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�ERMIT <br />APPLICATIO• <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 w�,vw.everettwa org <br />APPLICA710N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br />N I�R- A v� <br />IOrnewC0�5Wclion Short <br />OWNER DUS � �INON OM�SN <br />�� <br />w� n�2o1 IPfiOPERTYTAXp <br />�.� <br />e <br />��OV�h' S µ�� Lot h� (altach copy ol long legal desuipUon) <br />kr% Phone�E mail V«/� ��7' SV B�D• �n'6 <br />C�tyiSlate,'.�p LYGI`� �li� -IA28� <br />:ANT: Owner�LO��ner'sAgeN Contractor ConlraetorsAqem Tenantim�,.�c���eea�e-merm-,e,•ra,,,�noo.ee�mco.c�,�resoazc�� <br />ZACT /`�$P1� ��5-►i�'U(J�19N �N� � � a i ��c u COE 8/u15 Lic # <br />:��,'(� (.i'T %}�E S' S�I� �� S�T((,F UI/t q��l honeiEmad GS/iNT7RIb�ll-l'Yli�-n�(?'%�,COA1 <br />�i��er� �wwES r� B� Sf'FE <br />BUILDING PERMIT APPLICATION <br />Ez�st�ng Use of Butltlmg <br />iN6 <br />'��-i��@f�i�'f i°-«�(1�75• <br />PRICE OF WORK <br />HEAT <br />Praposed Use ol8wld�ng (�� ��`�— I Gasx Eiecmc___ Otner_ <br />E3wld�ng type S�ngie Fam�ry _ Duplex _Townhouse _ MuiU-Famny _ Comme�ual <br />T�•^^ of pro�ect New Add t on Remodel Repa�r T I _ Siqn _Spnnkler _Demoh6on_�Change ot Use <br />DESCRIPTION OF WORK (adC�t�ona� space prov�ded on tne Dackl <br />j�P�mP�s� L�snNE NV�tN�N�n1« 6vIc.D�N6 Wt� �- �'sur�+ ryvr� 'im�r 7na��r�c—s <br />P� q�jF�,�'j Psp- GHiLD1�N itT 77`RNSntm�AL �HEL?�.. (Lc�Pr�o vn�SA�,E snt� <br />�P�Ei�. I`�lnt�7 pfbJEU(-- #-S13s1-031 � P�T`n��r'�t�'IEVv��-�y1EV� M�LL�-� <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />TyOe ol Project: _New _l,tldn __Alteration _Repair <br />Show Numbtr(MJ of �xfwes <br />A/C - av hantllmq unds <br />heaief <br />.i� <br />Number ol <br />ol Prqecl: _New _Addn _Altcration _ftepair <br />Show NumDcr !p) ol li+tures <br />Kdchen <br />Med�cal Gas <br />Olher <br />Ine�eEyeerl��ylballrqreiea�d�Ue.ammeUtM5aF0''-�����nan�kno�wl�esame�oCelruea��corre[t Anpro�i5�onsollaxsan0or0inance59overn�ngtnslypeo�wmkwtllbece^ip'e� <br />x�,inw�elnc�sF�uPca�cr¢:nornot TnrgraeUngol�p¢rmnEocsnotpresumeto9neaut�omylovmia!earcanuli�eprovis�onalanyolnersutco��oe��Ciwreg���aung�snsfm.^..o^ <br />i r.ai i am a��Ror.e� �y me owncr ol I�is propeny lo peAo�m me wo�k �or Nn2n appi�wuon rs maGe antl I wm0'Y w,in �ne Staie Co�tranon Law �B � l RCW anA 29fi ZOOA WaL <br />,>ti����������� ��3�/��,3 �Iz <br />OwneJ/Authorizod Agenl Signalure Dale (Rev�sed G?0�71 <br />( <br />