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���r�iY ,����ic�,�io� <br />�111�.�I�i11��CHl��IGP,I.. / F'�..UIili�l�lG / S(G�PRIN�CLER / D�i1IiOL,IiIU�I <br />CITY OF EVERETT PERMIT SERV <br />3200 CEDAR STREET, EVERETT, WA 98201 G� Sa`�%C� <br />(P) 425-257-881 D I FAX 425-257-8857 �(E) everetteps@everettwa.gov ��nnn�w.everettwa.gov/permifs <br />Bu <br />of <br />_ BUILDING PERMITAPPLIGATION <br />Use of Building: Contract Price of Work: <br />d Use of Buiiding: Heat Source: ❑Gas <br />Type: ❑SFR-Detached ❑SFR Attached ❑Duplex ❑Multi-Family�# of Units:_ <br />Project: ❑New ❑Addition ❑Remodei ❑Repair ❑T.I. ❑Sign ❑Sprinkler <br />PTION OF WORK: ���,�,z `� �'-�-� � I � ��o . -�� � ��'�tr <br />IASSOCIATED BUILDtNG PERMIT # (if applicable): <br />❑Electric ❑Other <br />❑Commercial <br />❑Demolition ❑Chang <br />a� I L9 +'�Q �-�S' -C <br />❑ industrial <br />of Use <br />WLUMBING PERMIT APPLICATION <br />Type of Project: �New _Addn _Alteration " Repair <br />Fixfures List of Fixtures Fixtures List of Fixtures <br />Toilet Backflow Preventer (Inside Bldg) <br />Bafhtub Urinal <br />Lavafory {Wash Basin) Drinking Fountain <br />Shower Floor Drain <br />Kitchen Sink & Disposa! Grease Trap <br />Dishwasher Roof Drains <br />Clothes Washer Medical Gas <br />Water Heater Other: <br />Sink (Service/Bar/Mop/efc.) Other: . <br />� 1 �� <br />ACKNOWLEDGEMENT.� I have reviewed this application and confirm the information coniained herein is frue and cor�ect. Work done pursuant to thrs pe�mit must compry witn <br />current fede�al, state, and /ocal law. The granting of a permit only authorizes approved work and no deviations fherefiom. Deviations musi first be authorized in wrifing from fhe <br />Building Official befo�e being authorized under any circumstance, l am the owner, or l am authorized by the owner of this property fo perform the work for which application is made, <br />and l comply with the State Contractors Law 18.27 RCW and 296200A WAC. <br />nature <br />Date <br />City of Evereti O�cial Use Only <br />PERMIT# <br />-� , � �� C' � C� ( � <br />(Revised 5/20/2096J <br />