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Frcr ® 10/62013 10:55 #404 P.002/002 <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St, Everett. WA 98201 425.257.8810 FAX 425.257-6857 ti;vw everellwa org <br />•PP1 IrATIrIMC Onr• •—n.�� <br />SITE ADDRESS: <br />;6011` ri la ^- OOO7M <br />R`410+ Oft <br />LEGAL fa new consuuclron Snort Puvauodnrs.on <br />Lot No _ pllach copy Of lloonng fiepai doscnplion) <br />OWNER % 0 A & ofal ZrM L L" <br />PhonelE•maav 2-13 ­7 <br />.. O Z, , <br />Address 1703 ^73 Sir SE <br />enysmerzro ,Lr <br />&;fA 982D3 <br />APPLICANT:_Ovmer _Owners Agent 1Cr:daclw <br />_ Conaa[tdh Agent l+wnpe.ae*wrer O......... rr p..,uh dswAww Mrq <br />CONTRACTOR �a5-i" \� ` �+�\ <br />�IM5 <br />r_Tdnenl <br />ILL I L.c e I S"r1(� <br />g(. COE Bt s. LI, rl QI L-j Zj <br />Address I Nortn Creek Pal kwa SoUt)l, S1 EG306 Bothell, WA 98011 :mad jj .lt <br />StI.JQ tdf �tp4 iz( Ct <br />TENANT BUSINESS NAME <br />NTTA-CT FOR P RMIT �y <br />n <br />44a <br />PhPnelE-men a <br />BUILDING PERMIT APPLICATION <br />ICONTRACT <br />PRICE OF WORK <br />7T .. Od7 �. �:. <br />i <br />--- .._.......a - - <br />sed Use or)3ud01n�`1 <br />type _J_ Single Famdy _ Duplex _Townhouse _ Multi Family _ Commercial <br />DESCRIPTION OF WORK Iadddro sdece provided on it, aacA): <br />�f Ni1'V�0 �lP f P��aCL (2-(/Lvc 1G <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project _Now _Add, Alterailon _Repro, Type of Plojecl _Now _Atldn Alterallon �Rryalr <br />C A..... Y..�._. wi .. <br />Number <br />rN*oy Ceney trial I h.1. reed end e..m004 On IpD..e'll end InYw N* 1"'0 to 0* try* Afid.ar.0 At 1.......l rww, an0 orOr0np0 pomm�p rhd 4Pe plwyq ..„n pn M will" .'"the" 1Pe1e1.4 Inge or fill Th. errrnlln' of A Perm. doe. nor velum* l0 p-re euh 'dlly 10 ,le... d.......lnr Cpfad <br />PloOggn PI all ether Iltlp yr rdRl low r.pWalmp can.L'O <br />Thal I em eulh.W.d by me own*, of NA DroOorty 10 p*norm the"* ..r whlCh ODDIrallol h Teed and I C*mph win PI* 51810 [OnuHlOnl I Ow Ie 21 R[W Old 79e PedA WAr <br />Q,lif)ON/Authonyoo Art.......y....ure <br />(Revised 612012) <br />n <br />