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r� <br />u <br />n <br />U <br />PERMIT APPLICATION <br />EUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St . Fverett. WA 98201 • A?.5-257-8810 - FAX 425-257-E857 -:�n•.^v everethva org <br />APPLICATIONS ARE ACCEPTED FRO�A 8 Ald TO d P�d <br />ADDRESS: �NOFER7VTA%p PERM111T7 I- VOI <br />�i2�1 r���,,,osi i�,o✓ -t��_��zv <br />LEGAL fo, re,v eon,;r" c� Snert Fia'_:.! d�..sror. <br />NiRACTOR <br />UILDING pERMIT APPLICATION <br />ri5h^g Use G18m�dirg <br />LG:!.O_ (J;I.ICIIGi;iGIlp�.�'._G]I::}CCI�i:C � <br />ILc x <br />��,•�E:m,�� L <br />VTACT FOR PER�.iIT <br />cr[ ma I <br />JTRACT PRICE OF WORK <br />�5-�-(oi- �151 <br />� <br />P�oposetl Use of �w!��ng_.�� _ Gas_ _ Etcctnq _. O�ner_ <br />!3v Ic ng typc: _ Smgle Famiiy _ puo'ea _Townhouse _ t.tu�:i�Famdy � Commeraal <br />Typc cf pro�ecY _ New _ ACddmn _ RemoCel _ Repair _ TJ i� S.�n _Sprir%'er _Demolihon_C�ange of Use <br />Desa ;.1 :n of WO�k (ad�ioe^al sDace pev�Cetl aa !te Ceckl _ <br />;,��/�s�� o� c���y �� �,��/s�;� ��Ai/s � ����/ <br />�vc you sta�ed working without a permit7 _YES _NO <br />MECHANICAL PE RMIT APPLICATION <br />pe ol Project: _New _Atltln _AlteraUon _Repair <br />Shmv NumOcr (p) o! /irfwes <br />I �.'C - au Randl��ng umis <br />I Fnrcetl av syslems <br />Gas 0'o'nQ <br />I 4'Ja;er heatet <br />I Gas �rcolace <br />� Gas r:u,ge <br />Ciolhes dryer _ <br />Rarqehocd <br />[xnaus! lan <br />Hcal pump <br />lJr,�.t hcalcr <br />oo��ier <br />R�!nqeralion <br />'u^Joodstove <br />� Ducunq <br />! Other <br />SPRINKLER ! SUPPRESSION SYSTEM <br />Number of ! lead5 <br />i�LUMBING PERMIT APPLICAYION <br />o1ProJrct: _New_Acltln _Alteralion_Repmr <br />Show NumDcrla� pl lirNiCs <br />Cli;hv:ashcr <br />Ciclhes washer <br />Wa;er heatcr <br />Sink (service:�ari <br />Aacklbw Preventi <br />Unnal <br />Drmkmq Fountam <br />Floor tl�ain <br />Grea;elrap <br />Rcof tlrains <br />L1c:f�cal Gas <br />ol^er <br />Other <br />I h^_le'uy CC�IJy Ihai I �pve reaC JnC C.Jmmetl Ih5 dpphLt�ion da� kr.0.v It�C same lo Ce Irue Jntl cortccl. Ail prov6ions ol IT.vs aed etdinan:es gc�em�np <br />V�iS (ype 01 wOrk Kill bC COrtlpl CO vnlp W�C�hPr SpCCA�Cd PC�C�n 0! n0I ThCg�Jntiny Ci d pCrm�l COCS noi ple;ume Io t�rvC OWh�i.ty!a : p'alc G Gin;c� <br />TC plp'n9p0 CI dll/ OIIIPf Sidl? Of ICGII IdN f2GUIBli�9 CO�SIfpCU0f1 Of �Y�^ pCdOR11df1CC 01 COnSINCII'Jn Thd1 I d1I1 dU�110�KC� C/ ?L' h1fNY N �P6 pfL:Cl�y <br />to petlCrm UC r:oN, r��r.cn app4cabpn is ma7e an0 I[omply witn t�e Slale CcNra[lors La�v 7B 27 RCW an� 296 200 N'AC <br />/ v <br />� ,�2� � 1���-�-- � �=!z <br />O�ancr,Au oraetlA t5igna(ure f7ale !Feusc✓:ii:7fi� <br />�2 <br />