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� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGPIISPRINKLER/DEMOLITION <br />CITY OF FVERETT PERMIT SERVICES <br />3200 Cedar St.. E�erelt, `PJA 98201 425-257-8810 FAX 425-257-8857 v+vnv.everettvia.org <br />ADDRESS: <br />!ornfxmr;ir��lio� S�on <br />Bla�kburn ProperUes LLC <br />PO Box 433 <br />PER7VTA%p0049 7 100004 6C0 I �R^I1p <br />PARK AD7 !0 EVEFE7T <br />Lol No 46 .. (atlach <o0r'='tonp Ic9dl Cesoipl rn� <br />��__-, 4Z5-232-8733 roseprod@comcast net <br />as�aie,Lo Snohornlsh, bVA 98291�0433 <br />x <br />LICANT:_O�.v+vi _Own[•vsAgPnl _Ccntrar.o _Corvnno•.Fgrnl _7ena-i.�.,.....���.r,o�,.�_�... .,_. ,.__,..+-�..�..• <br />TRACTOR Ovmef Slate Lic. k Cily 6us. Lic = <br />�nanc Ema�l <br />� I a i n e...,.G r�f-h <br />'.;r,c:E-mai 4a�- �7�-uy <br />7 <br />BUILDING PERMIT APPUCATION CONTRACT PRICE OF WORK �� <br />E���stm� Use r( Eui�A n� _ Resiaencc _ HE�T <br />' --- S _t��1��zc1'-�t-��[- <br />Pro, osed Use ot 6wlding_ kesidence ___ _ _ �;,s [i <br />Buddmg P�pe� X_ S-ngle Pamlly _ Duplex _��+.��nouse _ t.lulu�°arnlly __ Commeruai <br />1 vpe uf nro�ect New x Addihon Remodel x Reoa�r T I. Sian uprinkler Dcmoi�;u <br />DESCRIPTION OF W ORK (arlo�;io�i.ii space prm�ocn or nv� �ace; �. <br />Repair existm� i,re damaged d3BB,i-f2ambler and 405sf aodrtion <br />`��°� �' ne w roof <br />x o;,,.,. <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Typo ol Projac��. _Naw _Addn __Alteration x ftnpair Typo af ProfacC _Now _Atldn _Altoralion X Repair <br />Show Numbei d) ol liifures Show NumGcr (k) c/ fl+fures <br />' NC — air hantllmg units 2 ' Totlet <br />1 I Forced air svs�crn, i Bailvu� <br />! r�,��„�.,,, I I avatc:v 0.aash basn; <br />� Olner <br />Si'RIkKLER I SUPPRESSI <br />w,ltihr.r <br />Rouf Arains <br />; �deUical Gas <br />� Olhcr <br />Irue_;�.nt.•R����.�r�a�.nJe�amne]IM1ca.PcaLrnu,alc..!rr[.-ro'L�]er�a�.Jco�rt_If.nt-o-son�o'b.sanauJnance.yove�p+ymi;irnedw ,1�-v.... <br />naencVcr,(.�<�.c�i'.rcuc�nu: fncgnni.ngo'aocrm:tc.sn.ipruun�lol��-.ca�'�cnpl�v.chm�.ron:ellhe0�o.isionolanyoL'cisatcorio�miavicgi:i � ..,sl.,.,_ror <br />'n:niama�l'�oup•nb�'�eov.�e�olNeyroput-�.opedmm'liowoihloiwF�.napplcaucnr,ai0oacdicomp��w'NihoSu'eCon'n.crorsLawlB4�RCYJand2?620C�,\'b1C � <br />����^—����Z��a�9,zo» � 2 <br />hon ,tl Agenl Slgna ro Datc i�,....x.. _: .»� <br />�� <br />