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, � � <br />PERMIT �4�PLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SL, Everett, WA 98201 425-257-88�0 FAX 425-257-8857 www.everetN�a.org <br />rax a <br />� <br />3AL fer r,ew tonsiruclioa S�ort Plal/subdrv�son Lol No._ �aliach mpy o1 long legal descripl�on) <br />� <br />lNER �iAI I 4�-C✓l A10. h LL G Pnone/E�mail <br />iress � TO «� l.A1K l7LCJ� W F� � � Ciiy;StateRio S� I• U:O O� �/� � � b 2�Z <br />PIICANT: O�.vner _OwnefsAgenl �ConVa[lor _Corttracter'sAgenl _Tenantt�.�:�o�a•aeai<nerc�ce�:e.+ivoTNem.�e�maown,+��::wc <br />NTRACTOR CVV� uf0 �^ . ( �� L 1-� tate Lic. K/j[2 '-/n�Go� ") Ctt� City 9us. Lic. # vzy7� <br />�,ress% f�0 ✓LUSCJh �7GLG� Pnone�Emad �}Z� 111e- Sig�.�� <br />NANT BUSINESS NAME CONTACT F04 PERMIT� +� <br />p DC . i (�!'n CY� "` 'C {-� L <br />�,iLS�'-U S �VtS Phone�[-maJ �fJNt�0. ��ei�r�SlL�h -Sy.slZn"S' � <br />JILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK -Z�— <br />Existing Use of Buildmg � <br />Proposed Use ol Building <br />Bwlding type: _ Single Fam�ly _ Duplez _Townhouse _ Mulii-FamCily, _ Commercial <br />Type of projecC New Addition RemoDel Repair T.I.'X Siqn Sprinklei <br />DESCRIPTION OF WORK ladmnonai space p�w�ded on me tiack� : <br />� <br />fi-Sf�ti(I Ivi�[v���llt�. fl�f,cvhr'c.r.�.fc� �a.6�`he�g�Jh <br />HANICAL PERMIT APPLICATION <br />Type ol ProjetC _New _Atltln _Alloralion _Repair <br />Show Numbcr (q) o/ �smres <br />-� eir _ ��, nn�nr�� ��o��� <br />SPRINK <br />ra <br />Number of Heads <br />ION SYSTEM <br />PLUMBING PERMIT APPLICA <br />ol Project: _New _Addn _Alloralion _Repair <br />Show NumbcrlC) o( fixfures <br />Medical Gas <br />Olher <br />I �erepy ce�Ay Iha� I �ave mdtl dntl e�ammeE I�K Jppli�li0n an� knOwlhe same lo Ee tme an0 caneci All provivons allaws ana ortl�nances goveimng IAu type ol wak w11 be comp <br />W.lh W�IQIIIP! SpCC���C(� �C�C�110� f�OI. TnhC• L]Id01��IJ 0� d OQ�� QOCS lWI plCSlllIIC 10 9�vP dUlll�lll)' 10 v101dIC Of 4lI10EI1hC ��Ov6��I10� d�lY OIIIC! SIdif Of IOWI �dW lQl�uldli�9 COOSINCIU�� <br />Tna1 I aul�0�¢c0 Ey Ihe owner o� 11 G properry lo peAorm IhC waik lor whk� d00!��p� �5 ma0e antl I wmO�Y �'��h I�e Sta�e Co�Vatbrs Law IB 27 RCW dntl 296.20�A Y/AC. <br />������ <br />Owner ulhorixetlAgent gnaluro Dale (Revuetl9/20fa) `' <br />Z <br />