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PERMIT APPLICATIOIV <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPR�NKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 425-257-f3810 FAX 425-257-8857 www everettwa.org I <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C% -�%� ` <br />_,,,,,,�,,,,. „ PROPERTY1A%N _ PERMITR . <br />i.� _ � i � r i-� /lr /\ ._ L-� <br />br new consVuctian Shotl <br />�mnil Nil �] - <br />(allach copy ol 1on91e9a1 description) <br />4ddIC55 <br />qPPLICANT:�.Owner Owncr'sApent __Contrnr.lrn __ ConlrecloisAgenl __7enunlo��.;.�r�.-�+e�e^�•����������i��m��re�.n�mn�ry=�����esca�m <br />CONTRACTOR �) E y L 8 I Lic M Y� I COF Bus. Lic. fl <br />4ddress ? �1. / 1 � Pho��e�Emell ' <br />TFNANT BUSINESS NAME CONTACT FOR PFRMIT �� ���E <br />�,ho�H�y,��SoB -y_38� o t,F�l y31 � 2' �oc <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ��� �� ��� 6 <br />�� <br />.1 <br />HEATSOURCE� <br />Esisting Use of f�uddiny _ __ _ _ __ _ _ <br />Proposed Use ol f3mlding .i��r� rA�i�lr �Sf �EI✓s.s:-- Gns Giectric Other_ __. <br />Building type Single Famdy _ Duplez Townhouse __ Multi�Femily _ Commercial <br />Type of pro�ect ew Adddion Remodel _ Repair _ T I Si n S rinkler /Demolition Chan e ol Use <br />DESCRIPTIONOFWORK(odeilronelspeceprovidedonfhebacYl.���57��(�,% ,j/NC:�� f'P9���Y q� alcfi D <br />Flc��rt_'� ���1 /�o� �"✓f� R�3 SA��1 t,?o�oscONc,,�rFs c���� B� <br />�� 1 , i� ��4-.��(i <br />l�lit S�/-IC�. �'7on11)b,� f�,r�, i( f Z > <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Typo ol Pro�acC fJew AAAn _Al�erallon __Rcpalr <br />Show Nurnber (MJ o!lirfuret <br />Ar� - a�r handhng unils . <br />uio� � <br />ol ProJocC Nov�_AdAn _Alloro�lon _ Repalr <br />Show Number (N) ol /ixfuice <br />huwer <br />na <br />Other <br />� �J',nnLarullL+ads I I � <br />� ��coi ceitdy ihal I nwo iead an�f e�nmmrA �b�v �pr'�ca��cn fl��n � nc m��e smm� io �e tme ond mrmcl AH provlehne ol lawe end era��nnncef gavern��g lhie lyp0 of wa�k wd� �e cenC"ea <br />n�T whether fpecded hemin o� nal T�e 0��^�'^9 ul o Feim�l Joes nc� F��'s�'me In 9rve mMoriP� lo ore'aie m an^cel R�.e pionvon ol any oll�a sla!e ar local lew �eguleU�q <onllruclron <br />i r.�( �m eul�oi¢<dr by I7 er W t�l� Propety b fetlorm O�a wod ��r wnidi aFp'��.n��vn is R'.�,1e amf I r�mr�y n^�� ma Slaio Con!recicf LaN IB 27 RG W anE 29B 200P. WAC <br />I\/��/\\'< / _ Q _ •� '] '/ �( -- `-___..... <br />'/� <br />