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From: O6/'"�2012 11:04 n176 P.002/002 <br />5�� I.S�s� <br />PERMIT APPLICATION <br />BUILDING/MECHAtvICALIPLUMBING/SIGNISPRINKLER/UEPJIOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />320D Cedar St., Ev�rett, WA 98201 - 425-257-88�0 - FAX 425-257-8857 -www.everelM�a.org <br />I.PPLICATION" ARE ACCEPTED FROfd 8 AM TO 4 PM �� I CI `� �' <br />ADDRESS i� � ,�� � PFlOPERTV TA%n PE d T U <br />_ �- � i � n� i�nf _fi� l <br />LEGAL /or nev+constmctlort Shntl Ptal/suWivision__ _Lo1 No._ lai�acn copy oi lony legal tlesalp�ionj <br />�-4- <br />N� <br />QUILDING PERMIT APPtICAT10N <br />Use of Building <br />L&ILic.iF <br />uGe Ca <br />PRIC[ OF WORK <br />— (oZIZ <br />� � g Z�`-i <br />:AS�WWH�4s� c <br />3(0.7(�8 - <br />(03(o.?OS <br />�-w a-}e�1„< a.}�f . c rsr'1 <br />� ,ISI,. — <br />HEATSOURCE�. <br />Praposed Usc of Building � �es__ __ �mnr�c ��_ umc�_ _ <br />Duiltling type: _ Single Famlly _ Duplex _7ownhouse Multi-Family _ Commercial <br />Type of projecC _ New _ Addition ,_ Remodel � Repair _ T.I. _ Sign _Sprinkler_Demoiition_Change of Use <br />�escrip�ion of Work (adtlilional space provfded on fho back): <br />Remove,� ��I�Rce eleG-hr�c, ��c��e� �ea1-� � <br />Havo you startod worklnp witliout a permil7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />o1PfoJect: _New_Atldn _Altoratlon_Repair <br />ShOW Numbe!(N/ o(11rfula5 <br />--� A/C—airhandlin unils <br />Forced air svstems <br />SPRIN <br />PLU�ABING PERMIT APPLlCAT10N <br />ol ProfecC _Naw _Addn _Allera:bn <br />Shaw Numbe� /ql ol lirtvras <br />Sho•Ner <br />Urinal <br />Medical Gas <br />Olher: <br />I �crEDy cehity that I havo reatl nntl examinad U�is �opliratlon ond knowihe samo to �e tme and wuect. All provislon� ol Isrrs and ordinances goveming <br />R�u rypa ol work will be complied with vfiethe� specifietl horein or not Tho 9ranling o/ a permit tices nol pmsume to give aul�onty Io violate or cancel <br />Ine provi,ion oi any olhcf S1�18 of local law fegululin8 �SlNcllon orthe pertormance ol wrelmclion. ThaI I am oulhOnzed by th0 Ovmef of Ihis pmpatly <br />to petlorm I�e Nork lOr wfilCh applicalion IS maae anG I comply �tith Ihe SWIe CoNfaCtOrs LeW'18.27 RCW and 296.20D VJAC <br />� (o�lq�1� <br />ner/Authorizotl A�rnt �gwturo ale (Revisetl 220 f7) <br />