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C `�nct v��� � �'� <br />(Uc.vvtQN% <br />PERMIT APPLICATIO�J <br />BUILDINGIMECHANICALIPLUMBINGIS!GN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar S! , Everett, WA 98201 - 425-257-881 D— FAX 425-257-8857 — www.everettwa org ������3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM <br />� "�.....�.. �.� . PERMIT N <br />IW fleM cOnEIN�iHIn ` ho� <br />103RD AVE <br />BELMONTE <br />BUILDING PERMIT O.PPLSCATION <br />�.7� __ (atlaU copy of brg iegal Aesaiption) <br />L81Gc• ' <br />9825g PnoneiEmatl 4 <br />CONTACT FOR PERMIT <br />Phoce�6man <br />CONTRACT PRICE OF WORK <br />Existing Use of Building _ ����F NEAT SOURCE <br />Proposed Use of Bwiding SAME Gas Eicr.mc_ Olner <br />Bwlding type _ Single Famiy _ Duplex _Townhouse _ Multi�Family _ Commeraal <br />Type of pro�ect _ New _ AddiGon _ Remodel __ Repav _ T i_ Sign _Sprinkler _ DemolAion_Change of Use <br />DeSvipl�on ol Work ladd�bnal spacc pmwdM �n Iho �acAl <br />SAME <br />you started working without a parmit9 _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />�I Pm�ecL _New _Addn _Alteatlon _Repelr <br />Slrow Number (M) o/ /lrtures <br />A/C — au hantlling units <br />Forcea air syslems <br />Gas pipino <br />� Water heater <br />� Gas Gre lace <br />Gas range <br />� Clolhes tlryer <br />Range hood <br />Fxhaust (an . <br />Numbei <br />PERMIT APPLICA <br />ProJecU _New _AdAn _Alteratlon _Repalr <br />Show Number (1) olllxtures <br />Clot�es <br />Medical Gas <br />Other <br />UiiS� <br />I neieby cetldy that I nave rea� a�A e.amn� Ihis apM�catron anA know Ihe same lo b: irue arW carecl All provisans ol laws ana o�0�nances Bovernmg <br />ihis type ol vqd vnll �e comv��� ��h �e��� s��� ��P�n or frol 7he gra9ting ol a permit dOos M1 presume to B��e auttpnty to v�olele or CAnr2l <br />If�C p�OVi9p1 OI dlly CIhC! S�dIC O� �OG� IdW fl�11131rt10 COIISINCfl0l1 Of IhC pf11Nrt10�IfE OI WOS�NCI�N1 Thal I am 0uI1an12E Oy Ihe tmr0.`f ol INx propetly <br />In peiiorm I�e wxM lor w1vU pbral�on is made erM I comply �Ih Ilie Slate Contracton Law 1B 27 RCW enrl 298 POO WAC <br />�/ � - r--, gl3/ r � <br />r--� �;,e �RenSotl �/1�,,, <br />OwnerlAul�urlte0 Aganl Slgnetura <br />