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PERMIT RPPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMULITION <br />CITY QF EVERETT PERMIT SERVICES <br />3200 Cetlar St., Everett, WA 98201 425-26'r-8810 FAX 425-257-8857 v,nvw everettwa.or <br />� -- II ��� <br />lor new constmctian� Short <br />r <br />tnx a <br />No <br />rx <br />/�07-0 f7 <br />copy oI long legai tlescrip;ion) <br />�Owner _OwneYSHgent _Coniratlor _ComiaclorsAgenl _Tenanl��rvm�,c.�aoe�enero�m�semeooe,00»re�i�o�won�nmvsoace� <br />rnad <br />(3us. Lic. # <br />0 <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �9E <br />Existing Use of BuAding ,� _ H[!�T SOUR <br />Proposed Use ol Owldmg� � Gas � Eiea��c <br />6wlding type� �CI Singlc Pamily _ Duple» _Townhouse _ Mulli-Family _ Commeraal <br />Type of projed. New Add�tion Remodel Lb Repair_ T.I. _ Sign _Sprinkler _Demolition Ch� <br />DESCRIPTIONOFWORK(aJdi6onaispac=promdednnOrenack). � � + l� / ,� _ / <br />.��r �� �� ti-e �/ �Gs L i --1 < < ;�, ,,., <br />� �4s Fvr�,ac� <br />MECHANICAL PERMIT <br />o1ProJecl: ,K7 New_Addn _Altoration_Repair <br />— air i <br />ed air <br />Exhaust I�n <br />Other <br />SPRINKLER <br />of Use <br />PLUMBING PERMIT APPLICATION <br />Typo oi Pmjech _New _Addn _Alloration _Ropalr <br />Show Number (N) o/lixrores <br />Medical Gas <br />Other <br />I hemOY u��Y �h•�� ����� �r.id nnd c�ammcA IOiv apph�iLon anE Anuw ICc somc Io bc Ime anA conect PII piovisrons nl laws onE aiJ nances yoveming ihis tyVc ul worh wll Lc mmpb�d <br />wA� whelher specdmd I�erem nr nol TI:e q�anlinp ol n pom�d Uoes nol piesume �o gne avthnniy to violate rn �m.cct Ino proa�ion of aoy olnn :'ak or Ipp�l law reqW:Ninq consim�Lun <br />l�ol l nm authonzc �y I�o o cr C Ih�; piopcity to PGiorm I�o work loi wlnch appliwLnn is rn.�ae ane I wmply wrh Ipc $la:c Gonvactoc l aH 10 J 1 Hf W nntl ]96 ;D'JA WAC <br />�_ / � <br />OwnerlAulhori2od Agon� Signa�urn Dale (Pevc:cU 3C013) <br />