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� • <br />PF_RMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />/a— a�—r �( <br />SITE ADDRESS: ,p � � a � <br />l� � <br />LEGAL for new construc�ion- Shon Pla�su <br />OWNER �.� 16i�. �n/ � <br />nticlress g y o 4 8 fia /'[_ <br />l�}jI �I �i IPROPERTYTAxN I PERM� It �� <br />• t.. -t� l�v� �! <br />livision Lot No _(altach copy ol lon9 legal description) <br />����honel[-mail Z� � �% 1 �� ��j �� <br />/�_ ��:-�[, � / <br />� C � � �� <br />`.J� City/Siale/ZiP �� <br />ICANT: _ O��mer ___ O�.vner's A9en1 <br />NTRACTOR I 21 ^ �i!/'� <br />O <br />_COl1�f8C10f'S�if�C�i _TCOdll�l�nmlpro�.i:oa'eVcro'roiuml0ommoo-snr�iodo.vc�k,nlno;paw) <br />s���� u� s/l/ICbP 9 � 1C c��v H�S u� u.JS'G�' <br />/jWM���i Phonc'6nad `% �o� '� �7 '.! ! V^� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �—r� <br />6xisting Use of pu�.lding �� J1 �G'uJ�� HEAT SOURC[ <br />Proposed Use of �uilding _ Gas_ Eieclric__ otner_ <br />Buildmg type� _ Sinyl= Pamily _ Duplex _Townhouse _ MuIlrFamily _ Commercial <br />Type of pro�ect New Adtlition Remodel Rnpair,xj'J __ Sign __ Spnnkler _Demoldwn_Change of Use <br />DESCRIPTION OFWORK(�ddmm�a�sp:rccprov�no�net� �1�� � �� � �� ��� <br />/JF' 1 l!/ i'� � V ,f j%"tji�i l.l.. `—J � <br />� �/.., <br />G,� �jl �r�,✓ — �y4 � t$ � � J'1 ��./ � r�l� -f- �a- �/',�1�'� <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIdN <br />ol ProjecC _New _ Addn _Altcrallon _Repair <br />�how Numbcr (7) nl li>�fuics <br />A/C – au hand6n9 units <br />� Forced air systams <br />� Gas pipin9 <br />Gas rang <br />Clolhes d <br />fica� pump <br />Und heater <br />� Olhe� <br />SPRINKLERISUPPR <br />� r���,��c� or r <br />ol Project: _New _AJJn _Alteralion _Repair <br />Show Numbcr (dJ o� ��xfwes <br />� �OIIP.� <br />� Oathlub <br />I Lavatorv (wash basiN <br />washer <br />Backflow <br />Grease <br />Medical Gas <br />olhcr <br />Other <br />I Mie�y csit�ly I�at I Invu ma9 antl o•ammrd I�c app'�cnbon lu�.:l l.nus Ih� �,:vne to Le Irue �n�� conecl All plovisions ol l:iws aiid mtlinOnce; goaeminq Ihis type ol vrork will pe com�i �url <br />�.vip eipi�ihcr •.pcolinJ �nn�in or ool Tls qranLng mtl do!•,. nnI Vn�.mnr lury:'n i��lhonly In vmLYc nr umo.l Inc promtr,n nl any o'hnr.latc nr lor,nl I,vi roqnlalinq cnntVu�pcn <br />�Latlani:inl�onrMM1 Il�.cr�n!.rolllu•.prn �tylopctlar �ihr.v.��klot�vincli:�p, ctl��:rncrlc�n�115onylywJ�R_.t:WCoil,ict;r.l-vi�U)7�2i;'Nan9i'.� . .`N:��" <br />/ <br />��i ��_��'� � <br />wned uthuraedAgenlSiynalurc U.itr p1��vrsed7�lU1:iJ <br />