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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIG�ISPRINKLERIDEh90LIT10N <br />CITY OF EVtRETT PERMIT SF.RVICES <br />32U0 Cedar St., Evere�t, WA 98201 - 425-257-8810 — FAX 475-2�7-8857 —www.evereliwa.org I <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��� I�— �" <br />� �j / � �,T / ppOPEfl7Y7A%N PERMIT�.j -7 <br />ADDRE�S:/ l' I�i II;C �l�!_������ .i . iZU ' i/• / <br />for new comlmcllon'. Shcrt <br />�• <br />.w <br />�9 <br />ANT BUSINESS NAME V�i����!�,�( F/�� ��� f�� <br />�� / / <br />!V f <br />ILDING PERMIT APPLICATION <br />I.ol No __ (atlach copy ollong �egal destnpllon) <br />E mall <br />ilMZip <br />v. t�l cC <br />IG A - <br />P�onelEmaA ��(��[. r�_%� <br />ACT FOR PERMIT / <br />� 7p �� /; S/` <br />E�mell �� �� Ci � C ` <br />RACT PRICE OF WORK <br />Spqt,�� 4 G <br />= c-n�, z ; <<�t <br />EMis�ing Use o18uiWing ".� �%} �� � HEAT SOURGe: <br />Proposed Use of Buildinp l-� �� Gea Eiectnc Otne� <br />Building type: _ Single Family _ Duplez _Townhouse _ Multi�Femily _ Commercial <br />Type of pmjacC _ New _Addilion _ Remodel _ Repeir _ TJ. _ Sign _Spdnkler _Demolition_Chenge ol Use <br />Descdp�lon of Wofk (addrtionel apece piovided on fhe beck) : � <br />��%{ !_� � e _ 1! y <br />I? -��" �.'l i , .� 5�' ,lv'. . % �� �-(�X yf (' / 'cJ p <br />Have you started wmking wllhoul �permlt7 _YES �NO � <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />7ypeolProJecl: _New_AAdn _Alleratlon_Repalr TypeolPra�ect: _Now_Addn _Allerellon_Rapalr <br />Show Numba (a) ol l/xiu�es Show A'umbw (NJ ol Ilrfuree <br />nm - air handlinn unil9 Todel <br />Waler <br />Gas li <br />Gas n <br />SPRINKLERI <br />ol <br />Roof arains <br />Medical Gas <br />Other. J;'ct�Y� �//�il�- <br />Other: <br />I hereby cee�ry Ihet I have read and ewemineU Ih�s ep0�ication and Mnow Ihe some to be tme and cwrM All Crovisione al lawe e�d oia'��ancef govem�^y <br />ihn Iypn ol work M�II be comD��ed w�th whetner epeci�eE herein or nol. Tho prantinq ol e permA dce� nol presume to give eulnouly lo vioiatu or cancel <br />tne proeision ol any other state or Ittal law regulaling wnetrucllon or t�e pedormanca ol crnetmct�o� That I em aul�adtetl try the oH^er of I�ie pre0eiry <br />In pnAo�m �q� work fo� H�icn ep Ik lui m m�de and i compiy w,th Ihe Slele Contredon Lew 1827 fiLW end 29a.200 WAC <br />� , � , � i r� r", <br />t - }�_ /: � _ � �' <br />t (�iensed Y2011) <br />UwncrlAulhnrlred F9on� 5 gnalurc 1)at� <br />