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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />320D Cedar St ,[verelt, WA 98201 - 425-257-8810 - fAX 425-?57-8857 -:wnv everettw�r� <br />APPLICATIONS ARE ACCEPTEO FROM B AM TO 4 PM <br />F AO�RESS: <br />IS �E. i�� �� r�,.e <br />(ar ncw rons!mcbcn St�art Platlsu6dir�sion _ <br />;i,.�,_ L a� �,,:,,.�� �� <br />131i� Sr` li�,.i IC�„1 !(;.,,�,I.i P�' <br />OW,�� L <br />� ��...�. � �..���....,,. �...�.,._ <br />� � !! <br />BUILDING PERMIT APPLICATION <br />( . I l <br />f at No (n!lach cep� ol long Iegal aeso�pbo^) <br />PP.^nr f�mail — _� � �L�_ 1 ♦ !`..l • r'i i�-. <br />�, <br />ciq��st.ilc�7_�P <br />I.RILic.# <br />rncne'Email <br />CONTACT FOR PERMIT _� <br />c . {ir 1-c a.��� ��.,. <br />r�n��,ec��.,�i5�`3 3S� 7[67 .1`�I . <br />CDNTRACT PRICE OF WORK _ — <br />HEAT SOURCF�. <br />'risliny Usc o} I3wl6ng _ _______ _—__ _ _ — —_'----__ _ <br />'roposr.d Usc cf [7widina _ Gas __ Eieqnc_ OU�er_ <br />luilding ty{>e�. _ Single Family _ Duplez _Townhouse _ Multl-Fam�ly _ Commercial <br />"ype of proje.:l' _ New _Addi�lon _ Remodel _ Repeir _ T I. _ Sign _SprinYter _Demcli!ion_Change of Usc <br />)e.cription ul Wo��� (atla�r�n��al space p�ovidetl on fhe back�. <br />� .,��.���,. ,� ,_ :��/� <br />lavc you sWrted working wilhoul a perrnil� __Y[S __NO <br />MECHANICALPERMITAPPLICATION PLUMBING PERMITAPPLICATION <br />of Projrct _Nrw _ A � In _�Ilerxllon _Repair <br />Shox� Num6tr (a) ollirtures <br />— au handlinq u <br />UUCi�� <br />Olhe� <br />RINHLER I SU <br />Humber <br />ol Pwject: __ Nmv __AdAn _Alleration _Repair <br />Show Numbei (al ollirtures <br />Medical Gas <br />O�her <br />i PUet} cr�i'y !'+01 I 1 i��: ieaj a'�9 ��� ��"�ine� Ih s n; p' cab�.n ,�d Inw: tl�e same to be Irue antl Co<<ect. All p�ov4�o^s o� �a:�s n�0 ortl 9ances qove� . <br />lins Iype ol w:M1. v.dl b= o�'�[''�e] �ad•i v.he'hei 6pcaPed ��cra�� cr nC1 l�c g'anling cl a permA does not Oresume Io gwe vt'�or Iy Io vlolate or can.e�. <br />,. � pmvision o! eny o19e� sta!r, n 6:_al la v �eAula�iny constmcl�on or I�e Fedurmance o� mnsl�uG�on. That I am aul�onzei by R�e owne� of :Ns prc; ��� . <br />r� pedorm Iho wo�k lo� v.aish dppbcaPon IS mB�e cntl I COmpty w��lh Ihe SIB!e Conlraclrs l.o�v 18 .7 PCl'J and 298 2G01VFC <br />( �, r� <br />L iti-- - _ <br />OwncrNuRiorlred Pgont Slimalnro __ 1"`-, s! ., �. <br />