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Aug 1 a 14 02:03p Blackburn Prop• '�s LLC <br />3G0-343-3760 p.1 <br />��,�, ��.��„t�� S�fZUICL--S <br />F'ERMIT APPLICATION � ��' � <br />BUILDING/MEGHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St, Everett, WA 98201 425-257-B8�0 FAX 4�5-257-8857 vnNrt.everettv✓a.or <br />APPLICATIONS ARE ACC[i fED FROM D AM TO 4 PM11 '��I� <br />4DDRE 5: pROPEFTY TN( It t�n * <br />d�o<-7 R�� 5f,-P�'� F�nLL�'7 e.�nnntl/ /ln rC�li�rU�1Q -h�'I <br />�orfewt��w�(ion' Short <br />%% <br />��PE�TI f� , LLC_ <br />LJFi <br />No.� {altarh mpi oF bng I <br />,� 3��-s�a-�>>�� <br />rles:/iFti:.n) � <br />��>'a3,�'� i <br />/1 �if%� 3 3 <br />Owner _O�•,nor';Agm; _Coniradw ,_Contraetofshgent _Tenant�mu:iornnr.:wM�eiaua�:un�mmon,.�,nneow�xn�wmxe) <br />BUiLDING PERMIT APPLI�C,f1T10N <br />I lic. 71 COE Bus. Lia+ <br />Phor+rJcmail <br />NTACT FOR PERMIT C� u �y � LC,CvryY q��� , <br />RCaiN.1q F�UtCKBitRNI"ALr}/l:I�ynlLicncx <br />ndE.m�il �lol}'J�i�'1�io� /'�%:�S"��a1–�J <br />NTRACT PRICE OF WORK <br />[xistingUsoo'BuilAing�G�/OC—i,lT//�[�—(��jz7=Y(�_ � <br />Proposed Use of Builtl�ng %�C'S � D�=NT//J (_ <br />f3uilding lypa: �Singie ramiiy _Duplox_Townhouse _Multi-Family _Commcrcial <br />Typz of project: � M` ew _ Mdilion Remcdel Repair T.I. Sign __Sprinklei <br />DESCRIPTION OF WORK (addfiona� <p,co pm�;drd an p,c bac'K): <br />F,2�- L�n.,r.��:C�- �lr����n.� <br />MECHANICAL PERMiT APPLlCATION <br />ofProject: _Nnw_qEJn _Altcration_Repair <br />5)�aw Nurtt6el (A1 a(fiHunn <br />� <br />of Usc <br />PLUP,9SING PHRMIT APpLICATION <br />PraJaet _Now_Aden _Allemtion_Rnpair <br />Show IlumGcrldl o/firNres <br />6a�kllovi <br />Othec <br />Gas <br />I Lrenpy �NN m:it i Imve maU un� eort:mnllE : 4,pFlwmn :uel hm�w Ihx smrie ta Ce tme mC cnrte'1 nJl Pro�neo�u uf h.rvas anJ n:alnanms ryrve:nN,711i; �y0e n'vm�k w.410- rn•�¢ Eetl <br />..eli v;�elher cPec:.r�A Aerebi cr nol. Tno 9mnlinq CI a pertnit Jor.S nol ptemmC b^yloe nvllqrity lo vidn:n a uviccl lfin pma:on c( any tP�cl::tle nr loral Liw mr,u!a:iig cae.mxJlon <br />ITT i a mlMtlietl bY IM. oemp��t rk pmDa?! In pMnnn Uio waif.lci..hltl�;pqy'r�tan s maCe an� I mmply wIp ihe `Lle Gmtrador. L.'w 107P RCYJ anE Y9G Y.10� WI.C. <br />�L.� il(.�Yl QC��tL/'%� �IIA� <br />OwneH tt�odr.cUAgent5ignaturn p�(c /Rev,u•d62C12/ <br />