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PERMIT APPLIf'ATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everettwa.org , <br />p <br />for new ccnstruction� Short PlaUsubtlrvision Lot No._ (allach copY ol long legal descnphon) <br />_Owner _OwnersFgent gConirac�or _ContracloYsdgen� _TenaM�m�si��ovaeaie�e�ciu:nse^rtomnoo.�«-mco.onmmospac•1 <br />� <br />u� a w n�..�vnrr 7�yc�Y�Bus. Lic N <br />� PhonelEmail �25-7%j—�Lf�l <br />'ACT FOR PEP.MIIT�n//^ J // n�+CL�r' <br />,�.t K/+� l��t'v <br />'E-mail /—i �fi ��%%.7'iO��il�-� <br />BUILDING PERMIT APPIICATION CONTRACT PRICE OF WORK ���[ <br />Existmg Use of E3uiltling HEAT <br />Proposed Use ol Bwlding Gas_ Ei� <br />Budd�ng type� _ Single Fam�ly �Duplex _Townhouse _ t+tul6-Famdy _ Commerc�al <br />R <br />Olher <br />iype o( pro�ecl. New Adtl�hon Remotlel Repair __ I I _ Sign _ aprinrner _uemouuon �nanGe or �se <br />�ESCRIPTION OF WORK (adde�onaisoacep�a:idedo�� rno oacti9 <br />�',�.srz�-L� �►- n�ew P��v� uiA-r� 5���� ��- �rtic eir�- <br />rn 2�L -rt� �►-+2 �(o�-n 2,, <br />MECHANICAL PERMIT APPLICATION <br />of ProJoct: _New _Addn _Al�eration _Repair <br />Sho:v Numbcr (q) o/ /irfures <br />NC — au handlinq uni�s <br />Gas <br />Hea� <br />SPRINKLER <br />lace <br />PLUMBING PERMIT APPLICATION <br />ol Projact: ._Now _Addn _Alloration _Ropair <br />Show NumberlMl oI /ixNrcs <br />washer <br />Unnal <br />Roof drains <br />Medical Gas <br />Other <br />Olher. <br />i hereby ce�rty inal I �ave reaa an� esamine� �his apC�'���on an0 Anow ine same io be true and rortect Ail prowsiens cl laws . n0 cra�nances goveminq tms typa ol waA x+il 0e comphed <br />w'h w�Mner specFed herem or nol T�e graNing ol a permn does nat presume to qrve aulhori'y Io vmlafe or cancel tho Crovision o' a.iy etner slale or IOC.iI iaw fegwnting cansttvnan <br />lhat I am aumon:ea by Ine owner ol tnis pmpetty lo Denorm Ine woik Ior wnicn apPl:wuon is matle en0 i r�mply wM i�a Statc Comranors Law 18 27 RC7Jaa0.'96 200A Y.'AC <br />` � / j <br />Ownerl iorized Agent Signal e D le (RevisedY101J1 <br />