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� • <br />PL=RMIT APPLICATION <br />BUILDINGIMECHANICI�LIPLUMBING/SIGN/SPRINKLER/DEIVIOLITION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett,'NA �38201 425-257 8810 FAX 425-257-8857 en^nv everetri��a org <br />SITE ADDRESS: PROPERTV TAX f+ PERMIT A <br />Iz�oB i�{� D� sF Ew��1� 9kzcS Gi�lh �-fl Z(> <br />LEGAL l.�r new conslrucLon Short Pla'Jsst:lrvis en__(�g_/�_ ..S,Q_'n __Lal No �(altach ce�y cl �ong legal tlescrip!ian) <br />i <br />OWNER �� I✓� o Ml'11 �'hone/E-ma�l �ZS %ld /� ____ __ <br />r,ddr�•>> <br />ZO 31 S� �✓J . tl�/$ 1 c��v�=�����z�o Ed /� G✓�i 98L0 � <br />APPLICANT: _ Owner _Oa�ner;A9ent �Comractm _ContreGOYSAgen� __Tenanil^r+s�N�craoaiere�cmnsemo-c�aev..n,noao.nnnr.":;�:e�, <br />CONTRACTOR �Q��/On k <br />ne���« 9`iz0 3�S��va <br />BUILDING PERMIT APPLICATION <br />State Lic. R <br />;`iz�� <br />E�m.l <br />� � K 2 9 i Z M N c�ti e�5 i.�� k <br />Pno��;e�,��i ¢ZS �76 �/JO <br />7R PERMIT <br />Go-o%� 9z5 S�6 i��L <br />PRICE OF WORK __ ____ <br />Eaaiina U5� o( Bu�ldin9 __ ___.__ HEA <br />Prop�setl Use of Bwidiny___. S r K __ _ Gas_� E <br />Bwlding fype�. �. Sma'e Fam�.ly _ Duptex _Townhouse _ �dulti�Family _ Commeroal <br />lioe o` pro;ect � New Adddion Remodel R=_pair TJ. S�qn _Spnnkler ._Demolil�o <br />DESCRIPTION OF WORK iaed��r�onai soate prev.Ced cn tne b.;c.) <br />Gt�ei <br />ot Use <br />i4sZs.� s.„�'� �M.�y Q{s,��,,c�. _ �as��2— <br />MECHANICAL PERMIT APPLICATION <br />Typo ol Project �$ Now_Atldn _Alloratlen _Repair <br />Shmv Numbcr (N) ollirfures <br />--- A/C - av h, cdlinq unds <br />Gas <br />� <br />� �, � <br />Unil h <br />— I Oodcr <br />---�— F2efriy <br />= Waod <br />Duct�r <br />— Other <br />PRINKLER I SU <br />SYSTEM <br />�{-� �al�{03 �1� <br />PLUMBING PERMIT APPLICATION <br />olProjcr.t�. ,_Nuw_AAdn _Altoratio�+_.Ropart <br />Show Number (d) of liifures <br />9 I Toilet <br />n <br />u <br />� <br />0 <br />d <br />Grease trap <br />Roof tlrains <br />Meoical Gas <br />ome� <br />,"ere�y :eC..`y iha: I^aee read a�d Na�'n nM I^. s app� Wbon and �con �.�e ;aree lo Le iru^ antl Co« eel PII prov�sions ol l]ws ard ofd�nunCes aovem:ng Ini; type ol woM1 will oe enmF.ed <br />w'.n:.��u;r�cr�:pcnft•anercincinclTTeg�unli a�apem�ntloe;no!F�tl;umologiveaulhontYloviolal9orw�cBllnop�ovisicnalanyc111erstal9arloGl���w�egule!ingcc�slmC�Cn <br />TI'�n: � a�n au•,'m�ixee 0Y ��e wner cl inls pro Io petlortnlhe xork br w�K� oF0iiwlion I. meEe an41 co�pty wA� �Ce 9ale CcNraclor; Lan �B 21 FCVlarO 79G 7�A IY.0 <br />� ��� iFenSEd.Y073)��� <br />OwnedAUlhonzoA Agent Signa�uro . � �� ' <br />