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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBIIJG/SIGN/SI'RINKLERIDEMOLITION <br />CITY OF EVERETT PERM�T SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �+n�nv.everettvva.org <br />� � <br />!ar nc;i constrcchon�. Shotl PIaV;uhdrvl <br />s� `S50 �\ S� 1`�L <br />OPFRTY TA% a <br />F:o _(ei�ecn c.py of long Icgal desu�pt�on) <br />W <br />PPLICANT:_O�.vner __.Oviner's�gent _�Comractcr _ContraCor's<.9em ___7enanttT����r=��o,:<�•=,o:�:����,i•�,r�•,5,�-�i,a�.,:�k�,���•:u.,:�� <br />� ^ } <br />ONTRACTOR �IO.�i..l � OJU (�(�NS �- Z �r[/Lt _ State I�c. � N1� l G*° '( Qty Bus. lm. p� SZq�} � <br />1dms; �{Z.�j \�(j z �`�S i /��� S ( !JN (,JCU VWA. Pnonc/Emai1 (.�ZS � SG .6 <br />_NANT 6USINESS NAME CONTACT FOR PERMI'f <br />Phor.eiE�rna�i �2s- �sd - �36ss <br />�UILDINGPERMITAPPLICATION CONYRACTPRICEOFWORK �C,C�-"� <br />Usz ol Bwldirg �`�z5. � <br />d Use ol Buildmg 7`�S � <br />type�. � Smglz Fam�ly _ Duplex _Tovmhouse __ �:iWti�Family _ Commerpai <br />xcied Nr,� Addtlron l� Remotlel ReDair T I SiGn Sarink!e <br />DESCRIPTION OF WORK (add�tcnar spacepro�.�Cr7 on rha na:k) <br />�Q�i` � ion) J'� �A� tA VLoc'�M <br />MECHANICAL PERMIT APPLICATION <br />of Projeck _New _Addn _Alleration _Repair <br />Show Numbr� (a1 ollixfwrs <br />� NC — av handling uni�s <br />� Forced air sysicros <br />Gas <br />Heat <br />VJoodstove <br />of Heads <br />Other <br />Use <br />PLUMBING PERMIT APPLICATION <br />ol Project: __New _Addn _�Alteration _Repau <br />Show Number(x) ol /irfures <br />Toilet <br />� � l3d�hh.'b <br />� Lava;ory (wash basin) <br />( — � Sho�•.er <br />I Kitchen sink 2, disposal <br />Grease irep <br />Roo(drains <br />Medical Gas <br />Othec <br />t h,e�e�Y �e�bf/ O�ai I �ave �ea! and eMamin^tl I�is applicalbn and 4.now ilm same to �e Irue ard mrrecl. A 1 provis�crs of lan s:md <:e nacces goveinin9 IR; iype ol woid w I be ccinp:�.etl <br />v: dh'.vnetner spco0e! �etein er nol Tne g�anmtg nl a permn tloes nc1 presume to give avlhoilly to uclale or wncrl tpe pmwsicn cf any clner slal^_ cr Ucal Id.v i^g�lal�ny cons W clion <br />l�at I am au��ouzea Gy ine ow�cr ol M�pioperty io petlortn!ne wcx lor v.n�cn apF��������n is maae and I rompl� w�.�� :te Slaie Contracre� s la.v 1B 27 RCW and 2YG 2LOA \YPC <br />��� � <br />C�"' � �—'� . <br />Ow rlAutharizedAqentSiqnature Uale (Ruvrsetl3/20131 <br />