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mooiiooz <br />oi/�i/�oi3 MON 9:18 r•nx <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Gveretl, WA 98201 425-257-8810 FAX 425-257-8857 vuww.evereriwa.org <br />qPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I�� i--I � <br />PROPERTY TIVf N PEKmI l A <br />ADDRESS:� . •. '� i �'1,... M��110�2022UD _ I 'l�� I �In�" n �5 <br />lor new consimclion� Shart <br />Owner Owner's Hgenl <br />� <br />(altach copy of �ong legal Eesuiption) <br />5� �53-�858' <br />Coniraclor _Coniractor'sAgent _Tenant(mustF�ov:aa.�eneroxomenurommeo.ner�oaowo�nnaspael <br />tLDING PERMIT APP_LICATION <br />Use of Building <br />� �i� # � COE Bus. <br />g�3 Phone/Email �jjjp•�%o—�' �gig <br />NTACT FOR PERMIT <br />neJe55e �ce '18�( lgrg <br />NTRACT PRICE OF WORK 7 SOO � dD <br />'roposed Use of Building � - <br />Iwlding type: � Smgla Family _ Duplex _Townhouse _ MWIi•Family _ Commertial <br />ype ol projecf New Addition Remodei Repair T.L _ Sign �Spfinkler Demolition_ <br />)ESCRIPTIONOFWORK(adaitionaispacep�ovidedoLn�„O� �L28pDF�"lOP3lo11 � <br />re� ►�C¢ gas -�,-nac¢ ; <br />L;� k'or [�k._e, v�o v�.e�,,� 9c�s p�P��9 <br />MECHANiCAL PERMIT <br />pe of ProjocC _Now _Addn _AllaraUon _Rapalr <br />Show Numbcr (N) oI lixtures <br />�— Arr _ air handlina units <br />Unil heater <br />P <br />'i v, o0o B'� . <br />APPLICATION <br />u(profocL „_Naw_Addn _Alteration_Repalr <br />Olher. <br />: tere:y ccitty mni i �ava reatl ontl eKamineC lhis appl�w�'o^ antl know Ine same to ea Irue and crrcct. AtlO�orision5 of lae�s en0 ortlinancea gaveming th��s iY�e o�vro�k wal Ce wmpeed <br />�ac� �aiemer sp¢�.I:co herein o� not. Tba y nnlmg o! o Vertnit Coci not p�asume lo pive auIDoiuy lo vblate or casel tda D���ivon o f any olner sWte or iocal uw regulatinp <ons•.ruCwn <br />Tna� i arv mrt�orized Ey t�e owner ol l�ie prope�y to pertnrm No worY, ta xhk� eppliwLan Is maoe ana I cempy W�:!� I�e Sete Conimque L aw 1827 RCW anE ^.58.200A K'AC. <br />A <br />/ <br />� ,/ /' / / <br />;� ' 1-2113 <br />Ow o�lAuthorizo�lAgontSigpaWro Dale (RenseaN2a7=) <br />I <br />L <br />