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� <br />e <br />PEl4MIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vrww.everettwa.org <br />C D0� . �COZ <br />/ <br />� PROPERNTA%R <br />D�h �sa <br />a <br />n3—r� <br />LEGAL lor new wnstruction- S�orl PlaUsubtlrvision � Lot Ilo._ (atiach copy ol lon9 legal tlescnpUon) <br />OWNER PhonclE�mail fC, �� {jl� <br />�dtlress � (f Ciry/Slale2ip <br />APPLICAN7:_O�mer �Ou;neYSA9en1 _Con�ractor _ConlraclorsAgenl _Tenanti„�:icm.�aoairnr�o��o=;cmircmmoo�..*.c�moo.on:�mc <br /># <br />UILDING PERMIT APPLICATION <br />PRICE OF WORF( <br />Bus Lic. <br />Exisling Use of Bwlding �iv:�i:� � u- � HEAT SOURCE. <br />Praposed Use ol Building�e��'�[�� � Gas__ Eeur�q__ Othcr,_ <br />Building type: Single Family _ Duplez _Townhouse _ Mul6-Family �Commercial <br />T^^e of project New llddition Remodei Repair T I. Sian Sprinkler�Dem�htion Change ol Use <br />DESCRIPTIONOFWOR (atltlifionalspacepmv,�tlonthebock) <br />Tor�r����zv�, �� ��rf�vl�� � �(dc p�� <br />«�sa�-o� <br />MECHANICAL PERMIT APPLICATION <br />Type a� Project: _New _Addn _Allcralion _Repair <br />Show Num6cr (#) al lirfures <br />AIC _ �v handlinn unds <br />healer <br />Exhaust <br />F�L'ill 011l <br />SPRINKLERISUP <br />PLUMBING PERMIT APPLICA <br />olProjecC _New_Addn _Altention_Rrpair <br />Sho�ver <br />Krtehen sink <br />Medical Gas <br />Olher <br />I nem�y u•rL!y Ri:tl I havc macl antl radminetl i�lu�pp!',utl�an anJ 1 non mc :amc lo bc Iru r antl fnneel. NI pmvn.o.�s al laws . n� Grtlinanu,•. 9ovcm�.nq Rn: IY�c oi wurk will �c eomp <br />.xlhv�ncll�f�r:peulirn�en•niurnul flieqia.�6n9olripcnnll�or:no:p�e.wnclo9iveuWhantyloviolaleorcincelll�opmvuional:inyo;herslolenrl�nsliawre9ulaU�gmn:Weeon <br />ilnl I am pullimjctl �/ Ipeywrt!+yf Iliis pmpCM �0 Vedortn Il�c w0ik fo� v�hlc� �ippi:Grt�on rs imJc n�l r.o:upry wnti I�e Sln�c Contraciais Lavi 1� ]7 RCW antl 29G.POOA WAC. <br />(Revised 9R014) <br />�� � <br />