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� <br />� <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />ru,�ll I�R�U �e�e`�i, W�PROPERTYTAXp <br />lor new wnsiruction� Shor1 Plal/su6d�vismn Lot No._ (attach eopy ol long legal Eescr�plion) <br />���s <br />� <br />� a-^`c,�e, <br />Owner _ Ownefs Agent _ Comractor <br />�ec�'S heaTi u Q oC. <br />2Z.s v���f}Ue �� , � `' <br />�-{ctYV�S�' G{1�tt�l�%1 <br />LDING PERMIT APPLICATION <br />Existing Use N Building <br />m <br />FfJCn� _Tenant(musip�o�+Caalci�crolwnsen�homNoownerloN»c�m��a:F�='�� <br />FEl�5HH.496i PE'caY a�s u�. �057 <br />Phone/Email �7ZS 3� ��� <br />PRICE OF WORK <br />Proposed Use of Building I <br />Bu:lding type: _ Single Family _, Duplex _Townhouse _ PAulti-Family �Commercial <br />Type of projecC New Adtlition Remodel _ Repair __ T.I. _ Sign _Sprinklei <br />DESCRIPTION OF WO K/aCdit�ona� space provrtled on Ihe backJ � <br />MECHANICAL PERMIT APPLICATiON <br />TypeofProjoct: _New_Addn _Alti;ation_Repair <br />Show Number (N) ol fixfures <br />A/C — air handlin9 units <br />Forced air syslems <br />ra <br />Number <br />� ;� 2s, �� <br />HEAT SOUF2CE�. <br />'� Eleuric Other <br />olifion Chanae of Use <br />PLUMBING PERMIT APPLICATION <br />o1ProJect: _New_Addn _Alloration_Ropair <br />Show Numhcr (JI) o/ fixfures <br />D�s <br />Olher <br />Other. <br />sink 8 <br />I hcicby cerny I�al I �ave reaC antl eramineC Il+ls app:�.aiion antl know Ne ;ame to 6e Irue and wrrect. All provisions ot laws er.tl ordinances 9ovemin9 t�is lype al wod wi'.I Oe comp'�ed <br />wn� �.�et�er sDenfcO �cre�n o� nol. Tne gram��nq ol a permil tloes nol F�esume �o g�ve aul�onry to violale or wncel l�e pmvision ol any a;�er S�a!e or local la�.a regulahng ccnslrucbcn <br />Tha1 I am aulnonzetl 0y Ine ow n 1'nis propeM �o pe�ortn I�e work for w�ich apD��u3han �is matle enC I complywCn Ine Slate CONradors Ww 78 Z7 RCW antl 196 ]OOA'NFC. <br />✓� �o%��� <br />Ownor/Au ori diAgentSignaWm DaIT lRevised3201J) <br />