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From <br />07!"�/2012 13:43 <br />: <br />#487 P.002I003 <br />5 It�g�� <br />PERMIT APPLICATIOiJ <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES %'—�i / Z <br />3200 Cedar St., Everetl, WA 58201 425-257-88'10 FAX 425-257-885� www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: <br />tornowconstmc(ion: Snort <br />ER <br />O`t �� Df SC <br />_ O nner _ Owners Ageni k <br />P MITp <br />�O� I,:li <br />'70. (atlach coOY o� �cng le9al Cm crlD�ion) <br />�� �-ias-3�� %- �I I I � <br />� ��r�r�k1-, W l� �l� ZO` <br />Contractor _rontraclofsAgen! �Tenanllm+��v���a,.x:uroiw,�.o:ee��mao.�.rmm�,-,n.,in..,wa•� <br />8 I Lic # <br />2�n01 132 <br />BUILDING PERMIT APPLICATION <br />�,�'� �-la5.lo3tr•?o��f�, <br />PRICE OF WORK <br />'dxisling Use of Building � � ei C� � <br />'ropo5ed Use o( Duilding <br />3ullding lype: � Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />Tvoe o1 oroiecl: New __ Addition __ Ramotlel �Repeir _T.I. _ Sign _^Sprinklei <br />CF WORK (ad0iticnal spaco providatl on Ino bacK): <br />%exv�.ov�� t��lac�. elec;�rc� � a�e-r 1����-� . <br />MECHANICAL PERMIT APPLICATION <br />�o1ProJact: _New_ACdn _Alterotion__Repair <br />Sfrow NumAor (k) ol firtures <br />A/C _ �ir handlinn unitc <br />0 <br />F�LUMBING PERMIT APPLICATION <br />ofPraJacl: _Now_Atltln _Alleralion�Ropalr <br />Y <br />Other: <br />Othor' <br />t �croby curl.ly �tutl I nuvu �ee0 antl mominod Ilu� epo�cal'�an un0 �now Urv snme l0 4e INe antl cortaq. Ao O�ovisiona ol lews en0 orEnan"� s Bevermnp t�u lypo cl wvh w+P Ce compYCE <br />aiip whemnr epncdie0 �eiein or no4 Tl�u prenlinp ol a pormC tlexe nol prosume l0 9ive aul�only lo vrolnla or cancel t�o O�ovisbn cl any mt er slale ar beal lew regelnle�p combuclwn <br />T�et I em e Whwv�M Ey �M10 owner o11Ms proparty ta puriwm Ihe wak Po� wliicp eDG�:atnn is maCe anC 1 ran4H vA�� Na Slale Convatlor� Low 1B P qCW nna ]OG20JA WAC. <br />�i2f,�/i,� '����� � / � //� <br />Ov� dAWhorizedA9enl51gnaWro Oale (Rovisod6RC71) <br />