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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.ever�twajor�gr /_ <br />lor new construction: Short <br />�� <br />p <br />(attach copy ol long legal descriplion) <br />- 91'! 4 <br />— � <br />Owner Owner'sAgenl _Conlraclor _Contractor'sAgenl _TenaNlmusiv�o�eeaior,eroiconsem�rommee«nerroaowaM�nmaseace� <br />_ , � i, ..._._,._., 0._A1nuOC�ID1/ ca�eus.�ic.#649y80 <br />ddress ��°Ll 1���� j--f S�E S.���dh'ch 1�r1�1 i�1�1f <br />ENANT BUSINESS NAME CONT <br />Rc�e�.�at�n �wl RrMn•it�;..y SPtc:n�i3tS. C��i ...�r� <br />PERMIT APPLICATION <br />s <br />�V `}[�,WPhc�+� <br />PRICEOFWORK �`� <br />Exisling Use o( Building $,n tc -n n• � <br />Proposed Use of Building S;, 1 ., � �� <br />Building type: � Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />T pe of projecl New Addition Remodel Repair T.L _ Sign _Sprinklei <br />DESC RIPTION OF W ORK (additionel spa ro piovided on thc back) : <br />�Il�l`) ftri�. QoC� �-C��Ilft'/"t��'�" � Q[v:]�aYl <br />MECHANICAL PERMIT APPLICATION <br />ol Projoct: _Naw _Addn _A��arolion _Rapalr <br />Shaw Number (p) of /ixfuros <br />I AIC—airhandlinaunits <br />/ <br />PLUMBING PERMIT <br />ofProJoct: _Nuw_Addn _Alleratlon_Rupalr <br />Medical <br />Olher: <br />Com <br />( Dm <br />I� Number of Heads <br />� hercby certdy that I �ave read and examined I�is opp��cation ant know I�e sama to Ca Ime onC correct. All pmvlsions of laws onC ortlinances govemin3lhis type ol work n�ll �e complied <br />�sim w�einer speti/ied Oerein or not. T�e graming ol a permit does nol D�esume l0 9iva aut�orMy to vrolale or cancel t�e D��ision ol any olher slato or lowl law regulaLng construnwn t� <br />T�at I am 0u:honxc0 by ��e o er ol is pmpe�y Io pe�Ortn ��e woik fol nhich appl¢alron is maae anE I comply wit� I�e Slate ConVaCOn Law 1B 27 RCW anG 296 200A WAC. � <br />_ /�` /�� 5�8�2Q�3 <br />OwnorlAu�horized Agan[ Siflnaturo <br />Dale (RevisedYd0f3J <br />