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„ „_ <br />_ .2�. 2013 i0:46���� �,�-���t 'd�-�h.�,.:, <br />1c. i4�y 1 <br />�Ur�sr Ca� ��7 �)`�`�� ���PER,MIT Rr'PLICATIO 1 ✓�� `I�►atiKs! <br />BUILdING/IVIECHANICALIPI.UMBING/SICNISPRINKLERIDEMOLITION <br />CI7Y OF EV[RETT ��ERMIT SER�1ICES <br />3200 Ceda� St., Everett, WA 98201 425-257•8810 FAX 4:?5-257-8857 www.everethva.org <br />APPLICATIONS ARE ACC�pTED FROM 0l�M TO 4 PM _ �”' a�✓ y/� <br />for new ccrosWd�o��; Shorl PlaVcubdlvision Lot No.__ (a11aUi copy cf lon� Ie9al descriplion) <br />APPLICANT:_Ovmer ^�h+nefsMcnl _contracmr <br />CONTRACTOR �r,�T �'I �A�Lf.��L � <br />AAAress N10.]V �JJ� /i��, IV�'rDi�10Ah <br />�A 7' 0 ES� <br />µy�an�� �� EvE�7r <br />BUILDING PERMIT APPLICATION <br />Exislin9 Use of Euiiding <br />Con[rxto,'sAgent _7enaN(m�eio:�r�aeeienxoteomw4am�racrmwdaowamH+ic='�l <br />PRICE OF <br />COE Bus. Lic. # <br />Proposed Use ot Building � — — — <br />�uilding lype: _Sinple Famiiy _ Dup��X_Tmvflholi6e __ Mulli-Family � Cemmorcial <br />r,�eofprojoq' Now Additinn ftemodel Rr.pair�T.l. Slpn_Spdnkler_,Domolllion_ Chanao ofUso <br />DESCRIPTIONO WORK(additionslspac^provideAonfhebodd: <br />�sr�c�- �z) a-aa= �+,Ns au� P�4�� �� �i) r���� r►�ac►���lE. <br />ICAL PERMIT APPLICATION <br />afPmject: _New_AtldO _Allolallon_Rop81f <br />Show Numbcr (x) o! fixroms <br />T A/C—nirhandlinnunifs <br />Ga<_ <br />PLUME3ING PERfVll7 APPLIC4TION <br />ofP�oject: _New_Addn _Aiteralion_Rapair <br />sNowNumbor/Kl o/f/xturos <br />Show�er <br />Olher <br />Olher. <br />I bereDy ce�Ly Inal I It�ve read ana �snMed IMs oppfcolbn and know ihe same lo be W e and wm�tl AO D�ovi;ion; of U•r.s aq� oruinantee goveml�g W t lype al worxtm ee compinC <br />vdl� w�eihor apnclflod hereh ar nol. Tho granlnp ol a pertnil doe; nol prcSume l0 9i�e a�iOONy In vWule ar uncel me pmvL!on of erry olner atele or local law repulo0np wns W cP:on <br />1"ncl I nm oulhorizad 6y the owner ef Uiis p�o�m Ne r�oM forwn'di sPPvcaron �a maGe snU I camp � unn ne Eiaie Cnmmctore Law 1027 RCW and 20G200A 4VAC. <br />� i? <br />OwnodAulhorlrotl Apent Slpnaluro Unle (R^vrsed C✓201�J <br />