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PERMIT APPLICATION <br />BUILDINGIIVIECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar Sl., Everett, WA 98201 - 425-257-8610 — FAX 425-257-8857 — www.everettwa.org E//��'�Z� <br />APPLiCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRES594/7 / PR07ERTY TN7f M PERMIT Y _ _ , <br />lornewmnslruction Shotl <br />a <br />BELMONTE <br />4405 103RD AVE SE <br />PERMIT APPLICATION <br />Exisling Uso of Bmlding <br />No._ (attach woy ol long legal desrnphon) <br />PRICE OF WORN <br />WA 98258 <br />Proposed Use ot Duildm�_ SAME � Gas Eiecmc Otner <br />Building type _ Sinple Family _ Duple* _Townhouse _ Multi-Famity _ Cnmmercial <br />Type of projecl�. _ New _Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler_Demolllion_Changc ol Use <br />Description of Work (adddronal spece provided on Ihr, bacF) : <br />SAME <br />you slarted working wilhout a permit7 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />al ProJect: _New _Atldn _Allentlon � Rapalr <br />Show Number (X) ol firtwCs <br />I AlC—nirMnndlinnunde <br />SYSTEM <br />ol Heads <br />PLUMBING PBRMIT APPLICATION <br />olProjeCt: _New_Adan _Altcrellon_Repalr <br />Flaor Jram <br />Grease Irap <br />Rool drains <br />Mediuil Gas <br />nlhPf <br />Olher <br />I hCrCCy v:tldy I�at I fwvc maE anA rtxaminea I�ia apphcrtion an� know I�e samc lo GC WC antl corteCl All pmvision, oi law; antl ortl�na�oes pavnmin9 <br />Ihis rype M v.od vnll Ee! mmp6nd vnih wt�elher sprclheA herem nr nol 7Te 0�����9 � a pCrmit doCs nol prnsumC lo prve autfWnM to violate oi pnccl <br />ihe prohsitu� �f nny other slale o� locil law n�ulating mnslrur]ion or Ihp pedormanrr ot rnn.lnn]ic� lhat t am nnt�onml Ay thc ovmerot Ihrs. pmperly <br />tn q!rtorm Ihe v.oM1 lor v.hiUi apph�ilmn ix made an� I rnmpty vnlh Ihe Slatc Conlractnrs Law 18.7' HCW anU 988 200 W4C <br />/^��{M'�� U / �! � � <br />OZvnerlAulhaAzod Agmt Signaturrt Uale (Rov�sed ??OI t) <br />