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PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />AD�RESS: <br />fornewconstruction: Short <br />� <br />TAX p <br />No._ (attach copy o( long legal descnption) <br />kz5 • 3ox • R <br />1'l Co ( b�-, A-ve ICirylState/2iP �.lere..�t- L.] �y `t ti ?1> 1 <br />_Ownef _OwOCi5AgC0l ,�[Contraclor _ConlraclorsAgenl _Tenanlcm.,.iam.,aeaiecercicor.semnommoo.��uaowo>nmes�aw� <br />� <br />BUILDING PERMlT APPLICATION <br />Use o( Building <br />8 I Lic. # <br />�B 2qu <br />c P n COE Bus. Lic. # <br />ieTE aiw�2t4 ��'°_ �li..s' 3AS • c7 ii <br />�TRACT PRICE OF WORK <br />HEATSOURCE <br />d Use of Building �_ <br />type: ✓ Sing�e Family _ Duptex _Townhouse _ Muiti-Family _ Commercial <br />�roject� New Addition Remodel __ Repair _ T.I. _ Sign __Sprinklei <br />JPTION OF WORK (add�uonal space provi7ed on the �ack): <br />PERMIT APPLICATION <br />otProJacl: _Now_Addn �Altcra�lon_Repalr <br />Show Number (a) o! lixfums <br />4IC _ air handlinn und< <br />NKLER <br />Num6er o( Neads <br />of Use <br />PLUMBING PERMIT APPLICATION <br />TypoolProjocl: _New_Addn _Allcretlon_Repair <br />Othec <br />Olher: <br />I �ere6y cetlAy that I �ave read anG aramined ihis upp!icauon ond know Iho same lu 6a truo en0 wrteci. All pmvislons ol laws and o�J�nances governing lhis lype al xork wil be compi',eU <br />x�t� n9m�vr specRmd nerein or nol. Tl�o g ran6ng oi a pertnl ticef nol presume m gNe auNority loviolate a wncel tna proNsion o I e�y ollmr state a lowl law regule'ing canstruclion � <br />Tliatlamaulhori2e0DyNooxnefolUis D�openytoDertortnlnexrorkforanichapPlicationisma4eanOtcompyxlutTeSlaleComwCorsL awiB27RCWen0295200.41YAC. , <br />� iG� _ 3 • S � Lo�y <br />OwnorfAuthortzed Agont Signat �ate (Revised N10f7) <br />