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� � <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257-8857 vnvw evereltv+a.org <br />for new cansUucUon. Shoit <br />rax a <br />x <br />No _ (a11aU cor: ol long iegal descr�plion) <br />ER 7� ��/\ G� JCl %�n)U�^ P�ane�E.mail <br />;s �"L � J I� uL��QjI �.�L-I' C�IylState/Zip 1.✓'l�-�«/� �/h ��'Z,f'11 <br />.ICANT:_Cemer ^Ovmeis�genl _ComraUor _Con',ractor'SA9ent _Ten�nl:�r,.u;�o..o•�.�im�c�a�cc�:�,•u:.-�.no�.n.,�>a,..��ti��ro�en:r1 <br />,croR Mu� I'I�...�-,h;.+ Isi�i�i.�� a <br />17SIS �-IISYS}- S�: s.,�(�o.�'r� �✓� `�F125U <br />vz s ��� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />ExisLng Use ol Bwlding HEAT SOURC[ <br />Proposed Use ot 6u�ld�ng Gac_ [�zanc <br />b.uidmg type _ Single Family __ Duplea _Townhouse _��lultrFamily _ Commerual <br />Type o� pro�ect Nec: Atlddion Remodel _ Repair T I_ Slgn _Spnnkler _Demolitio.i_Chang <br />DESCRIPTION OF WORK (adcinor,v sn��e proc,�ev ca tne racKl <br />�� Cc �..%f—� ✓z-Lvc- � h �?c)�c.o-..�_.�,}- �o✓ FLcv� �izdh <br />MECHANICAL PERM17 APPLICATION <br />of Project: _New _Addn _A�teration _Repair <br />Show NumUcr (bJ nl IiHures <br />I FllG - air handiing unds <br />I Forced air svstems <br />Water heater <br />Gas 6ieplace <br />Gas range <br />Clothes tlryei <br />Rangc hootl <br />Exh�ust lan <br />lieat Uump <br />Unit healcr <br />I SUPPRESSION <br />Number ot Heads <br />�i <br />PLUMBING PERMIT APPLICATION <br />olProjetl: _New_AAdn _Altcralion_Repair <br />Show Numbcr (ul o/ Gxfures <br />ink <br />Roof d�ains <br />Medical Gas <br />o�ner <br />I�ereCycen�lyl�dll�averCadanGeram�nrCt�cappl��;ronanCAnowl�esameb�evueanEconecf A'Iprovz�on;ollaw5nntloreinancesgoveminqt��slypeolxmkw�ilCecompiea <br />wnnwnetnerspeU���rtl�rreinornol Tnegiammgo�apermitCoesnotpresumclogrvcaWnourylonalaleorUncci�hepiov4ionclanyalnerstaleorlcW�IaNre9u�a'IngWnslmcGon <br />Tnal I am aulnonzeC Cy I�e oNner ol t�is Grope�y lo DMorm I�e nore lo: xm=� avo�,wi�on rs maae ana I compry wnn me Slate Comraclois La+v tB P ftCW sna 2?6 20oa WAC <br />%� �� -- �-�-IS <br />Ownci/Authorized Agent Signaturc Daie <br />(Rev�sen 3�1u�3) <br />