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�ERMIT APPLICATIO� <br />BUILDING/MECHANICALIPLUMB�NGISIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St ,[veretl, WA 98201 425-257-8810 FAX 425-257-8857 wv+w.everettv+a org <br />Q ,?1—IU <br />for ne�v conslr�c;ion. Short <br />ER <br />� <br />Owner _ Ownefs Ayent _ Contractor _ Contrador s Agcnl <br />NG PERMIT APPLICATION <br />Use o18u�lding <br />TAX a <br />Lic # <br />t <br />i i �� i �rv-i —vy- <br />No faltdch copy oi lor.g legdl Aescnp' on) <br />,� �zs-� �� — � � <br />a , ck1� �- �� <br />.nan�pm;s�G'c:�Cea�enero�cn:eon•em��+c.�.�.,��ao..on nm.soa:el <br />�j' Crty F3ns Lic # <br />IN���onC�[m.lil <br />�ZS-._�c[Z —%7� � <br />PRICE DF WORK _ <br />H[f�i SOURCF <br />'roposed Use ol �wlding �is_ �iecmcyo umer_ <br />'.udtling type�. _ ingle Fam�ly _ Duple■ _Townhouse _ Mu�lh--Famdy _ Commeraai <br />�ype cl pro�ect�. � New Adddion Remotlel Repair t/ T.I. Sign _SDrmk�er _Demoldion_Change of Use <br />)ESCRIPTIONOFWORK(aednona�sparepro�cee nrneoacwl ` <br />�u! 1 6�'-� a� cI� � 6�Zc.�YkdS�� a�'� �Q' �!✓��l � I�`e��e c% cRJ, �C� i� Pw <br />FPCczcQ a a � ��rnd�5' -���2�-a<c-wt.�Y�'' •t_Q 4 � � ,de �-P�(q�- <br />MECHANICAL PERMIT APPLICATION <br />TypeofPrajec�: _New_Addn _Alleratlon_Repatr <br />Show Numbcrlp olllihre5 <br />/SUPPRESS <br />NumberafHeads <br />PLUMBING PERMIT APPLICATION <br />Type ot Projecl: _New _Addn _Alleratton _Repair <br />Show Numbcr (kJ o/ /'u fures <br />i To�let <br />Kdchen sink 3 <br />(�letli[al <br />Olher <br />Olher <br />I here�y ce�ily �hal I �ave re00 onG enamineE IMS aPphWSon anE Anow ��e same Io �e Ime nnE mrrcct Ali p�c,�sions ol laws antl eminances goueminy i�is iype al wmk w��l0e compl�eC <br />wAn wntlher specAieo nfrem ar noL Tne grJnting ot a permil aaes nol presume Io gve aut�ority lo amlale or wncel tne prows�on ol any olner stale or IOWI law regvlabng wnslrutlion <br />ihal � am aWhonxetl �y i�e oane� ol i�is Oropetly to Drtlarm t�e xorA 10� w�¢� applicaUon is ma�e aiC 1 cempiy w��i� me Ste�e Convacion Lan 19 27 ftC W ana 296 2004 K'AC <br />� <br />i�cl( .�Y� 1 �f�a� a9- �a - � � <br />b�ncr Aulharized AgeN Signa�ure �aie <br />(Revise0 �/'O7J) <br />