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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Fvereri, �NA 98201 425-257-8810 FAX 425-'L57-8857 �wrnv everetM�a or� <br />ADDr�E55: � m <br />'or ne+/ conslru.^.:cn Shon PiaVs <br />� 'h3e2 h'4 n� �! 5��� <br />IC�+NL _ Owr.er _ O:mer's Amnl <br />c70 <br />rnx a <br />�' CJODU1100 � (,�yO <br />Ko _(al!acn copy cl iorg �egai oescnpl�en) <br />.n�a�i 4Z5 - ''s4l — <br />� <br />�OnpdClOf _CCn�fdCtOlSAfJC�i _TC�at'�l!�v�.in'o.�.•,�e:!=�c�mn:i-.i��unnec..cci'oCowu�.�n�,'rnpac•) <br />Rb K�71 t:.0 <br />i �.1.C. State Lm. # r��D�a�Sp,.� Gfy E3us L�c # _ <br />y . 01- �tyQ <br />� ...IA a�5�'ti ahone�[ma���-{vwas.Y.�G_�/O YinAii.. LOM <br />BUILDING PERMIT APPLICATIONi <br />'rwb 1���u' 4,4 �1'LS -SO�- 2-��1U <br />IioneiE�mzil -fnab it�'fW �4� t'� �i�'^A I l.. � a,u M <br />PRICE OF WORK <br />�sting Use of Bm!Cmg �j�� I HEAT SOURCL <br />>uoser Use o� Bu�iang__ _ �-J{_^^L _ j Gas � [iednc.. _ <br />dtl�ny lyCe �1 Sicg!e F'�mJy _ Duplex _To:•mhous= _ irlulu-Famtly _ Commeraal <br />;e o` a�o;ec; ldew � Atltln�on Remodel Repa�r __ T I Sign _Sonnkler _ �emolinon __Chanc <br />iSCRIPTION OF WORK faaa�;:or�; spa.:e;ru�cen on ire tr�ctil <br />A���T�o,il c� .uA��J �%v'�L v�ns�4,�- bR��r� <br />MECHANICA� AERMIT APPLICATIQN <br />lype ol Projucl: _New_Addn _Alleration _Repair " <br />Show Number (H) ollisfures <br />I NG -av handlinq untls <br />Gas <br />SPRINKLER ! <br />r <br />ate� <br />Olhef <br />ol Use <br />PLUMBING PERMIT APPLICATION <br />TypcolPro;ec�: _New,_Adtln _Allera�ian_Rcpair <br />Show Numbcr!#1 o!lulures <br />� �a�htu6 <br />� Lavatory (wa,h <br />� � ShCwer <br />� Kd(:hen 9nk 3 r <br />i Oislr,vaShCf <br />j ; Clothes washet <br />� � Witer healr.r I <br />� � Smk (serv¢ePoa <br />I BaCk(low f'evf� <br />I Unna� <br />; Drink�ng Fo�m.a <br />j FloorArai,� <br />I Giease Irap <br />� Roof dia�ns <br />I tvietlical Gas <br />� Oiher <br />1 nere�� cenAy i�al I bave iea� anCeram�nea th�., app'�cat�on antl Yno�.v Ihe same �o Ce Ime anG cauccl Ail pmvis�cns ol la;�s anE orC�nances 9orem�n9 t�is type o�no�k ve° ^e cempi�eE <br />w;i� whe�her speolieG �erein or nol T�e 9ranlmg cl a permJ Oces not preswne lo g�:e aulnoMy lo vioia'e or wccel Ne pro'oisien al any clM1r� s�ale c� iocal Ia.vregWa:��9 censlru:Pon <br />thatlama�lhoriiea�y�.neoe:n=refin�SD�oFertylopertorm�neworkronr�rcnapp'.cauoni5maaeanGimr�ply,.�mtne5tateCcu;iacto�sLao7027RC�Vana29e200AWTC f\/ <br />Z <br />� f�►-,�1 <br />Owncr/Aulhorized Agcnt Signalure Ua�c (Rev�sed L2073) <br />