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� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettv✓a org <br />�L S <br />lor new consiructmn: Shotl <br />N� <br />CAyISlale/Lp <br />a <br />tt <br />(auach copy ollonglegaldescnouc^) <br />i oZS J' �d�/ � T� /�A <br />Owner _OwnersAgenl _Contrac�or _Conlractor'sAgenf _TenaMim��.���marai=nerofm�:emno�,ineo«�enoeo.�+�nv�,s>i�i <br />���i° l%� ��, ; <br />BUILDING PERMIT <br />r.ishng Use of B�idding <br />��> <br />ATION <br />ONTRACT PRICE OF WORK <br />Proposed Use of Owldin���• ~ �_ <br />Bu�id�ng type. _ S�ngle Famlly _ Duplex,Townhouse _ Multi-Family � Commerciai <br />Type of pro�ect New Addition Remodel Repair _ T I. _ Sign _Sprmklei <br />DESCRIPTION OF WORK �aamnonai spaca prov�aed on tne backl: <br />Bus. Lic # <br />��a� <br />HEA7SOURCE: <br />of Use <br />�K�,`(� ��-�/'r/�T' � ��," (GlrYl�'{� ��d �7� VG/1.�� <br />CJ <br />MECHANICAL PERMIT APPLICATION <br />01 Project: _New _AGtln _Alteration _Repair <br />- air 1 <br />ed air <br />Evhaust ian <br />Neal pump <br />Und healer <br />[3oder <br />Reingeration <br />1��0odstove <br />Duct�ng <br />Other <br />�SUPPRESS <br />Numberof Heads <br />TEM <br />PLUMBING PERMIT APPLICATION <br />ol Project: _New _Atltln _Aitoration _Repair <br />sink <br />Glolhes <br />Water h <br />Roof drams <br />Metlical Gas <br />Other <br />Olher <br />I hereby cem!y �nal I h�ve rea] an0 evam�.oeE I�is appbcahen ana lnow Ihe same to �e �me and correct All provisions ol laws an0 ora�nances qoveming i�is type ol vmrk �vi'i be compre� <br />nAn whelner sf"����ed he�ein er not Tne granling ol a permA does nel presume lo grve autnenty lo violate or cancel Ine provision o� a�iy other slala oi local law regulaUn3 m�sVud�on <br />1� I am ailho�aed by Ine owner cl Ihis proDetly to DCAorm I�e woik for w��ch opp��wlion �s made an� I wmply wnh ihe 5iaic Conlranon L aw 10 27 RCW and 255:OOA N'AC. <br />� ���3 ��� <br />Owned u orizetlAgentSignalurc Date (I:Fvised3�70f3) <br />