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PERMIT APPLICATION <br />BUILDINGIMECHANICAUPLUMBING/SIGN/SPRINKL.ER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />4DDRESS' PROPERTYTA%11 P.ElRM^ITM � <br />�e�n� n�� �����T� ��� ��irnl'Tr 1�11 f�f]l/�1 1/�GA/�/1R1�/�']O(1/1 �� / l I�1 O�/\ <br />Ipnewcanslrudion Shoh <br />BELMONTE <br />4405 <br />4405 103RD AVE SE LAKE <br />PERMIT APPLICATION <br />Use o1 Building <br />A <br />WA 98258 <br />LAKE <br />(atlarh mDY oi long legal tlesaiVlion) <br />425•334•6834 <br />PRICE OF WORK <br />ised Use ol BwlOma SAME � Gas_„__ ElceVic _ Otlicr_ <br />ng rype: _ Single Famtly ._ Duplex _Townhouse _ Multi�Famity _ Commercial <br />of project: _ New _ AdOiLon _ Remodel _ Repau _ TJ _ Sign _Spnnkler _Demoli�on_Change of Usc <br />�ption ol Work (atlertional spaco pmvbed on Ino 6uq . <br />SAME <br />you started working wllhoirt a pertnit7 _YES _NO <br />MECHANICAL PERMIT API <br />ol Pra�M: _New _Addn __Alteratlon _Repalr <br />Show NumDw f010l firNres <br />A/C _ nir h�ndhnn unB¢ <br />PLUMBING PERMIT APPLICATION <br />o1Pro�ect _New_Addn _ANcwUon_Repalr <br />Slrow NumDei (M1 0l flrfures <br />D�5hwe5hC� <br />Medlral Gas <br />OIAer <br />1 nere�y o!Nly Ihal I �nve rPnd anA exami�e6 Ihis aDPlir,�tmn antl krro�v �he rame lo he Ime aiM mrreY] All piovisionx ol laws arM ordmanfes povemmg <br />Ihis type ol v.ork vnll d! mmp6ed �Ih wfiethn s�w.5fied herein or nol The p2nling al p permit does nol presume lo prve aN�on1Y In vblale m ranccl <br />Ihe pronsion nt any alher stale or local law mgu4iting mnsinx]ion or Ihe pedortnance ol mnsirudwn Thal I am authnrvirl by ihe w�ne� ol ihis pmperty <br />lo �r!dnrm Ihr nad lor wh� app�nalron Is made and I mmDly with Uir State Comraclors I.aw 10 i7 RCW and 2B8 200 WAC <br />�� �. � <br />narlANhoA:ea �gent SlgnMure Date I�+��� anm il ��� <br />\(_— ✓ <br />