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� <br />v � <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-II810 FAX 425-267-8857 wti•nv everettwa org <br />(�'1-r -�- 3or-.v�-`S"N✓`� � lu;.t<:1 Iti-� <br />SITE ADDRESS: PROPENiY 1A% p PER1.11i .^ /� <br />— l i l i� �� N'., f., n n.. l n. i C i l � l l�— � 1/ � <br />LEGAL Ior r.evi ca+sVuct:en Sncrt P�avsu0mvrs-�an Lot No. �ar,ach copy o' iorg'e�ai er.sa�c'��:���� <br />OWNER ; n�55iu� ����f�l��� Fhune;c�ma�.� �aS ���-1—�(�[� r1 `.Si inolt E <br />.�Ctlress � � e�er�f�.�w�� Ci�yl51ale1Zip �y�G�'I �„��'Y ����i/� <br />APPLICANL_�;;�vner _OwneYSAyent _Con:raetor _Conlracor'sl�;eri _ter.m�,��.-_.c.-.n�.�..i.+c�u-;.-n..��rev..�,^r.e„_+,�.r.,;c,:,, <br />� / <br />CONTRACTOR ��/��%-w' � ��a- >•� n� Sta!e l:c + C�ty Bus L�c � _ <br />.:d:1'���s 1���'l IIIV�a W/.� �i-.mCfl� C.��1' �ID��Q PrCr_iEm.:il � <br />, �n �I\;s Csr;l� nl (��;,f <br />BUILDING PERMIT APPLICATION <br />PRICE OF WORK <br />�S l � � �lAi�',I�OJI�IJS- 3�(- <br />stin7 U=_e ol 6uild�ng __ � H[�T SOURCF <br />;posetl Use o! Bc�'�a�ng /Yi� � r�QJI c��_ Gas __ F'ecv�c_ _ Girer____ <br />Ic�ng type _ Smgle Family _ Duplez _Townhouse _ P.lu!II�Fami�y _ CoTmercial <br />�e e( cro�ec: _ Ne�:� __ Addihon _ Remcdel __ Re^a�r __ T I �Sign _ SFr�nkler _Demol�ucn_Change cf Use <br />iSCRIPTIONOfWORK(aayt�cr.a��cacep,a.�.r_dc�u,e�ac.i n�MfwU/� „�e- <br />I� �v.l l�'�1n,.�� �,c\�n� ' <br />MECHANICAL PERMIT APPLICATION <br />Typc ol ProjecC _Ne�.v _Addn _ Allcration _Repair <br />Shmv Num6cr (u) ol /Irtures <br />� NC — air hantll:nq umts <br />I Forced air svstems <br />I ltmcb'/ <br />v: n� np� <br />Gas <br />fan <br />SPRINKLER I SUPP <br />ads <br />(receQiac(f �, S��n <br />�IYccuL� �Kisi�S� <br />te rn�.11�' 1 � T <br />PLUMBING PERMIT APPLICATION <br />of Projecl: _New __Addn _Alferation _Repair <br />Show Num6erin) ol lixfures <br />I Clothes washer <br />; VJalcn c�ater <br />I Sink (scrvice�ba <br />� E3ackibw p�evcr <br />j Unnal <br />� Dnnking Founla <br />� Floor drain <br />I G�ease Irap <br />� Roof tlrains <br />i Riedical Gas <br />! Otlier <br />I Other <br />� j ntl e�ammetl I�is apF'�:�b�n antl ~r.o:� ��e same lo Ce Ime antl cmrecl All prcvis�.ons ci la.v. �nd crtlm�nCes gooem��ng I�u IyDe oi we�k w.li 0^ comp. e:1 <br />njji nol Tne q�anLng ol a perm'�I Goes not p�esume lo 9ve aulnority lo v:oia;e or wn�e� Ine provR�,on ol any elher state er hCal Idw �e9Watmg ccnsimd:on <br />�er cl inrs pro;erty lo Denorm me �a�ork Icr r.m:h app!�cabpn �i ma�e ana i<ompiy nen me Staie Co�iranas Larv 181] ftCVJ an0 29G 200A N'AC. <br />� yz <br />�. o� 03 f�} <br />nt Signaturc Date (Fer;setlJ207J! <br />