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• <br /> PERMIT APPLICATION <br /> BUILDING!MECHANICAL/PLUMBING/SIGN I SPRINKLER!DEMOLITION <br /> ` CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)428-257-8810 FAX 425-257 8857tE eyttiet: <br /> Blue • lit VO3i�' Int i'),'' - iy. www everettwa �to y <br /> t <br /> PROJECT SITE ADDRESSv �" -- <br /> - =' PROPERTY TAX#: <br /> IA—,�GAf»for new cgnstnrctfon Short Platlsubdivlslon <br /> i No. <br /> .�a (attach copy of long legal•descriptlon) <br /> '' N <br /> o'wNER NAME mff1°r <br /> Or TENANT NAME, `Commercial n, <br /> OWNER MAILING ADDRESS: STREET .. "'` <br /> OWNER PHONE: <br /> srarc <br /> OWNER f;r t.: <br /> I <br /> CONTRACTOR ME <br /> RACT NA <br /> CONTRACTOR ADDRESS: STREET <br /> dt <br /> CITY--. :.'• „ <br /> 3h1I RISC!eR PHONE. G • op STATE ZIP : 't <br /> CONTRACTOR 'd '` - , i 0 '' <br /> P�MARY CONTACT: I:3OWNER , CONTRACTOR OTHER(Please Specify) M1 a .., w° ^; <br /> _ wry ..A <br /> CONTACT NAME: .. <br /> 'Deb)0 Lid <br /> CO2TA PHONE: <br /> CONTACT EMAIL , .co <br /> g' <br /> '..."14....?:,,-,0,740,4041.01' �« <br /> •,? Use Qf-. 3,( e' - .av,;. _: �" =- - <br /> mogti Contract Price of Work:$ . <br /> Pry°°:�- Use of Buitr ..��.; u; <br /> Heat Source ❑Gas r <br /> Ikifrlm �°e r;SPR�e� .--O. ❑SFR Attached <br /> :� EaOther <br /> re of P ❑DV.eft' I3` ' <br /> oecti EjNew ❑Additions hof <br /> D G.I?It'Tft7N OF WORK: C#l, m el '`t� . ,DT 1 ❑s a ion , <br /> ommerctal; f'lndustriat <br /> ' :In. 0r .�Remolition .14 $of Use <br /> )14 4 c-ttess <br /> ASSOCIATED BUILDING PERMIT .If%a1Iloiai '.: <br /> Ty#a of Project _Naw Alteration '4_ 1' � ,r , ,, ;. <br /> Addn Yp M "Addn' <br /> # * T e ofPro ect: New <br /> .c . _ Afteratlon Repair <br /> am Ng-AirHaftdfifY= it , <br /> t <br /> #.of <br /> - <br /> flintFA1 ' e <br /> ° <br /> t <br /> e ° l 'ris = <br /> i <br /> t If ®._• ,setht t!rrl° I s .. °Fountain <br /> r Heater Refr1_er ,.01,' .illinilhas Piteptce °° *tit <br /> sions <br /> W <br /> ; mss38aTucti ffi tt <br /> Oifofthes <br /> e3 : otruss fot i <br /> NMM ° °+ as ih8 <br /> Sink '10A/oar/ma° 1MIIIIIIIIII erm <br /> „> :4.1,4t -.I a N;sy `eti <br /> Chemical or Water <br /> No of Heads <br /> }iVtl# t37E 1 hsc . svd�tfi6 <br /> c tom,tat. arta.�#stv e,+gin + oailart srrctr;9ft m. o onomaoetot <br /> ec+#C1J Galt -' ' `. $g of Im + �r14-ett3 raPFFotred iardit> 1030.400:,440;44,4460,0t004.4- - --., ' Al, . <br /> e rr:r.esu» {nteeet Underggtx a L ttus d ria devfn etefro 0e %J)rst ba a ` `i+Xtf <br /> Ary i it ; taf� --,`tett rRte^ « If e w arx-d a zacttt #r•o avirrer�-of lit` r r to pada zacrfrh� r cry <br /> . wufkfr SCh apAftsthrt.fa; t;, <br /> . •• city of Everett offierel Use:fief,;- <br /> . t:Q <br /> . <br /> °+vr ,er A�ithoriz A s II 11 `"; °• g PE <br /> T <br /> atiar� , .�0 C) <br /> Gale <br /> i <br /> I':"ems •; r 61 <br />