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06126/2012 09:39 2065757529 STATE h1ECHANICAL PAGE 02/02 <br />� • <br />PEf�MI� Ai�1�LfE�►T�O�i <br />k3UILI�ING/I111ECHANICALlPLUMBING/SIGN/SPRiNKLER/DEMOLITION <br />CITY OF EVERETT PERMIT 3ERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8840 F.4� 425-257-8857 www.evereftwa.arg <br />APPLECATIO{�!3 ARE ACCEPTED FRQM 8 AM T� 4 PM <br />At)i)R£�S: �� I ^ W `-�'f� j � � �� PRoP�KTY TAX # P -RT011T # <br />U � �Iv <br />(L fof rlew Gpnstruction: Shoh Pi�t/subdivision Lat Na. (attach papy of long legal UesC�pt4on) <br />ER L� Pftone/E-maif ��s,�j' '� rf � � � � ��-�i <br />� L.Y l �T �+�� $ C) (�j � d �',itylSiatel2tp �f.�-W�� (,� � � � �„� <br />.FCAP{3': _ Q�wtes _(3w�1e�°s a��# �Contred« _ Contraeto�s Agent „T Teciant t�+¢ret oro+fite a retter os coneeni kon, wro o�,rorm ao �rx cn tlro s�c> <br />si �}� l���l�RNicl-�t.. E�&����.# <br />D c� � Z?Z'�D S'�" l� ,�,�r' �1��� <br />����1 C �-1 LO l%� �� <br />---... _ _ _.�._. .� <br />BUIt,D�N[3 PERMIT A�PL.lCATtON <br />honeJEmaE! ��f.X�•�„Fj"�''S �j2%� �p����fY�%� <br />; ��• � � ������ <br />'�- 5�75 �- �,� 2`7 �. , � <br />PRIC� aF V{(ORK _�� <br />Existing Use of ��iltlingl HEJiT SOURCE: <br />Praposed EJs� af Building Ge �_Electric_ Otnar_,_� <br />Buiiding type: _ Single Family _ Duplex ____Townhouse _ Muhi-FamHy � Commercial <br />T pf �ga: New Additibn Remodei Repair T.1. $i n S rinkler b�molition Change of iJse <br />DESCRtPTION OF WOt�K {additiona! space provided on the backt : INS'`F}�l.i f�i�� I� L�ti f?T��L Gc� � c�! y�+"�t—S <br />��vs, �I �u��- c�2R t�` z!�P S� nKa 2 r��.� �v K..�� Fo�r�-#�c i�� ,'Z S�s„ � � <br />Z b ��.sfnc��-��1 1 l�,�-� c��-�-e_r � �t � c�� �l i ►� lrtikc� � ,�o, ��c ` <br />MECHANICAL PERMIT APPE.iCATfON <br />af Prpject: Tt�w �ddn �Alteratio� _t2epair <br />Show yumber(�1J oftF�rtunes <br />a�r_ _ Ac� ►,���,��.,,, ��.,aa <br />S <br />heater <br />Gas <br />NumbeF of heaBs <br />SYSTEM <br />PLUM�ING P�FiMIT APPLIC,ATION <br />v� ProjeGt: �Now _AddA _AlteratPon _lZepair <br />Show Numfi�r (#) of Nxturea <br />1 � f Toiiet <br />Shower <br />Kitchen sink � c <br />Disnwasner <br />Ctothes washer <br />Water hea#ef <br />Fouhfsin <br />Medfcal Gas <br />Qther: <br />Other: <br />r <br />I herehy wtVry ihet ] nave read en6 e�cym'vred th� apppcafyon enA kovw 4ie asme m De Inre anc! cwrnGt A!1 DrovSslons ot iswe ana ordinsnceq, goveminQ }h!s rype atwofk w� hQ G��p� <br />W�Hi �atl�sr SR�wd her¢in or not. Tha grarttlnp of a peryi7� Ooes not prFsume fo Qfve au�oAry io vbls4e or esnce! M�e provieipn pf sny pZn� � pr �;yyl law rcBufRbnfl canatrucUon <br />Tn�t � am uthorizod by the ormar of thls properp� to pertortn !h� worlc forwhich apDllcetlon Is meae �d I �pmpfy v�ith U�e State Contrac(o� L�w 98,27 RCW ana 288.200A WAC, <br />O <br />1 � <br />dwnadAutho q Agprt{ 5F8nature ate (Revised By�O�gj <br />