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� <br />� <br />PERMIT APPLICEITION <br />BUILDING/MECHANICAL/PLUM8ING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />32�0 Cedar SL, Evere!1, WA 98201 - 425-257•8810 — FAX 425-257-8857 — v.�M.v.ever ttwa,y.�org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM�TO 4 PM ��'v �� <br />ADD�Z���:128thDrSE EVERETT NROPERTYTA%F P T <br />- �'j ��o- v�l g <br />br n�:i wnsvuclion'. 5':Crt PlalisubJlvls�nn ____ __ _LOI NO__ 13fi.'C� :A�V J� IJOO If9Jl CC;C(iGliOn) <br />Thao Tran <br />102Q1 28th Dr SE <br />Danika <br />3614 73rd Dr NE, Marvsville, WA 98270 <br />425-357-8307 <br />EVERE7T <br />DANIKPC916L( <br />-nc�cr�m,;,r (425)335-3: <br />)R PERMIT Thao Tran <br />� .: �: <br />6UILD:NG PERMIT APPLICATION ICONTRACT PRICE OF WORK rn500 00 <br />Ezisiing U':� ui u�dld�ng HEAT SOURCE� <br />Pro(.�ose�1 Use ot Su�ltling_ _____ Gas Elecuic Gaer_ <br />Buticing type: %(_ Single Famtly _ DUprex W 7ownhouse _ A-lulli-Family _ Cnmmen:i�d — — <br />7ype nl Project• � nle�.v .___._ Addiiiun P,ernodel Rrpair _ X T.I. ___. Sign _Sprinklnr _Oomolition_Chang� of Usro <br />�e,cnptwn of'Abrk (ar.6:borrei saaco n�r,�ar�o.•, mc nnci:�"� <br />�__.—�' <br />you alarted workiny without a pcnnll7 �'4YES _NO <br />MECHANICAL PERMiT APPLICATION <br />ol ProlctC _'_Ncw _Addn _Alleralim� __Repai� <br />Show Numbm (q) 01 fi.fines <br />iv�� - �n r <br />forc.eA air <br />ho00 <br />OIheY <br />ISUPPRESSION SYSTEM <br />PLUMBING PERMIT APPLICA <br />ol Projeel _Ncw _AAdn _Aiteralion _�(Repair <br />�elhlutl <br />�ink 3 <br />F��cr Arain <br />CirB.�$C �fH(1 <br />Rool �rains <br />61C�,11La1 CiDS <br />Olhr,r. <br />Clher <br />I lu:reby cmnfy Inpl I h[�ve �catl:�n,1 eramineA !�as appiicalion a�W �;:m:v Ilin;::rr,L• �c be Iriie , n,7 rnr.rcL Ail , r:�vis�o:r: el lava ann or7'�nanr� ; p�vr�.rn�nq <br />!hIS ly(IC pf v:cfA Y.�:I b�• LCuipLl';1 viJP v,i�MhCf SFCrIGf.��l pCl2!R O! lni. Thl• !�"aili'.��Q 01 8 V�i��ll tlnl : rlqi pfCiJ�'�l! Itt �ji�l; :N!I�uli!y lu :'�uI:11C UI :IiOG)I <br />p�r p�pvision �f �n� oihcr ;IaL+r,i Ioqp la�.v roqidah•iy:.u�ub��e;�ur nr :he f•n:frrroao,-.c o( cor,sli� �.I:un 71�, t I am ar�nor¢ed lry Ihe. ovwo� oi Ihls pmpnny <br />�u pr,riurm tbc ��o'V Im vrtiiui app:�r., lipn �, rnuJo. nJ I cumpiy .•nln I�c Sialc Convac:o�s la�r f:.'2/ I'+CN� anc129; Z�iO'iJM <br />i/ <br />-= :�_�/r�!` - ( %CI i � <br />(,: �-. <br />ly. nadAul mrircA Aqnnl :ignnlurc / Da�e (REvi•r.0 7'.'P1 A <br />1 I� <br />I li �f'ie� [E Zt EtOZ,l9� "�. <br />