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� � <br />�ERiVIIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wv��v.everettwa ory <br />lor new construclion: Snon <br />ri� o r��,�N,�2 , <br />_ Owner _ OwneYs A9eni <br />r <br />`(otxlh Cent�ef <br />BIJILDING PERMIT APPLICATION <br />PROPERTY iA%+7 <br />98zo$ <br />_Lo! No _ <br />(attach copy ol long Ie9ai CeScr�piion) <br />-%"��- <br />�car�siai�iz�p E�F�2�rr wY7— ?�30`1 <br />_ComractofsAgert Tenant�m��sic��•�aoaien�r�+coo:��ii�omvo�..�.ori�e�+�o.k��:�esc�«� <br />Stat?lic # Sun�ERS=4o5Dy CityBus Lic x o5�S7 <br />��� G'�� �Q "] PhonClEm�il a o 6- a- y �- o o a' 6 <br />CONTACT FOR PERMIT /7 __ c` I����� <br />aov-3qo-53zy cJ•� <br />Phone�E�mad r.�rol K(� S�ln��e�. f�.c�r.s ��e�"'� <br />PRiCE Of WORK �3�, D o U <br />E■istmg Use o( �udding � <br />Proposed Use of Bwld�ng <br />Bmlding type: _ Smgle FamJy _ Duplez _Tovmhouse _ hlulti�Family _ Ccmmercial <br />Type ot projecC Neri Adddion _ Remodel _ Repatr _ T I. _ Sign _Spr�nkler <br />DESCRIPTION OF WORK(aad�nonaisoaceprovdedonmoeack) <br />SOIaY �ahe�S ��1 YOo f <br />MECHANICAL PERMIT APPLICATION <br />pe ot Project _Now _Atldn _Allcration _Repair <br />Show Numbrr (a) olli.fures <br />I NG - au handling unils <br />heater <br />/SU <br />Otner <br />of <br />PLUMBING PERMIT APPLICATION <br />ot ProJecC _Ncw _AAdn _Allcration _Ropair <br />Shaw Nunrbcr l#) ol li�fures <br />Bathtub <br />Lavatory (viasl <br />Shower <br />Kitchen sink 8 <br />Dishwasher <br />Clothes �vashe <br />VVater neater <br />Smk (5ervicNt <br />Backtlovr previ <br />Ur�nal <br />Dnnking Fount <br />Floor tlrain <br />Grease trap <br />Roof drams <br />Medical Gas <br />Olher <br />Olher <br />I �cic0y cenAy ihal 1 have �cad a^�a ciammed t�is aOCI¢aUcn anG Anow Ine samo lo Ce Irue and correct Ali pmvaions ol tans ana o�amar:es govern�.n9 tn�;lype cl xciA ��; I ee mnqi eC <br />rvAhxp�InersDMdicG�erGno�nol Tne9ranlin�olapermitOnesnotpeesumelogl�eaulnonlytovioUteorcd�cellnepro�s�onolanyol�erslateIXlccall�wregula'ingwnslr<Lc0 <br />T�al I am aWhonied GV ��C oener oI'M5 p�Operty la pctlorm i�e No�k lof w�it� JDP�'����On i5 matle anE I cDmpiy wA� I�C SlalC Conlra.tats W w 1 B]7 RC'N ar] 296 iCO� Yt�\C <br />�(v. <br />�� `�-, E �3 <br />Own r/Authorize��5i9n urc Oale p:enseU3ROt3) <br />