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PERMIT APPLICATION <br />BUILDiNG/MECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br />CIT� OF EVERETT F'ERMIT SERVICES <br />3200 Cedar St , Fveretl, WA 98201 425 257-8810 FAX 425-257 8857 www everetlwa org <br />�i <br />Im new �:onstniction Shnri P�.aGsuLdnis�cn <br />�Idress I��, li� - L{�� j:lii�i <br />PPLICANT: ,� Ownrr __ Own��s Age��t <br />aFovtntv tnx a <br />r3 <br />f'h�_�a,N� 11 <br />�rmrr( �mail�tl:'? <br />u <br />�atlach :uUY !I lony Ic9��l tlCstn��io�i <br />` FD O ; �Lt� <br />I I <br />�uiy�s�a�e2p f_.�� ��,.,.rcerl , L� JA :°1 uG8 7 _ <br />— i <br />�:oPifdClv _fVf�h�r.ICi'SAge111 ___Tenenlrm���pmefn+err�cic.•^yx!.om'Mr+�w'ca�waMninese.�'rt <br />`\ � ' �l <br />BUILDING PERMIT APPLICATION <br />Sla�e LIC H <br />�'�iani�'Finad <br />a <br />�}"Z�7� !F,(..CD,�I /.i�ik:p�tA�v1?r�L�l.%UF.I�rn?. <br />n��p.n,r J (1 <br />NTRACT RICE UF WOR!( ____ ___ _. _. ___ _ <br />f.��stin3 U5e ol 13wIUi^y _._ _ � <br />1'icPusod Use ol fie'o-�p-- - — — -- <br />Oudd�nq type _ Sryie fam���y ✓ Duplex _Townhouse ___ MuIlrFamdy _ Gommercial <br />iype o� pro;er.t �/ New Additron Remodel _ Repa�r __i I_ Siyn __SpnnM�er <br />DESCRIPTION OF WORK �aao�ner:nsracep'c��vado�rnen3c�) <br />NGM! 1�'�1LV�NG C���T�SGZip�,� <br />HFATfOURCF <br />�as V Fie�iric V <br />o� Use <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />nl Pro�ac�� e� Naw _,_Addn _Altcrallon _Ropnlr Typo ol Pro�eeC �law _AUdn _Alloratlon _RepBlr <br />Show Num6er(a) olfirtures ShowNumber(N) ollitfure� <br />A�C � a�.� hardhn untls Toilet <br />� � Foieetl an systerns � Balhlub _ <br />nooa <br />Hoiler <br />Olher <br />Numberalf <br />Shower <br />Kdchen sink 8 disposal <br />Disnwashc� <br />Clothes washer <br />WaA�r healer <br />Sink �serviceNadmop!etc � <br />[fackllow preventer <br />Unnal <br />UrinM�ng Founlam <br />Floor d�am <br />Grcasetrap <br />Rool tlreins <br />Medir,al Gas <br />Other <br />Olher <br />I ne�e�y repity �na� 1 nave eaA a�n nnn�.^rn it��s xppkn•run anC �••uw ine same to he tn,e enA conerl M1O p�ov�arona vllawg en0 arC�naoces 8a�emmq i��srype a�wnrk w+�De r.ompi�rE <br />qnli wF�ln<i spenlletl nri �noi not q�b y�anliny ol a per�•d �ves ict C�ev✓re W q�re awtiuni� N rrol.itc ei cdreellbe �o�nwn oi ��� cl�er s•a1e or bca� IJr. R9uldlinp WnfiNC�on <br />l�pi i am aumeniee Oy ih pr.n�r el in�s p�oDeiry io pei���m� ine wrnti roi HTiGi appt:ca�wn �s mane nno i mmply wit� I�e Slalc Cenbactors i nn iB 7� Rf W and :95:004 W�6 <br />Agent <br />1 /C/ <br />�RewseO J :0 i 71 <br />