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� � <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org � <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �/ —D 7'�' �� <br />ADORESS:�// �OO�L{IWI�I AVF <br />p PERMIT # <br />�,oc�zooyol - <br />, lor new cOnstrucbon. Sho� PiaVsuhtlrvi5ion /� R�'p�"�� lol No _(�����h capY ot long legal descnpi�on) <br />R �p N%� eQ rL././ % A/(A PhonelE-mail 20 �0 `�K 3-"�-9 � Z <br />/� W�`o�OLA U� iiVE cnY�s�a���z�o EV�i-E� v✓A -�g2� 3 <br />4ddress <br />OKTC! �N'f12f'S AQCfI� <br />�A/Jilv <br />�/LA!/�/ � <br />BUILDING PERMIT APPLICATION <br />Use of Buddmg <br />COnlfaetorSAt]enl _TCnanllmvsio�o+�nea�e�t.�dcen;rniuom¢no..nei�oeo+vnmsospacPl <br />%�; L 8 1 Lic. # SI/: N�i�`�S��O�J�/ CO[ Bus. Lic. N <br />W�. /8b1� PhonM[mail �i�-y�i-`66� <br />ONTRACT PRICE OF WORK H35� .'o <br />HEATSOURC6: _ <br />Proposed Use ol 6uilding - - - — — - <br />Building type: � Single Fanvly _ Duplex _Townhouse _ Multi�Family _ Commeraal <br />TyOe of projecl. New AJdrtion Remodel __ Repalr _. T.I. S�yn _Spr�nkler __Demohtion_Change of Use <br />DESCRIPTIONOFWORK(addd�onalspaceProvidrdonlhchack): /NS9���� � N�� Ov(�'�,(.��sJ �%�/`.7p(/�� <br />MECHANICAL PERMIT APPLICATION <br />Type ol ProjecL _New _Addn xAllcra <br />Show Numhcr �N) ol �+rores <br />nic - atr handhn <br />hr.atcr <br />hcater <br />ol <br />_Repair <br />SY <br />PLUMBING PERMIT APPLICATION <br />ol Project: _New _Addn _AlMralion _Repair <br />S�ow Numbcr (p) o! (+fures <br />Clothes washei <br />WJler hCater <br />Sink (servicelb� <br />Ciackllow prevc <br />Unnal <br />Dnnkln9 FouM� <br />FIOor Afain <br />Grcasc t�ap <br />Rool drams <br />Medical Gas <br />Olher <br />olhcr: <br />I hereby crrlJy IL.iI 1 have mntl and raammeef 9us appLtaPnn and know Ilie ;amC lo Oe Ime and conect All pronvon5 oi laws an0 ortl�nan<e5 9oveminq �hi5 IYPe ol v.vA w6l bu complmtl <br />wAh whcllicr SpCULetl hnrc�n or no� fPe gmn�ing nl a pemnt tlnes nol pie,ume lo qrvu authnnly Io mnl.iln �r tancvl Ihc ryoJisron ol any o1�N stalc m lor.tl law irgulLmg cunslmcUon <br />TIm1l:unnulhovu�,Av'1'i.a norplthi:O���M1opild:�mlhvwoiklorwlGchnpp�zal�onr.niadran.:llmmOHw�IhIhr5lalnCnnhaclnr.Liwtfl7]RCVIanA:9G.:00AWAC <br />/ <br />((-�-13 <br />OwnedAu orizedA en Signalurc Dob� �Hovucd6/701?) <br />