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PERMIT APPLICATION <br />BUILDING/MECHANICr�L/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425•25i-8810 FAX 425-257-8857 www.everettwa org <br />APPLICATIONS ARE ACCEPTED FNOM 8 AM TO 4 PM -�—�� <br />ADDRESS: PflOPERTYTAKII P RMITN /,1 /� <br />I`ill n I� liq ... /._.:Yi�� �,\�F I<�V ' V�� <br />fornewconstludwn S�otl <br />� <br />�'�n\1.f 11)0� .;, <br />lot IJo _ (atlech <br />ot 10�9 legel Cex�plio�l <br />Owner Owner'eAgent ��yConlracto� Convactor'eAgent Tenantimmivo.a.•e+.�m�om•-ire�n.o�..�«i�aa.���ma�c«e� <br />a ..._.�...._. �.,....�,. ,��.:.,.. .. � LdlLic.p :-f;'i-'.�`P��'1Lcl'l�� COEBus.Lic.p <br />L:r,�.v: JuxC <br />NG PERMIT APPLICATION <br />_� ', 11e';,c,. <br />/E-med �j(T,-lrir��� <br />fRACT PRICE OF WORK <br />Exisling Use ol Building ` <br />Proposed Use ol Building — I_ <br />Building typr. _ Single Family _ Duplex _Townhouse _ Mulli-Femdy �Commercial <br />7ype of projecf New AddAion Remodel _ Repeir _ T I. Sion _Sonnklei <br />DESCRIPTION OF WORK rnodrtm�ai space p�ov�aea om m� oacw). <br />1 ,.n�, .I ��.� .�:,.,,..�� I.'�rl���, <br />MECHANICAL PERMIT <br />ol Pro�ect: _Nnw _Addn _Aticrallon _Hepelr <br />Slrow Numbcr (NJ ol Itrlures <br />A1C - an handhn unds <br />Porced art s slems <br />Gas ipin <br />Water heatef <br />Gas lueplace <br />� Gas range <br />—T Clathes drver <br />Exhausl <br />Heat Fu <br />Unil hea <br />/ SUPI <br />Number <br />PERMIT APPLICATION <br />Typc ol ProJect _New _Addn _Alterellon _R.pelr <br />Show Number (N) o! lMuree <br />Other <br />I brreby ceNty t�ul I hevo meJ xnd e.emniM IOn npp�celnn nnJ lnow Om �emo ta �o Inw nnJ ecneci �9 pio�,ismne ol tms �rm o�0�encea povemnp iho lype al �roM rv+A �e co��p��eiJ <br />nnti �•ln.ilmr e0ecifeJ �rtro�n or nol 1Xe Oroni�.n9 0l e permil Eon� nol pm�ump lo B^� eatl�o,�ty m��o6vo or oa�i:m i"n ��ocspn :1 a�ry otner eiale or iocnl Inw rapWnliny rompe�len <br />Itiul � mm �ntnnriretl by ��e cwner ol lhle pmVeM lo patlolm Ihe xo� lor w�c� eOPkelwn o mnde an� i cornpq n�n ine S�ob Co-Irntlon I.erv 18:1 RC1Y m�a 7Y1 2 WA VIPC <br />���� � <br />1 �i <br />O�HnerlAu�horize Agenl Sig��alurc De�e iRevise0 b'20/71 <br />