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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETi PERMIT SERVICES <br />3200 Cedar St., Everetl, WA 98201 425-257-8810 FAX 425-257-8857 www.evereltwa.org <br />� I� APPLICATIONS ARE nCCEPTED FROM 8 AM TO 4 PM <br />AODRESS: '/ PROF� TY7AXN PE MTN <br />�—f_/. /ii �r/!/i�W� 00��70LOLAo(oC� <br />newmnsWction'. Shoit PlaUsubdivision/ZOZ- O/�I - OG Lot Nu. 3 (atlach wpy ol long legal <br />_iT � . � � .___ d _i!e . / � <br />/2/%G <br />8'O �L <br />_OwnefsAgent _CoNrac�or _Conirac�or'sAgenl _7enantlm�,�c�.ae.karorcomer.�romnecw�.��oaownmma+o��e1 <br />�L&ILic.# <br />�,/fF 9�0 �z <br />.. <br />NG PERMIT APPLICATION <br />Use of Building <br />'�/i; i�(4- <br />PRICE OF WORK _ <br />Proposed Use ol Building I <br />Building type: '�Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: �ew Addition _ Remodel _ Repair T.I. Si n_Sprinkle <br />DESCRIPTION OF WORK (atltlinonal space provitled on fhe b; cti) : <br />PERMIT APPLICATION <br />olProfecl: _New_Addn _Allcra�lon_Repal� <br />Shnw Numberlpl oi I/xiwCS <br />air <br />healer <br />Gas <br />Bus. Lic. <br />PLUMBING PEkMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repalr <br />M=dical Gas <br />Other <br />I � Number of Heads 1 I I omec _ I <br />i nun:cy cenity Ihal I hava reoa untl eseminea mis apPlKolron ond tnow V�o same to Oo Ima anC mrzecl. NI pmvislons ol W�a nnC orOnencea govemnp I�is rypa ol woM1 �nA Ee compied <br />;.eM1 v:nemer speufM0liercin or nol. Tho BronlinB al a Oertnil Caee no� pmsomo Io Brv^ aN�onry lo vioWlo or eancel ��o p:o�lsion ol ony ol�er slale or lawl law repula�irp conslmc�ion <br />P��ail.�mnu ¢eCbyl�cowncrollhi pmPeM�opertortnlhowoikbnvhkhappiKatbnifmndeondlcomONw���ho5iatoContractonLo�v1827RCMnnE29�3200AWAC. <br />' �� % <br />�" � f� .�� �� z� <br />OwnedAuthodzetl Agenl SlgnaWrc ,tlate (Revi5etl6R01:) <br />