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PERMIT APPLICA?'ltiN <br />BUIl.DINGIMECHANICAL/PLUMBING/SIGN/SPRINKL�R/DEMOLITION <br />CITY OF EVERETT' PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-BB57 wwu�.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ;j � Qg i <br />ADDRESS: .... __di il �_ PNOPERTYTAXp P�RM�T# i ___ <br />newcons�NCtion: ShOrt <br />��vv,-Yf� L L. C <br />iDr�►/�, tf< <v <br />No <br />ot long legal descnption) <br />�3 <br />_Ovmer _OwnersAgenl _Comr�cbr _ComractofsAgenl _7enant�mmivo.nea�en�rormmemwmneo.�c�me�wn��vb.p,cei <br />�o,• c,l�, �� 1 � s.r <br />PERMIT APPLICATION <br />EY <br />PRICE OF WORK <br />� <br />� t,'se ol8uilding ���� ���iC HEAT SOURCE. <br />edUseofBuilding� �MQ�'k��s� E�ecinc_ Otner_ <br />) type: _ Single Pamily _ Duplex _Townhouse _ Multi-Family � Commercial <br />`oroiecf New Addition � Remodel Repair T I. Siqn Sprinkler Demolilion Change of Us2 <br />RIPTION OP WORK (uddihonel spate provi0ed cn 1ho back)' u �{.�,� pi.G( <br />Renb�e t err-l+s.ya G a.lfrn.wt� a�d � Q%IUS� � S �9e�� <br />( h',(?-�'l1Ca%'/C. /i/.. �hnyr! fv ,�ou..d SOvet u�� r.-e�vle '7�`� 16 � <br />(✓n+joli7�rq/ ov1 (LI$�� n^..i.orJdlt. <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ol ProjocC _New_AOtln _Alteration _qepair <br />Other <br />olProject: _New_Addn _AlMration_Repair <br />Show Numbcr /pl o/ /iaYures <br />Medical Gas <br />Other. <br />1 Mrc�y ec�ICy 17idt I �avc rca0 antl c.ammc0l�rs.lpp6e�lnn anC know Il�c samc lo Im Iruc an� �rtetl NI p�omsnn!. ol laws antl nNnantes povemm9 I�is lype ol avd wJl l�e compl:cd <br />vnih whel�e�,pecd�e� hrmm or nal. lne gnntmp al a perm� aoes not pmsume l0 9ive auVmnty io vroLne nr e�nu� the pronson ol any oNer state ar lo�il Llw rc0ula6ng eonsWpion <br />m.,i i am �mno�c�a oy er ol N�s D� eily lo ertorm I�e �w�k lor v.Ore applicalnn i, maac nnA I wmpN wn� I�e Slala ComrzrJars I.nw 10 ?7 F W� dnd 296IOOA WAC <br />i <br />L� — �-�-- c 3 n� <br />OwnedAut nzed Agent Si n r. Da�e (Revised 6R017) � <br />