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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERlDEMOLITION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 Cedar �t., Everett, WA 98201 425-257-8810 FAX 425-257-8857 w�nn�.everetlwa.org <br />�a-3�s-� <br />ADDRESS: ��O �O I �o� <br />rnx a <br />P <br />�L lor nc�v con,�ructlon. Short PlaUsubdrvision_ lat Na_ (attach copy cl long legal tlescnption) <br />ER (b, � �/(/�.S PhoneiE�mai y�� o� � C� �!�� <br />;� .�70(0 //o`„ `�i ciry�s�a�erzin ",nvi'f'G%�, %t�,lQ 7$od 1 <br />Owner _Owner's�genl Conlraclor �Coniraclo�sAyenl _Tenanl(mo:ipro�.aeaieuercicense�iim.rinoarns�ioaowaa�ne�usp:�c�) <br />o C�., ._ f__.:.,c .0 Sn,. ('n StateLic.# CC�C�[ass�`'�0�1CityBus.Lic # <br />LDING PERMIT APPLICATION <br />ACTFORPEKMI� `{F\ ��(.l�"� <br />\1 <br />Pnone�E�mad '{�S -7Sl/-SC'YO`� <br />CONTRACT PRICE OP WORK ✓iINC <br />[xishng Use of Buildmg _ K_'c5_e�_Ly�-4 _ HEAT SOURCE� <br />Proposed Use of BuJding Gas E�eclnc_ Olher_ <br />E3mlding type� � Single family __ Duplex __Tuwnhouse _ MWti-Family _ Commercial <br />Type of projed�. Nevi Addition _ Remodel X_ Repair _ TJ. _ Sign _Spnnklcr _. Demolition_Change of Use <br />DESCRIPTION OF WORK (addifronal space p�ovided on fhe back) <br />Y`'�✓{q4✓P. �2u.S��nS C��CClfi(. W^`7{/"flPa'F(/` BI.-(p�CL W��I�'1 �'-J <br />MECHANICAL PERMIT APPLICATION <br />ot ProjecC _New _Addn _Allcr.lion � Repair <br />Show Numba(d) ol lixtuics _ <br />I A/C -- air handlinq units <br />Waler <br />I SUPPRESSIflN SYSTE <br />Number o� FleaJs <br />PLi1MBING PERMIT APPLICATlON <br />of Project: _New _Addn _Alteration _Rupair <br />Show Nunrbc� (bJ o/ ��ztures <br />Sink <br />Medical Gas <br />Olf�er <br />olher <br />I �cirt�y cMAy Ihat I hirve ma;f +m� eram:nCq Ihu apV�'�����on an� kno;� Ihe 5ame b be Ime dnG coflCCl All pionsi0n5 0l IawS an0 ordmaicCs 90veminq Ilus lype ol work vill0e �umpP.eJ <br />wi�p ai�M�e! 50ec��ed �Mein oi ncl lbe grdnlm� ol a pemu; doe; nel presvme lo grve ]ul�nnly lo vmlalu or cancel ihe provision ol any olper sl:,la of bcal law �e9ul.ling consWdion <br />inal I:im avlhoriica CV ���e onnrr ul Inl; piopmy lo periorm Ine work Ici v;nmp ,ippl�c;n�on e �naoe nnd I tompty vnlh Ine Slale Co��racln¢ 1 a« 10 27 RCW antl 25fi 707A NJAC <br />/���%liY� 2il _ � .il� /.3 <br />n�Y/Authonzed Agmit Siyna�ure Dalr, l�'-'�'��ed "J/;'07Ji <br />