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PEKMIT APPL.ICATION <br />BUILDING/MECHANICAL/PLUMBING/SlGNISPRINKLER/DEMnLITION <br />ClTY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8610 FAX 425-257-885- �wrri.everettwa.org <br />APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br />ADDRESS: q TYTAHq , PERM�C,' �..(_'� <br />� �Z� ���� N��t� �':rrT �dnn�r;C,? <br />new constmctioa Snort Flal/subdivision Lot No.� (atfach copy of lung legal description) <br />Owner OwneYs <br />0 <br />� <br />Cont¢ator _CONraclofsAgent _Tenan�w�sie«,iaeakuera¢cnse��iRb'ai:^owsa�oao��+:'k��'"espa:el <br />BUILDING PERMIT A�PLICATION <br />m I/IkfUll��� <br />PRICE OF WORK <br />Exisling Use of Building � <br />Proposed Use of Building <br />Building type: � Single family _ Duplex _,Townhouse _ A1Wti-Family _ Commercial <br />Type ot pwi_cC �ONew _ Addition _ Remodel _ Repair _ T.I. __ Sign _Sprinkle <br />UESCRIPTION OF WORK faddit�onal space p�ovided on t�e back) : <br />�J�� � ��Z_ � �, :4 �:,1 � �-�� �z,�� <br />MECHANICAL PERMIT APPLICATlON <br />TypeoiProJect: _Nmv_Addn _Altcration_Repair <br />Shaw Number (#) ollixfures <br />I AIC—airhandlinounils <br />ater <br />e <br />10 <br />:} 25 <br />x:�l -12 ` <br />PLl1M. ING PERMIT APF�ICATION <br />ofProJecl: _New_Addn _Allcration_Repair <br />Shn�vNum6er:d1 ol(Ixtures <br />i! <br />Othec <br />heoter <br />IGas <br />� NumberofHeads � """'' � <br />i i•.meby ce�ity Inal I have read ;�ntl eaaininetl t�is apVbcaticn ana kno��v Rro same lo be Irua artl ccnecl. A�I pmvisions ol i3::s a^d orairanrx goveming ih.is rype ofwc�k vii',� Ce coRp' �:d <br />��,hv.hnihersOeciCCChe�y7 nornol Thegmnlinga/BPennilaoesnolprasume�o9�ne � r o�.'= i cr � � �r'+� 1 yc . rs.�tecrlec Le�i¢�u..v:�q.;nSn.tl'.n <br />Tnall�mauthoiizedCYlho{n'ne�a�IhisPmpeMbuertormlhewoiklr:lvhie�apFl: � �_'.:�Ji c I, ��"i -.-C_r..raC �La,i1�2]lie �1��tl2 '"'� �:�C. <br />G::., IR�'.;se7 Ei2C7?j l <br />/ <br />� .� <br />