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� <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425•257-8857 wwv+.evereltwa.org <br />APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br />lor newconsiruclwn Snorl PlaVsu�d�vision <br />r�� <br />p <br />p <br />Lot No._ (allacn coDy ol Iong legal Oescriplion) <br />E.mail I v'J ' 2"✓ �— 2 p 2 t <br />IIeIZ�O �"P' 1 I . VV t'1 � 71 � O <br />_OwM� XOwnefs..'�C�I _�O���dCtO� _�CnIrdC10i5AgC0i _Tfndnt�aut�pre..�enlnero!mmemrtvmt�ooanei•.oao..eammespa:o7 <br />a <br />Pnone�Ema�l <br />�NAMt �./� S„O O�� VVfVIHI.I rVItYCItflill <br />� � �� � Em�l� I..li�2C1P�� �tRC P(YC�1l�C- <br />l�� QI�%e �P�Ni Li� Pnone�E�mai� 2b(o _�22 -�j�jZ�L Q.V.-`' �,�' <br />ILDING PERMIT APPLICATION CONTRACT PRICE OF WORK I. �rni jJ i Ul�l <br />ing Use of Buddinq 0�1CX $' �7�"`iN-'0.q1Q, p HEAT SOURCE� <br />o5ed U5e of Bwlding ��1 lR E! S�'1��-YVY�- 1� � I Gas____. Efeclric_ OIPer <br />ing type�. _ Smgle Famtly _ Duplea _Townhouse _ �v1ulU-Family ,� Cammercial <br />� of proiect. New iC AddAion � Remodel __ ReOa�r _ T.L _ Sign _Sprinkler _ Demohtion_ Change of I <br />)ESCRIPTION OF WORK �addrt�onai space p�o��aea o� me eacx� <br />RlLv,o,,��� e x;�Jt, ni� 1�.�; � d,✓� c� �,Z Ud w, i r i5i-,-L.�-10� �r(-�,• �.Q s�Ll <br />,$\aeli-zv. i�c1c� Z^`� i1o� � nS�d�c_. �x15�'tn� �v�\d�.i�. �rov�c� �:�n.tn/ <br />A�I�t n� \ �a c,nd � c.t�d $ cc'A��'� iDilQSe �� b%IASe Z W��I b� <br />MECHANICAL PERMIT APPLICATION � PLUI BING PERMI APPLICATION <br />olProjecL _New_Addn _Allcratlon_Repair <br />Show NumDerlal ol hrfures <br />heater <br />of <br />olProjec4 _New_Addn _AlteraUon_Repair <br />Show Numhrr !al of lirfures <br />ish <br />Medical Gas <br />Other <br />i �ere0y cenly I�aI I cavo reaG anE e�aminetl ��rs apD�<aUm ana kno�v Re same lo Ce ime anE mnecl Ni pmvrsions oltawf anG okiwncee BovemioB I��s rype ol woM wiil Ee comphrd <br />w in � lelner spenf^d �erein ar not T�o gnntinp ol a pertnd Ooef nol presume lo pne auNonry lo vio!bin cr wncul tno C�a��sian o� any ot�er slite or Iccal Ltw regNal'n0 ronflmcLon <br />ipal i am , u'�onied b/ Ipe owne� ol t�is pmpeM �o perlartn i�e woM lonv�m� aG���cabon O matla antl I compl� �� t� I�e Siata CoNmclon Law I B 2l RCYJ nnC 2?5 200A V/TC <br />(.�-�- oi-2a-�3 <br />OwnedAulhorl etl Agent SlgnaWrc ���^ <br />(Re��setl Ei10t71 ,! � <br />