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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUN�BINGISIGN/SPRINKLER/DEMOLITION <br />CI1�Y OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-P810 FAX 425-257-8857 www.everettwa.org <br />,- , �C/ �l �l <br />rax a <br />� �'�� - <br />EGAL for now consuuceon� Shnn Plat/su�tlivision Lot No _(attach coDY o� �ong Icga� descriplion) <br />4 z5 - 3sa- 3ae3 <br />� <br />_ Owner __ Ownei's A�enl �rmtliactor _ Conlractor's AgeM _ Tenant (muei c�uv:uonmr,nr d<c,sen•. •m�nvo w�,er �,orn+cn �n nre iNam� <br />v �r�,,� �. <br />BUILDING PERMIT APPLICATION <br />lic # C.QK� (? Q I� i.� City BU5 Lic. tF <br />PhonNEmail y26-3s9-zf353 <br />'P.CT FOF PERMIT <br />�E�maii �Z`S- �369- Z8S3 <br />'RACT PRICE OF WORK Z�idO, � <br />=xist�ng Use of �wlding ��r�1TQL � HFAT SOURCE. _ <br />'roaosed Use of 6uilding __ �M�� _ Gas __ Eiectric ({�Other _ <br />iuilding type� �ingle Famiiy '_ __ �uplez _Townhouse _ �1ul�i-Family _ Commercial <br />fypc o( projed. New Add�lion _ Remodel ✓Repair T.I _ Sign _Spnnkler _Demohlion_Changc of Use <br />JESCRIPTIONOFWORK(ava�acna�spacep�ov�dedonmeoaca� N� ��a� �-pN,� p,�o <br />IZE�'W�E M�.f� OE ��t 6Euio� ��w �"+o�c Hn�se, I�EW�'�,' , <br />�lfi3�✓��or� OE U� "�- ��•;�M4�"'� � I F+S��A'l�a o4 (iANlc NoJJ .iu Jns o�T b�Oc- <br />MECHANLCAL PERMIT APPLICATION <br />of Projocl: _New _Addn _Alleralion �Ttepalr <br />Show Numbcr(N10l (ixfures <br />NC - r�r handling unds <br />hood <br />11ra1 <br />Uml <br />�ode <br />� Other <br />NKLER/SU <br />kwni�cr ol Haads <br />�LUMBING PERMIT APPLICATION <br />ol Pro�ect _New _ Addn _Altaration JQtopair <br />Show Numbcr (al o/lirfm�s <br />f3alhtub <br />L�vatoiy (wash bar <br />Shavrer <br />Kilchen sink 8 disp <br />Dishwasher <br />Clothe, washer <br />Water heater <br />Sink (seiwcelb n <br />Eiackflow preve <br />Drinkmg Founlain <br />Flooi draln <br />GrCaSC Ifap <br />Rool drains <br />Medical Gas <br />Olher. �INBFt'4-, <br />Other /�NiQ. <br />I he�rby crnd� In:�l I �ave P�dO:mn e.ammed IC�s appbc+tion anillnaw I�e same lu be hue and coueU '✓II pmnsions nl 1:�w5 Hnd n�a�,nan<es qoveminy Ilu, �YN' �� wuik v..l Ue comy5ed <br />with ahet�er speciferl lie�ein or nol ibu grenlm� ol a peirn�t tices nol V��'t'����e lo g�ve aullioily ;o viup!r. a� ranr el L"�e pmvn�.on ol a��/ otOcr 51.�Ie nr loril I�rn reoulati.�� conslmclion <br />Ilutl I:Im aul�on: etl bV �Ae ownvi ol rtus pioPclty b pcito�m Om eoiA Iot xTicti dppbcal�on it ma�e and I con!piy wch �Oe ;late Conhartois I ow Itl N 17CW ani119fi ]OOA WTC, <br />Siynature <br />(Rovisod JQU17) <br />