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PERMIT APPLICATION <br />BUIL.DINGlMIECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITiON <br />CITY OF EVERETT PERMIT SERVICES <br />; 200 Cedar St., Evereft, WA 98201 425-257-8810 FAX 425-257-8857 w�,vw.everettHa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM %— �Q--% 3 <br />4DDRESS: I� O� PROPERiY TA7( p PERMIT p <br />� SCE�rcr��M4�1w�, ooioeso ltifi�-►�-o� <br />�or new canswcuon� Sncrt <br />_ Owner __ Ownefs AgeN <br />�. <br />r <br />No _(atlarh mpy ol long legal aesaiphon) <br />��� yLS- 3SS- $'�73 <br />p/� kraN , OhI"O Hy bl b <br />_ContractofSAgent _Tenanllnu:ipo.enaneeerclm��en:nm�mo.rwrroao.onmenww,� <br />Gooe�yeo�t- .4��-r� Sct�cz.e CeNlec' <br />UILDING PERMIT APPLICATION <br />. 8� ���. a W 6 ST 1 M U coE e�5 u�. tt 0S/3 <br />WA, Pna��ema�i 3foo- �3y -7�99 <br />:ON' ACT FOR PERMIT <br />Aaro� (;y�rS <br />'honrJE�mail 3G,o- 73K- 7599 <br />:ONTRACT PRICE OF WORK .� I 3, I O�• S b <br />Existing Use of &�Ading <br />Proposed Use of Buildinq <br />Bwlding lype: _ Single Family _ Duplex _Townhouse _ Multi-Family <br />��e of project: New _ AdGiVon _ Remodel __ Repair T.I. <br />)ESCRIPTION OF WORK (add��ona� space pmv�oed on rne eack�: <br />l�e�lactMe+�� o� 3i�c,N RTU� Pae4o9e� S�yle, �o�c�� F4:r, <br />H eo.�- P,,Mp o,� R.ou�, <br />MECNANiCAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />of Pro�eck _New_Atltln �Alroration_Repair <br />Show HumDcr (p1 a1 firfurns <br />1 ar — a�� na�nr�� ���a� <br />SYSTEM <br />of Heads <br />ofProjetl: _Now_Addn _AlMration_Repair <br />Slrow Numbcr (q) o/ finurns <br />Medical Gas <br />Other <br />I �ere0y CCMy fh.lt I �are reaG an0 eelmined I�is aDP�dUon an0 Mnow Ne etme lo tN! W e antl corteo. AG plovivons ol LiwS antl admanCCs govemmg Nis Iy{q o( wo�k w�J pe mmpEetl <br />wN.�heNcr speaGea hemin or nol. TAe grantvig at a pertn� Cocs nat pmmme In grvc autlicriy lo vropte a e�nrnl lhc pmvition al any other statc or bral L�w nrtguaMg wnswdnn <br />fhat 1 am auNorveO try t�e er ol tl�rs poperty lo pertotm Ne vr�rk Iorw/�M app6qtion s ma�e anE I[ompy vr.lti Ihc Stale ConN.wors Law 18.27 RLVlana 296.100A WAC. <br />� �,/ /.�' <br />� � _�/ �z�L�G ll� <br />Ov�n iAulhorized Agent Signa m Dale (Revised 6Q01P) � <br />