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1i1.25. 2012 12:48PM EVERGREEN STATE HEAT & AC <br />No.2891 P. i <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 426-257-0010 FAX 426-267-8857 www.everellwa.or0 ✓ )Z <br />APPLICATIONS ARE ACCEPTED FROM a AM TO A PM PE 7T." ) 5 <br />PGOPEaTY TAX g PE t 19 / 1 t_1 <br />of long legal dascdphon) <br />for new construction. Shod <br />lddre59 (/11CJ <br />Agent �Cunlredm Agent,_,Tenenll�l�+rn�SS <br />^+�'•�"•''Jd/O�Oj""'"''p4A1 V1 o"""b°°"°�hu»re�•I <br />1PPLICANT;—Owner Ovme'e <br />^ConlroUora <br />1 <br />0 <br />V R <br />`-" <br />r COE Buss. Lic. # <br />,ONTRACTOR E v <br />n F <br />L B I Us. <br />g2o I <br />Phona/Emoll <br />-3` 111 <br />�' <br />4ddfess r L� <br />TENANT bIWE-0 NAME <br />CONTACT FOR <br />PERMIT <br />I d <br />Pkrieia <br />PhonefE-mail <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />^^' <br />Existing Use of Building <br />Proposed Use ofBullding <br />Building type: Single Family _ Duplex _Townhouse _ Muljl-Femlly _ Commemisl <br />liendr T.I. _Sign_Sprinkie <br />OF WORK (addPo vial apace Provided On (he back): <br />D)c+lcss ffc4tpwmp-22ZOnO <br />Type of ProJecl: _Now- Add" <br />PLUMBING PERMIT APPLICATION <br />Type of Project. _New_Addn _AllerAllod _nopAlr <br />Gas <br />I Number of Heeds I I ----- <br />I hereby codify that I have read and examined INe AppioWn And an" the same to ee tnw and wrred. All pro~$ OIL" ono oranancal govern'" it" type of walkw7f be oompied <br />Vivo authority 10 violate <br />illon <br />er state Or <br />wM Iam mir aviradd Who <br />7bs pf"rty toe palms does not presume dorm he work for which eoppkAdon Is nude and I comply tN��I Conofany WctorsLaw 1827R W ,14206MgA WAC g <br />That l am ashor4ad try 1M ownrt d dJa O�roM�M�yiq/'a�1 , <br />(Re:dsed 612012) <br />1 Dela <br />OwnarlAuleOriaid jigglat SlgnNuo <br />