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PERMIT APPLICATION <br />BI.IILUINGIMECHANICALIF'LUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVER�7T PERMIT SERVICES <br />3200 Cedar SL, Everetl, WA 98201 425 257-88 10 F'AX A25-257-8857 wvnv everetiwa org <br />�N <br />lornewconilructiu� :hort <br />RTY TAX q <br />_Lot No S � <br />=�L -�M�LS Phon_/E�mail <br />u,1►.F 6J �h � o 0 <br />,...�,..,,�,,.� <br />(altach Cepy ol long <br />�1 q53_ <br />� � <br />ApSCnpbon) <br />9�J20 <br />�l� <br />___(hv1�C� _�W�CYSAgent _Contraetor _Cnnvaaoisr �Ppl _TCOlfll(m.�apiorCoaiene�clmme�i'm��vnore-wm..o�nmo�pou) <br />TOR .�CATCIT� QPK.-\! ► <br />S A �nnrL _ <br />Lic <br />TENANT9USINESSNAME cVniAci r�nrtmm� ���� ��,��j�� <br />Phorel[-mail �t 350-qaoz <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK _�� <br />Eaisting Use ol Duddmy _____ _ HEAT SOUFiCE. <br />PropOsed Use ol8udding Gas __ Eieclnc _ Olher�� <br />Buddmg lype __ Sing'e Famdy __ Duple■ __To�.vnhouse ___ Mulh�Famdy _ Cemmerual <br />�ype ol prc�ed ✓��'ew Add�t�on Remodel Rep��ir T I S�gn _ Spnnklcr _D=mohhon_Chanqe ol Use <br />DESCRIPTION OF WORK (, dC.hanai spncc p�nr�vetion nc� �;�ch) <br />ZZo3 't��A� ZG�rt �,�w�,r� ��As�L. ) <br />5 u�C3 o r�, c.�q dct. <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />'ypa ol ProJocl: _New,_,Addn _Alterallon _Repalr Typo of ProJocl: _New_AdAn _Allaratlon _Repalr <br />Show NumCrr (M) ol lirfures Show Numbcr (N) o/ li�tures <br />A,'C - av hanai�na units 3 i Todet <br />� � Gas fireolace <br />\ I Gasiai�— <br />�_ I Ciotnes d� <br />-,�—� ! R,�n. c hocA <br />S � Dnabot lan <br />�- � Hralpump <br />� I Unil hr•dlcr <br />KLERISUPPRESS <br />Number ol I�eads <br />Other <br />Other <br />Gas <br />- Z1a oi -3lc o � <br />I �crcCY cetl.ly fiai I �avu rea7 and e.amined Ih�s appFcatpn and Anow R�e same 10 Ee Ime nnC cor¢cl All picvs:om ct bws end orC�,iancef gove'ninq I�n I�pe ol norM �M bo complcC <br />enh e�el�e sDec <0 nse�n or nol T�e grem�aq ol a prrnt tice� not p�esume lo grce autAarAy Io vubie a wncel ipe pov�s�on ol e�y oi�er fiale or local iaw �equlatu�y conslmclron <br />Thal I em a on A oY in oxn cl m�� p�o�ert� lo prrtaim ine worh br M�ii�h appimn��on �s maae an01 coi*ply w m me Sta�.e Centird�n Law 1e 77 RC W and 795 2M� WAC �1 / <br />L <br />l� -z.o- i g <br />Ownar ulhorizad Aaenl5lanaluro Oalc fHev�sedY2013) <br />