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May O1 2013 6:56AM Clearview Mechanical 206-527-7967 <br />p.l <br />PERMIT APPLIGATION <br />BUILDINGIMECNANICAVPLUMSINGfSIGN/SPRiNKLER/DEM4LlTION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8$10 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACiCEPTED PROM 8 AM TO 4 P�A <br />AODRESS: PROPERTY TA?( tt PERMIT # <br />�s�r�n uf� s� F ��o� i�_n� <br />lL for new constructiorc Short Platlsubdivision Lot No. (aEtach copy of brrg legal description) <br />ER �t�M1 ��"�✓ l7�- V PhonelE-mail �-Jfia " ���`% <br />�',C�O �{� s� <br />� Owner ` On�tePs Agent <br />CON7RACTOR <br />�� <br />lCity/State2iP ��.f��� �r'S ��2 V � <br />Contractor _ ConVacta�s Agent _ Ten ant irre�at Prorwe e�mr d oonsenc trom a,o orme� w ao �+or� in tne 6�ace� <br />� <br />81Uc.# <br />'L�6' SZ.-1� <br />----- ---� --- Zvt� 5'2�1- ��s'�� <br />��(7� �T� '�� - � P4ionelE-maif <br />BUILDING PERMIT APPLiCAT10N CONTRACT PRiCE OF WORK <br />Exisking Use oi Bui{ding �3� � ��'� <br />Prapased Use of Building %�` �`�- G< <br />Buitding type: _ Single �arttily _ Duplex _Townhause _ I�Aulti-Family �(}, Commercial <br />Type oP project New Addition Ramodel Repair T.1. Sign Sprinkler_C <br />DESCWPT101�1 OF WORK (additione� space provided on the back): <br />MECHANICAL PERMIT APPLICATiON <br />of Project _New _Addn _Alteration _Repair <br />Show Number # of fixtures <br />A1C - air handCtng units <br />as ra <br />0 <br />Heat <br />/ StjPPRESS <br />Nurnber of iieads <br />COE 8us. Lic. # <br />.� u vk.Nh�G I�� �/! er�.�=u <br />HEAT <br />of Use <br />PLUMBING PERMIT APPLlGAT10N <br />7jrpe of Proje�t _New_Addn �Alteratiat _Repair <br />Show fVumber (�) of /ixiures <br />r <br />washer <br />Madical Gas <br />Other. l �.f . <br />bas <br />� <br />f heraby ceAify that 1 have reatl and eKamined tAls applic-atian and know the same 10 be IruQ and co�rect. All proWsfons of laws and ordinances poveming lhis type of work wiri be oomplied <br />wifh whether specfietl herein oonol The grantlnp of a permit does nat presume lo give authority Yu violale ar cancel Uie pmvision of any other stale or local law repWathg consUuction <br />Thai I am a�lhorized by the a�vner af this property tn pertorm the work for whk;h appNcaCon is made and l comply with tt�e Sta�e Gonlractor6 Law 18.27 RCW and 29B.200A WAC. <br />i 3 �Re�;sad a�2o�2, <br />