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From <br />O1l��I2013 09:32 <br />PEFtMIT APPLICATIO�! <br />n566 P.002/002 <br />b � 1 15 �-- <br />BUILDINGlMECHANICALIPLUMBINGiSIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SER�'ICES <br />3200 Cedar SL, Everefl, WA 98201 425-257-88'10 FAX 425-257-8857 errrv+ everettwa org <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM I��y�i 3 <br />P0.0PERTYTA%N PERMIT k <br />ADDRESS:. , ,. ., ., , �� ,- � ;_ , T, � ui � �.n � - ni X <br />lornewconsiructlon Short <br />pwnnr Ovmxr's Agenl <br />2�c1 1 <br />Na Wllach copy ol lang kga� tle,cnpnon) <br />�� �1Z�-Z.�S-12�i �{ <br />Comractor _CoMractoYSAgent _�Cnant�m�ncm.nubn•�o!u:ue.ivcmo•o..�.��ow..c•�����e.p.u1 <br />W� <br />�� <br />ILic q <br />BUILOING PERMIT APPLICATION ICONTRACT PRICE OF WORK <br />'' , p � • <br />Exisling Use of Building _ <br />Proposed Use of duildin�__ �' <br />6uilding rype�. _ Single Family _ Duplex _7ownhouse �MuIt6Family _ Commerclal <br />_ . . _ _.. .�..... naa:r.,... Rmm�del Reoai� T.I. SiqO __Sp�inklef __ .I <br />c•o. � a�r� <br />DESCRIPTION OF WORK (aadrrional spare pro�idad on rne Dace): <br />�� -e-ww �� C �t ��_��cc.� � C�� C,�Y�C (,� c�� E'� k �'r.z�'E � <br />MECHANICAL PERMIT APPLICATION <br />ot Projnol: _New ^AdUn _ Allcretion _Repolr <br />— air <br />Gas <br />PLUMBING PERMIT APPLICATION <br />ol ProJect: __New _Atl�n _Altoratlon __Repalr <br />Show NumGor fn) o/ /iYmics <br />Olher: <br />Othcr. <br />I 1101CC)' CL•fllly Ihil I bJY� �UOJ 001 U�JI�IIp04IIlb 4YpLCl�i'J11 Jf1� AIqW IhC SOIO010 �C �fVtl bO0 CCffOC( N� pf0Y1101ii OI IJWS enJ oi�noncns Bcvorn,np Vin p'po ci wo'�. vdil ou cainG�c� <br />wnt� whclM1er sVecActl 1'��w:n a� nM. l�e pmnLnU cl u Oerm.t dnee nol pieronw lo Y��e nutnwp to vioiale oi concel pio previ¢lon al nny ottei ��aW m bcai lew reywa�n9 ��mlmUkn <br />iiml I Om aW�onznd Ly If� vrvner cl Iliis Vmpc ,ry IU VCAof:n Ilie w0:1 tor q�K� aCGlcaFoq la n�n']e enC I mm4�Y "^l� 1�0 Slplv ConLoclom t dw 102) fiG�Y nnC i9G.1GC� WAG <br />� <br />I Y \ _ <br />i ( uthOrlietl A^„ont Slgnalure <br />� `� �� _1.�1� <br />❑ate <br />(Hevisod 6/2012J <br />