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Fro� <br />OB/�`�2013 1D:47 R998 P.002l002 <br />PE:�f�11T APPLlCATiO1V <br />E3U�LDINGIMECHIi�11CACr�PLUMQIPIG/SIGNlSPRINKLEWDEIVIOLITIOf� <br />CITY OF FVERETT PERMIT SERVICES <br />3200 Cedar SL, Evereit, WA 98201 425-257-8870 FAX 425-257-8857 www everettwa org <br />APPLICA7IUNS ARE ACCEPTED FROM 8 AM TO 4 VM �`� �3 <br />4DDRE5S: .. �. .. _ .-. PNOPEB7YTAXp _ VERMITp � <br />lornowcan;vucliort S�::rt <br />a <br />ER ,�,SO�'lO <br />ANT: Qwner O�wx�sApent <br />ACTOR �a� I� CZ'�. <br />`�] i 115 North CreeF�f�a�kw; <br />No._ (attach Copy ol long ICB�I Oesuipiicn) <br />Contrac:or __Conira�torsApenl _TrsnNtmua„o.;ee.�v.roi-.,�..nnerm.a..,.,•am..a�m�m,:.�� <br />BUILDING PERMIT APPL�CATION <br />S1 <br />�L81Lic.#i�j�� <br />Oothell, WA 98011 <br />L�1 <br />PRICE OF WORK <br />COE Bus. <br />� lwi—�51 �n�a <br />Co. � O.t�l <br />Exisling Use o1 Bui�ding _��ji�a (j'NAI�X� F�A HFJ�7 SOURCE <br />PiopOsed Use o� Building Gas Elenrk OUc <br />8uiiding type� _ Single Family , �uple: __ TownAouse Multi-Famil _ Commercia <br />Type ol pw�r.cl: __ New __ AdaiGcn = Remode! Repair _ 1`C Sign _Sprinkler _Oemohlion Change of <br />DESCRIPTION OF WORK (addtion,�i sn%+co p�aridee on mo cuck): <br />��-ww� e�� a�� a� � G� a�' e� l��_c.�`� � <br />MECFiANIGAL PERMIT APPLICA710Id <br />olf'wjecC _Naw_AdAn _Alturxtlon�Nopalr <br />Slrow Numbcr (pJ o/ firfures <br />, G/f � oii Funrllinn unilc <br />Gas <br />Gas <br />ji <br />haater <br />ol Hcads <br />ING PERMIT APPLICATIOM <br />ol Pro�uct; _Naw _AtlOn _Attoratlon _Nopalr <br />Show NumOM (4J Of /71fwBs <br />Mediwl <br />Olhlr <br />I nxapy cnnRy Nel I �nvn ma� naE a+amNeE mLL aDp4nUon nntl Ynau Ne �eme lo En �me nn0 canect Ni ymronm ol y�wa xnU urtllnenco� pwe�mnp Inn rypn o�.+on w:u pr. mmpNe <br />.Mn r/Ilelner epttlmd �meln o� nnl TTe prvn;inp ol a �w�m�l Coua uul p�ueumn lo pive �uU�mry to vloln�e c� cancel Ine pmvlibn ol anY o��er �lale a bu I law rnpu:alinp cocsbv:l:pn <br />1�011 nrn ouNOA1 etl by Nn ownur o1 V�iv ympertY �o On,Ao�m I�n Mwk lo� r1irA ePpFu�bn b mNe enE 1 canpry ..tlp Ne SNIn Cen'vvc�on I.nv 10 2] RC W nna 190.]MA Y!P C. <br />f" <br />� Og DS �j�_ <br />/ utlmrlcodAgenlSlynaWre [Ya1e (RevisetlG/.'017� <br />