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n <br />u <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �+nvtv everettwa org <br />lor nmv conslruction S�ort <br />Tnx a <br />-oo <br />a <br />No _(a�tach cepy ol �ong �ega� descnotion� <br />Nnonmt�mau wqu�''e^�5T/LctCT7eN8�t�cOE��^'!'�} <br />OWNER (Ct>ti'q LL> UMf50 - - .t'O ._ <br />adaress Sooq San�.SEt c.v c+`�r,.^� c��r�siaie2�pC;/GI�F-rI wA- '�fj�3 <br />APPUCANT:_O�vne� _Owner's�.yml _Coniracto� _CoNr�ctor'sAgenl _Tena�lfm�,:�vo��aeaan,�ci.��.,r�-.ii�cr-oo.�,e��oao..c.+n�irosc�:e1 <br />TT�� <br />'� Sf, PM 8 4,�3 m <br />p <br />w� /�8�70 <br />none�m�d/4Z.-r� -3s`�-7�� <br />Bus <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />[x�sung Use �I Bwlding �E� HEAT SOURCE <br />Proposed Use of Buddir,g�� � Gas_ Elecvic_ <br />Bw!dmg rype. �' Singl= Famdy _ Duple. __Townhouse _ hlulti�Family _ Commeraal <br />Typa of pro�ect New Adddion Remodel _ Repair _ T t__ S�gn ___Sprmkler xDemollt�on _Chang <br />DESCRIPTION OF WORK laaa�nenai space p�or;cev on �ne bacN) . <br />NICAL PERMIT APPLICF�TION <br />of Projoch _Now _Addn _Al�eraUon _Repair <br />Shaw Num6cr (x) o/ /ixfures <br />- air hartllinn units <br />hea�cr <br />I SUPPRESSION SYSTEM <br />Number of Heatls <br />ol Use <br />PLUMBING PERMIT APPLICATION <br />ol Project: _New _Addn _Alleration _Repair <br />Show Numbcr (q) of li.lurrs <br />he. tei <br />Metlical Gas <br />O�her <br />Other <br />i nere�y cen�ty inal I nave reaA anC e.nm�neC l�iz ao0fca'lon ane Anow ine same io Oe Ime o�a cortecl PU pwvrs�ons ot laws an0 ard�nances govem�ng I�,is lype ol wo�k w�,l 0e comp're� <br />w�1n wne,ner spe:��leo nerem or not. Tne gmni�ng ol a Fermn aoes nal D�esume lo grve autnonry b vioiaie or uinccl me c�avu�on oi any emer sia�e or iacallaw regWa�•ng consrmcuc� <br />T�at I am aWhonzetl �y;ne owner of tNs pmpehy to perlem I�e xoik tor nT�ch appliwlion is maCe an01 cemply �.vnn �ee S�aro Ce�bado�s la.v 1B �7 RC�Y and 1?6 700A WAC <br />�- � � — �a �6-�3 <br />Owner/Authorized Agent Signaturo Da�e (Revised3Rm3) <br />