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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 – FAX A25-257-8857 –www everettwa i rg `�_� <br />APPLICATIONS AR6 ACCEPTED FROM 8 AM TO 4 PM <br />4UORESS:'� Ib . I I�Z 11 J� ' j[ PPOPERTYTA%p PEf2M1TM < �j � <br />lor naw conslmcllon�. Sharl Pinthu6Alvlslon <br />,�I�Utt [.�k� Evr,�tf) LGC� _ <br />i3�io SE Kt„1 k�..,�i�'.t R�, <br />MI�I �VJI����s�a��r���r' <br />� li <br />ILDING PERMIT APPLICATION <br />No _. (atlach copy oflonB Icgal descdptlon) <br />�� r � U <br />ityf5�e1C/Zip �LJ. n� i �li p l <br />aiu�.a <br />PnonerEma�l <br />ONTACT FOR PERMIT �(��ili. N ufn� � <br />u ha.Yt�tici•cc.-� <br />�nnnlF-mail';o3 3y��7abJ— 3.,f <br />PRICE OF WORK <br />P f.-. ��tw 'iic..� HEATSOU1tct: <br />E:istingUseolPuilding i�� ��� <br />N, ,� y 1.:1,,. iJ ���. 51. ^� Gne Electnc Olher <br />Proposed Use of Building � <br />Building lypa�. _ Single Family _ Duplez _Townhouse _ Multi�Family _ Commardal <br />Type ol projecC _ New _ Additlon _ Remodel _ Repeir _ TJ. _ 6ign _Sprinkler _Demolilion_Chan9e oi Use <br />DBscriptio� ol Wo�k (adJAional sFece proviaedon fhe back)'. NY W �, ^`r� n n� I[ t�' n� <br />�e•rr�.i�l�.,. � [k� rq�`%�� <br />Hava you etaitad worMing withoul a pormit7 _YES _._NO ` <br />MECHANICAL PERMIT APPLICATION PLUMBINCs PERMIT APPLICATION <br />Type ol ProJoct: _Now _AAAn _Allerotlon _Repelr <br />showNumberlM)of//rtures _ <br />- nir hanAlina unds <br />I <br />ol Pro�ecl: _Now _AtlAn _Alterallon _Rapalr <br />shnw Num6cr fNl of fl+furaJ <br />hcaler <br />Medical Gas <br />Olher <br />� NumberofHeads ' �""" <br />; he�e6y certiy t�al I have read nnA e�nMned Ihie epp���cellon and Mnow I�e same lo Ae Irue and mrrect Ail provislone ol lawf and ortl�nances goveming <br />�h,s lypa ol work will be complleU w�Ih whet�er epeafie0 herein or nol. T�e gra�ling ol a permit dce� not presume to give au��o���y lo viciale er ca�cel <br />tqe p�ovi6�on ol any olner elete or lael law �eOulaUng conslmcllon or Ihe pedormunce of comlmclion. Tliat 1 am euthorized by the onrer ol Ihi� proFerry <br />i-.i pe�ho wo�k fa wnlch eDP��eetion Is matle nnd I romON'M�h I�e Slele Conlroclaro Lew 1 B 27 RLW and YBB.200 �VAC <br />� , ..,� _ <br />.,�Z� ��� <br />��r�` (Revised v2oll) <br />Ownad ulhorl�cA A9en1 Sipnaluro <br />f// <br />