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� � <br />PERMIT APPLICATIO!: <br />BUILDlNGIMECHANICAL/PLUMBING/SIGN/SPRINr. LE�2/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />32�G Cedar St., Everett, WA 98201 425-257-8810 FAX 425•257-8857 www.everettwa.oraJ_ � <br />APPLICATIONS ARE ACCEPTEa FROM 8 AM TO 4 PM �`' %l7 ` <br />ADDR�SS: PNOVERTY TAX p PERMIT M <br />`512D M�I�o�wl� fl�� DD�t3qo�'-fl,aclac� D - <br />lor new construthon Short PlaVsuhdrvision lot Yo <br />� Unt k/t t�/.�.-t �� 5�,ohfln„3ti Cow,�h.-j Pho��,E.m��� <br />3�20 �,p�•_�,,�l,t /-��c _ ���Y,S��,��Z�o <br />(atlach copy ol long legal tlescnonon) <br />4 SZo 1 <br />Owner Ov.ner'sAgent _Commelor ✓Cont�aelor'sAocnt ienantimusio�m�acaiene�oim�semnoT:neo.*e��oaow���meeo+cr� <br />8 � Lic u CVEKL—IZL�S`i R2 <br />4Edress 1`Z� � t��ry� 5�. Swi,{'�f �-�- ���0'� Phone�Emu�i Zo6-'1�3— l�l`}� <br />TENANT BUSINESS NAME CONTACT FOR PERMIT /y� �si�� �- <br />rl <br />UVl l�` W� ahone�E ma�i 7�6-� Ls -nti�l ..�1, 24� �1ec�' <br />BUILDING PERMIT APPLICATION � coHTriacT PRice oF wortK OOI <br />E�isting Usc of Build�ng HEAT SOURCE <br />Proposed Use of Building G�s_ Eii <br />Build�ng rype� _ Smgle Famtly _ Duplez _Townhouse _ A1WtrFamily ✓ Commerdal <br />Type oi pro7ect New Adddion Remodel Repav ✓ T I _ S�gn _Spnnkler _Demohhon <br />DESCRIFTION OF WORK (uddmonal spoce provioedon tne eacy <br />�tiS,i+,�4✓k-rw ��� t 5� 1'w�'�� vn i iI �-I��,..c M l:t� - f . I� l•c rP �.+u�... h:.- 4? <br />,r � p„� � 5 �,,., �.,- F�. <br />MECMANICAL PERMIT APPLICATION <br />Type ol P�o�ect _New _Addn J Altera�ion _Repair <br />SAow Numbcr (MJ o/ lirfures <br />A/C — av handling unds <br />Forced air syslems <br />hea!er <br />e <br />Umt heatcr <br />Number of <br />a <br />of Use <br />-{z.,o l. 5 ,1u.+ u..: FS <br />PLUMBING PERMIT APPLICATION <br />Type ol Pro�eci: _Nrw _Addn _Altrration _Rrpau <br />SAow NumEer (M) o/ lirf�res <br />Kitchen sink R dis <br />Dishwasher <br />Clothes washcr <br />Walen c�aler <br />SinF (servicclbadi <br />Backflow prevenle <br />Urmal <br />Dnnkmq founlain <br />Rool drains <br />A1ed�cal Gas <br />Olher <br />Other <br />i �eic�y ce�uty t�al I liave �ead anC exammea Inis ap0'�li���on ana �now I�e same io be Irue aM wnecl NI p�omswns ol iaws anC o�a�wnces povem�np th6 rype ol work wdl �c compl e� <br />unit �nfielnei spetd�ed herem o� �ol l�e p�dnimg ol a permil0oes noi presume to pne aulho��ry lo noldle or cancel Ine pmnswn ol any otnei siale or loefl I.iw repulalinB tanslrun�on <br />T�a! 1 d�l dut�OnZCd 7y I�p Own�� 0� INS p�OP�M �0 pCtlOnT I�e wOM1 10� wNt� dDO��WIiDO 6 md�P dntl I COtnply uM IhP SIdIP CON�d[IOrS LBw IB 27 RCW an0:96 700A WAC <br />�� `� �2/�� Revisetl62�v <br />OwnedAulhorized Agenl Signalure Dale ( % <br />