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%.. � ci :� ,� J'..' <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8870 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO � PM �� �d `�3 <br />PIjOP R TAI(JI � PE MIT M <br />SITEADDRE�: . ,'.., i.�.��iiJ�S:�(��L�':�C�% �J I^ <br />� �', <br />„ , . � '� ' � . �� C � <br />LEGAL for new consWctim� Short PWUsuOaivision �:— �.' if.'� i- F'ol No._ (etlach copY ol bng kgal Aescriptan) <br />i,, i <br />OVYNER �%� �� ,' /C'. '/. . . .• - � vtal�dE�me�(. ,.r l , — <br />i <br />CEress ., ;,��;/i � - ; � CilylSlate2lp <br />� <br />APPLICANT:_O.�ner Owne/sAgenl Cmtractw ✓ConlraclofsAgenl _Tenanti�.�po.w.bm.mm�u�i�a•��rom.wnn..owi <br />CONTRACTOR � 5 �,'; � Jl0 /7/1 �S� :���'LN� .��� COE Bus. Lic. N <br />tlEress �l��.,��u/iJ/� (i� /7l�i.- ��i%✓f: .;.�PhonelEmail �%/�.%�<.��b/'�b�A.CL <br />CONTACT FOR PERMIT <br />/ i. ,i�C�.��/ /,�1:�:. i '� �/: . , .. <br />�V� �' �: PlqnelE-mail i l %: /: l l , i ; . ' l',- ' � : ' i- i /%�' <br />BUILDING PERMIT APPLICATION <br />CONTMCT PRICE OF WORK �°6 !%' l%�. C l� <br />Existing Use of Building '� � �� � � � % � -��� �t"-� y'/;' /' i ' ! f � i�l/�,�/. -, HEAT SOURCE: f � %�'" <br />c, i 1 � <br />Proposed Use o1 Building ����� � r t' Gas Eiectdc Ocher <br />i`�f uildingtype: _SingleFamily _Duplex_Townhouse _Mulli-Family _Commercial <br />�:.rJ�� T ol road: New Atldition Remodel Re air T.I. S' n S rink�er Demolttion Chan e ofUse <br />" DESCRIPTIONOFWORK(adrrtbnelspeceprovioeaonrneoectr): ' i . .. , , =-�,.,--_- .'[^ <br />� {�. . . �_ ." , �.. . ,. ,! . , � � , "l i,�i; . . . .. . � .. . � , . .� <br />; / . , . /i !-��, . . . � _ <br />; , ,� � , <br />MECHANICAL PERMIT APPi.ICATION PLUMBING PERMIT APPLICATION <br />iype ol ProjeU: _Hew _Addn _Alterelion _ftapalr Type of PtoJecl: _New _Atldn _A�ter�tlon _Repslr <br />SAaw Number (N) ol firtures Show HumDer pJ oI flRums <br />� � AIC-airhandlin unds �. /f Toilet <br />• Porced air svstems . __ Balhtub <br />healer <br />Refrigeralion Fioor tlrain <br />— Woodstove Greasetra <br />Duclin Roof tlrains <br />Olher Medical Gas <br />PRINKLER I SUPPRESSION SYSTEM Other: <br />Number ol Heads Oiher: <br />I �ere�y roNh' ��at I Mvo rceE anE c�emnctl tlin aP0lrakn eM kno.v Ne same lo Uc We enE eortcq. AA M�+�a d lews enE aNnencea Oovemnp tliis lyp! ol wM W �a canG� <br />vnlh �Metlitt apeM�eG �Me�n w nol T�e B�^�^G � a IM^^�I Ocee nM yrtsume 10 pNe BUMmry lo vnNIC or caMd U�e p�oWwn ol any oN�v ��ete a IMaI law rcqNe�np co��U�rclun <br />T�al � am eutharued OY It�c owne� of ��is V�OeM lo pMam tl�e �.oh. iw wtnU epD��^ b mede anU I mnWM �n Uie S�ate Ca�tretlon Lew 1817 RCIV aeM 288.20CA WAC. <br />_ 'i . . ':1 ��! <br />� . <br />1 / . <br />OwnerlAulhorizeA ABont Signature Oale (Revisetl E20fY) <br />