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PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUM�ING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St.. Evereti, WA 98201 425-257-8810 FAX 425-2u7-8857 www.everettwa.org <br />4PPUCATIONS aRE P,CLEPTED FROM 8 AM TO 4 PM S— a� `- I�i <br />ADORESS: I� 1 va�aR�S��(D{!JilDIO�(Dd PEC�,I�ip��-�` <br />�i/X1 AI„r�-n Rr�..�,.,e. , <br />IornewconsWcLon SFort <br />_ (,4me� <br />Yo _ (attach copY ol long legal Cc;cnplmn) <br />Pnone'E-ma�l <br />Owne/SAge�1 _Ca�ir�CiCr _Co^tr�Clo'SAgC�i _TeCdri�mo.nc':•.co�kn•.�o'm,sc���.^Cec+�e�ioac.c+.�reaDea� <br />rer�}i- Cor�muni�v Col <br />ILDING PERMIT APPLICAT <br />cisY�ng Use ol BuilCing �- q�ilY55 <br />�oposea Us^ of Buad��ng cJ` p��fK�� <br />�ildmg typc�. __ Smg:c FaTi�y _ Dup'eK _Townhousc _ h <br />�pe ol projecC New AdCrtion Remodel _ i• � air <br />ESCRIPTIONOF WORKraemt�ona�snaceo����deoonrneback)�. <br />�'erkr� �mPro�at�-o�+�z7anMe.Ncw <br />i��u w1n�a,c6 a'� tn�ztanl� ,aF' an a��c�' <br />MECHANICAL PERMIt APPLICATION <br />olProject�. _New__Addn _Alteretlon_Repair <br />Show Numbcr (pl of liifures <br />- aa hanA'ma units <br />heatcr <br />Unit hnaicr <br />Other <br />8 I L�c r <br />Phcne�Emal y�,p. <br />ONTACT FOR PERMIT Arl <br />IM <br />„_� E.m,,, 206. 624. 27� ; <br />ONTRACT PRILE OF WORK _ <br />i <br />Gas_ <br />Famtly �Commcrcial <br />'.I. _ Sign _SpnnY.ler Demi <br />tifu�ay �D �oei '�I' �✓i � <br />: d�sren, ^,r�g �t�c °P <br /># <br />(Y4ti11�4lY,� 0/Ir <br />rcqu'�rc�'1'Y.�ris o� <br />PLUMBING PERMIT APPLICATION <br />o/P�ojcct: _New_Addn _Alleralion_Repair <br />Show Numbcr (tll ollefines <br />A1e0�tal Gas <br />Othcr. <br />I hemby ceMy Nal I �ave reaC an0 ewm�ned N¢ apn�Kaian anC know Uc same to De We aM mnecl. AO prornuns ol qws anE okmxnfee goveming Nu rype ol wort w.0 Le mmni ca <br />vntl� wTalp¢r specfir:l hcrem or nol. The granLny o� a permA aoes nol prewme to grve aulhoc,y lo vwbte or u��rcl Na pmr rson ol tny oL�e� sUle 0� boil law regulaing Cons WNon <br />iTa� t am auNo�eE �y �t+c owner ol Iks propeny m pmtorm ihc �.vA f; r wh:c� a, D'��'���^ �s maac anA I romplY wM �hc Slate Canbacbrs Law 18 21 RCW and 796.700A 1YAC� <br />1 l <br />,�. - -._.� 5�����y � <br />OwncrAulhodz -Sgnature Date �Revisetl6'7072f <br />