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� <br />( <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNlSPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www•evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �J —IO �� Z <br />L <br />newconstructian: Short <br />No._ (ettech wp; of !oiq leqel <br />� �Fc�c � <br />�� <br />Owner OwneraAgent Contractor _ContrectofaAgent Tenant(mmpw�a.•rwra�m�«*nc',:.o.^"'romwnnm.wol <br />>R • h v L 8 I Lic. N ZL COE Bus. Lic. k <br />r phonelEmail �/ <br />�� E CONTACT FOR PERMIT �, �/ d ,,. � �/ _ . , � � „ �,� <br />KVl �l.W`fr��n. <br />. � . ' ' Pho�elE•meil <br />G PlRMIT APPLICATION CON7RnCT PRICE OF WORK ���Da <br />Use of Building <br />HEAT <br />�sed Use of Buildirg � — ' -' '— -� <br />ingype: _SingleFamily _Duplex_Townhouse _Multi•Family _Commerciel <br />of p-�,l New Addition Remodet Repair T I Si�n Sorinkler Demolition_Change of Use <br />CRIPTION OF WORK /eddltionel spece pmvrded on tne beck�: <br />,L��)��. � �.1�)r� -1 D ( Vu� �l� rOprvi <br />MECHANICAL PlRMIT APPLICATION �LUMdING P[RMIT APPLICATIO <br />olProja�t: _INw_Addn _Altantion_R�pNr TypsolProj�et: _N�w_Addn _Alhntlon_R�p�ir <br />_' '. . .... _..._'__'_ RAowNumhlr(R10/flXfUflf <br />Ges <br />Olher. <br />I � NumberofHeads I I i -"°"' <br />I hem�y ce�My I�et I �eve �eaU enU exemMrcE Uia eppicetion enE know Me a�me ro Ce hue ��a wrtxL N D��� d Wn and oreinences O��minp t�M lype ol work wl1 Ee canpME <br />wiU whal�er epefMroE hereh� or not. Tl�e prentin0 al e P�� Ooea not P�wme lo pNe euMo�My M vb4M or uncN IM D�� ol eny oTa slNa a bW Iew repulelnp wntUuctlon <br />T�at I am auNonzeE Ey t�e wmer ol tNf DropeM �o perlortn Me v.wk la nfiitli aDVk�^ h meCe eM 1 ampiy wMh Ne Stete Cmtrecl.r� Lew 18.I7 RCW anE 2Db.Y00A WAC. <br />��/u /¢�kS ��1�-�z <br />utho Agant9ignaWro Dete (Revised6�012) <br />