobir ar eIDrni Nr pron5an ol anY oL�er slale o� k�l Wv 2guNMp censlrucuo�� <br />Thal l a�� aul�o�rd �Y ��� �"er ol Nrs pmprM �U IM�urm Me �wA IorwM1n]t aVO����on is made ana I romp."i �� Me Sbte ConPaclors L:rw tfl 27 NC W anC 29fi i00� R'� C <br />� <br />0 uthoriz Agenl ignatum Dale <br />�4ev�sM fi20i.� <br />