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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLERIDEMOLITION <br />CITY OF cVERETT PERMIT SERVICES <br />3200 Cedar SL, Everell, WA 98201 425-257-8810 FAX 425-257-8857 www.evereltwa.or <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a"�`I <br />PROPERTYTA%d P RMITp <br />ADDRESS: _ , _ . �/1 1 � r� ( �l.ii.{- <br />for new conslmclion: Shoit PlaUsubdrvision_ _ Lot No. __ (atlach copY o� long teg.tl d��su�p�wn) <br />p�mer O��ner'sA9anl _ _ CnNrar,toi ____Contraclor'sA9en1 _Ten�nll��:�+��'w�a�.ai.^.,ma���.s�mi,�„�mvo.nerioro�.c,k��nmu.pacol <br />�v�2^E� /-�luasoXS <br />I Lic. # COE 6us. I.ic. k <br />Phonc'Gmail <br />JTACT FOR PERMIT <br />� t2k- l�C tA,�IG2. <br />,�,4.m„� �fa�-asx-ac�� ,ui��M-ReR,t <br />BUILDINGPERMITAPPLICATION CON7RACiPRICEOFwoRK�_( <br />Existinc�useofow�din� Cp/�CPSSLb� 5�+� �7 ��E�T <br />ProposedUsoofOuilding_�Q1ILPSS{`pili $-ff.[YX',(__ Gas _ Eli <br />�uildiny lype: _ Single Family _ Duple. __Tawnhouse _ tilulti�Fainily K Commercial <br />�pe of projecf New X Addilion ___ �temoaei nepan _ �.�. _ <br />ESC RIPTION O F WORK (aA<btiona� spac� Urovided on (hu bacN) : <br />ADA�a9 a. F�'yeR +o t-t�.- Co�cess,b.JS+,artiQ <br />MECHANICAL PERMIT APPLICATION <br />ol Projecl: _ Now j� Addn __Alleration _Repair <br />Shaw Numbc�!#1 olli+furos <br />Heal nnnp <br />llnil healer <br />: <br />PLUMBING PERMIT <br />of Use <br />ofProjecC _New_Addn _Allcr,lion_Rupair <br />Show Nurn6er!#) o//ixfures <br />Medical Gas <br />Other. <br />Number of Hcads ' """'. <br />I L� rrby cnlAy Ihal I havo ienJ anA e�nmined Ih�s npplka�ion anif Anow Ihe snmo lo bo lma anA conecl AO pmviscns ol l.�ws unA o�tlmances gaveming IhI5lype 01 work wiil0e mmpLCA <br />vnih ��hrpu�i s�naLcd horan ur nal Tlro 9r�nOny nl ri permit doos nW prnsumc l0 9ivc aulhoury 1n mclalc ur canrnl lhc pmvison o� nny olhcr slalc nr bcal Inw rcgulaliny cansWc�ion <br />l li, ii I a;n :wOm�b-ad by Ilw mvnrr al Ihis pmpcilY lo pedoim Ilio woik fur whwn appl�:.�Gcn is m,��f �, ,nid I� on�.y K�v� Inn Slalr, Gnnlracic�s I aw 7 fl 27 RGIM and 2�J6 7.00A WAC. <br />�l� z <br />i -�3 <br />OwncrlAv! ignalura Dabe (He�ised fii20121 <br />