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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/D�"i.90LITION <br />CITY OF EVFRETT PERMIT SERVICES <br />32o0 Cedar St., Everett, WA 98201 425-257-8610 FAX 425-257-8857 www.everettwa.org / <br />�- S7 -/S <br />��_.ri S-� rj� , S <br />lo� new cons�ruclion. Short PIaV5u�0 <br />T ,-�„ ��_ <br />1 f2 ��- �/ �; � <br />� ,'Tr��S <br />� <br />rax a I P� � G% 0� — C <br />I No (atlacn copy ol long legal descnption) <br />ail N�t �b / �S_% 1 Z <br />�o /�-V�lz s'� w�a 9 f�z�� <br />�WOn� _Q�y�C��Sn.�C�1 _COn1(lCiOt _.r.00IfBCIOt�S%i9Cf1! _TP(1dnl!rt'::V:��n�e:U<1uol:c�se^IVcntneox�er•��-�w:.�+����espace� <br />f— <br />CJ <br />� ��r-,�s '�, �-n-� <br />LDING PERMIT APPLICATION <br />Lic # <br />Bu; Lic x <br />�OR PERMIT �/Z� 367 �.]�-2 <br />lZJ � r(�S � �`Y� � r.f � S'IL , �t� C-� <br />PRICE OF WORK <br />Existing Use of Bwlding (� � � � ��C � �Z`^'��" � <br />Proposed Use of aing s Gas <br />Building type. . Sinqle Fam�l ' olex To�,vnhousc _ D:1ul;i-Family _ Commerc�al <br />Type of prejec� AddiUon �Remodel Repair _ TJ. Sign _ Spnnk�er _Demo <br />DESCRIPTION OF WORK ;adC�nona� apacc pro��ded c�:he ooch) <br />� r,nq � l..lS�SC-� o,J p..I �iz �Z/i �aS�� �A-�'���o <br />MECHANICAL PERMIT APPLICATION <br />Type of ProjocC _New _Addn _Altcratlon _Repair <br />Show Numbcr (pj . ' /irtures <br />NC — au �anChng units <br />Gas <br />Frhaustfan <br />ier <br />Number of Heads <br />ot Use <br />1'�i2� �T V✓J�' <br />PLUMBING PERMIT APPLICATIOM <br />of Projcr�; _New _Adtln _Allcration _Ro�air <br />Show Numbcr(p/ o!lixfures <br />7 0�'?t <br />:n 9nn � tliSpOSJ� <br />vasher <br />es washer <br />n c�ater <br />',service/badmoplc <br />lo�v preventer <br />i <br />10�] f'UUf1idR1 <br />Grease trap <br />Rcd drams <br />Medical Gas <br />Other. <br />Other <br />i �ereby ceMy Ihai I have read an0 e., mine0:�i5 a0D'���. ����n ara Anox!�e sart'.e �o �e Irue antl corrCtl .111 prens:ons ol Ia+�s ane ordinances gocem�n� I�is IyFe cl wo? wi'I pe comp'�eJ <br />wf� u�eNer specJieJ Oeiein ot not i I:e g�an•.ing ol a Ge�'� �oes rot presume lo give authon:y lo vwale er cancel t�e prons'on of an� clher state ot loatl lax requlating cc�sVunion <br />Tnal l am:fut�en:ed Ey Inc oxner ol l�is p�epcny �o pe'oim tCc wCrA !or ��Prn aOClicatmn is naa^ antl I Ca�nply wn.� I�c Slatc Corcroticrs laa� I° 27 RC'Nantl 796 700A IVAC <br />vl �v� —I� <br />Ownerft�u�horized Agent Signaturo Da�a <br />(Rc��Setl 1?0771 <br />