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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., [verett, WA 98201 425-257-8810 FAX 425-257-8857 wn^nv.everetiwa.org <br />ADDRE55: <br />(or new conshuction'. Shot� FIaUSUGdivision <br />Owner Owncr's <br />ONTRACTOR <br />fCress � �l^ <br />an rnx q <br />No __ (auach cop/ al long Iegal description) <br />--157Z <br />Comracler _Contiaclor'sAqent __Tr.naNl�-.,sip�o.,aeaicc�r!cc�srnu�cmmeo.nr�iom.c:nne.pa«� <br />Lic. # <br />6us Lic. <br />C3�Y.� R�9C�l� <br />Phone�E�ma�l Y�.+� %%! -yU <br />BUILDING PERMIT APPLICATION CONTRACTPRICE OF WORK �.l� <br />Exisling Use of Bwlding HcAT SOURCE: <br />Proposed Use ot Building Gas_ _ Eiectric O;her_ <br />f3mldin� lype� � Sinale F2mily _ Duplez _Townhou�e _ Mulli�Family __ Cernmercial <br />lyu= 01 pw�ed New Pdd�fon liemodel _ Repa�r T I _ S�pn ___Spnr%Jer C�r-o'ilion _Charr,e cl Vae <br />DESCRIPTION OF WORK(ar.c,non:+isF�cepiov�drUcnmecac�l �($�` � ^12r,tf 'f�(�(�%(.� ,S'(r,l(�(E' <br />Zo,�e, H�,Dump, <br />MECHANICAL PERMIT APPLICATION <br />of ProjecL _New_AJdn _Allcration_Repair <br />Sharv NumUcr(N) o/Iirlurrs <br />Woodstove <br />of licads <br />PLUMBING PERMIT APPLICATION <br />alProjecC _New_AAdn _AlleraUon_ftcpair <br />ShmvNumbcila) ol fisfures <br />F.ca�ef <br />M1ied�cal Gas <br />Other. <br />I ner.by caldy iha� I haee ieai anJ ew,Tined if is app:�cal�on nnd Anow 1te same lo Ce Irce and !nrrecL All provisions oi laws and oiE nances 9oveming ihls type ol warA �vi:� be mr.�ri �.eC <br />wi� ahrlher spealie� f�eiein m �.ol T�e 9ranLn3 0l u permil ae^5 no! p�cscme lo yive autAcnty to vioa'e cr czncel I�e p,o+isicn el any cRer slale or local law reg Wa;inq censtmcR.on <br />Thnl I am a�l�oriteC Gy Ihe oxne: el ��'s pmF�nY �o f"Morm R�.e woik lo� H4ich appbcafian is maCe antl I cemply with I�e Slale CONrxcl:is Law I B 27 NCIN an� 29:i 200A \141C. <br />�� 1�r�'�i�[i%� �///� <br />OwnedAu odzedAgenlSignatmc Datc (Recisr,d3i701Jj <br />