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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 9E1201 425-257-8810 FAX 425-257-8857 �+n+nv.everethva org <br />� <br />lar nmv wnslmction� Shod PlaVsuUdivisi�n <br />Lrtrl lJ.:�t,i . L'�:r1K rd,:�,Y{N <br />I ot No (altach copy ol <br />_—..__-_ �� . t � c o S!; <br />Phonc'E ma�l yr i- t c 7. c 5[.'. <br />. i�o;' <br />legnl descriplion) <br />�.,i l-iiW�i�i�i•-...I.r.... <br />��77_4 �.,.�.a��c„Y��C�_a��".I�t�i,iiY, ��nyis�niei7�a � ui._.:���o �,,� `1'a'ial <br />ANT:�� Owner __OwneisAgert _Conlmdor Coi�lraclor'sAgeni _lenanl ���.nc���.aeoieee�:��m�ao��i°omr�or•��e�i=eo.�n�������+�a,oi <br />Lic fJ <br />� <br />BUILDING PERMIT APPLICATION <br />PRICE OF WORK _ <br />Bus Lic u <br />�xc;ting Use of [3uAdin9 . _____ _ --_--_-- _ <br />'roposed Use ot 13uilding _ Gas E�etlric Other_ <br />'�wlding type�. _ Sinyle Famdy __ Dupiex _Townhouse _ Multi�Famtly _ Commercial ` <br />�ypeofpro�zct New Addtion Remodel Repair TJ. Sign_Sprinkler/�Demoldion_Change ofUse <br />)ESCRIPTIONOFWORK(ndJr�enalspaceprovideclonlheback)�. `.,,�1! ��ilt�'f�'�! <br />7 I � T�, t, <br />��i. `J' <br />� <br />—��'tt �;� � k.• ,.,�, �� � 5,. ,,�. - r.. , . ,� ( .- �, ��_ <br />MECHANICAL PL' N T APP4ICATIQN � PLUMBING PERMIT APPLICATION <br />ol Pro�oct: _Now_Addn _Altcratlnn _Repalr <br />Show Numbrr (a) o! /iafures <br />I A:C _ air hnndhll(] i1I11�5 <br />m <br />ol Pro�oct: _Naw _Addn _Allarallon _Ropalr <br />Shaw Numbcr fNl o! /triurce <br />i Medical Gas <br />Other <br />Other <br />, . ��u�ceNtyth Iiere�eadande�am�nedR�aapp'ca':onm�.d��a�mesmne�oLehueo��dcnwcl hilpioneanfollewaenOoMmencefpo�rominpt�olrCeolworhw9lGeconq��ed <br />.�� �.nelner s�ohc nere�n m rol Ine g�a�n�iq o1 a �ennd dues nci presume �o g��e a�mmiry �o ���ainie or cen<el I�e provi�ion ol eny umer �tete or locel �ew repultlmp consimciron <br />� a , n aul�(onxed y �ne owner ullnu µnpeny io pedo�m Ihe am� �or xa�c� apV�����ron o made a��d i wmply wil� Ina Stete Conincton Lew 1B 27 RCW s�C 198 700A WAC <br />I� � <br />�. , <br />, I�� <br />,1, �, ,. ,�,, l�nR`�'' <br />o,1e �r.a��s�a �aoi3, <br />�arlA ior md Agonl Sl�naluro <br />