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� <br />PERI1lIIT APP�.ICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/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 G—� 3— � 2 <br />A[][]RESS: , PROPERT'TA%!! P��v nt — I/S / <br />� <br />lor new consWc6ort Short PlaVsubdimsion �— Lol No.= (a�iach copy ol long legal descripiwn) <br />_ �� _ , . . / �. �.f�z vn�„PiF-maa 5 0 3 ^ �io � - � � o 0 <br />33 <br />�� <br />9� — <br />iENANT BUSINE55 NAMt ""� - - <br />�i-rrJVss Evo�.�Twr� — �-�� csHc��x.rqf eeshba�l�c mic�' <br />�V� 2'z- �-�' �- PhonelE-mail �J 1 %� % / I' I OIb � ��. "L� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OP WORK i N� u7� ��' <br />Existing Use of Building �3 � `! � �S � M" HEAT SOURCE: -�EX�S1� <br />Proposed Use of Building ��3 �/ �./� �^�5 �'lyda` Gas� Eiectric Oiher_ <br />_ 1_� <br />Building type: _ Single Family _ Duplex _Townhouse _ Multl-Family ,�Commercial <br />7ype of project: _ New _Addition �emodel _ Repair _ T.I. _ Sign _Sprinkler _�emolilion_Chan3e of Use <br />Descriplion of Work (additionai space provitled on the backl: -�+ <br />.`��-2,fiv� ��,r.�L pY�1,�,( - � Z �� ��w�t�� <br />�J <br />Have you started workinc� without a permit7 _YES _NO <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ofProfecl: _New_Adtln <br />Show Numbcr (M) <br />J��F.if� <br />Unit <br />Other <br />/SU <br />_Repalr <br />of Heads � �� '� <br />of ProJecl: _New _Addn _A�tcration _Repalr <br />Medical Gas <br />Olher <br />I here�y cetlity that I have reatl and exammed this appliwtion and know the same to he tme and torrnct All provisions ol lav+s and ordinances goveming <br />ihis type ol vNrk vnll be wmplied Wllh wfielher specdied herein or not The granting of a pertnM1 does not presume to 9ive authority lo violate or cancel <br />Ihe provision of any olher state or loca� law regulatin� [on5lmcAon or the peAormance of constmction. That I am aulnonzed by Ne o�.lner of th',s property <br />lo pedorm the v.or��or w4ich appiicalion is made antl I comply vnlh �he S�ale Contractors Law 1827 RCW and 296200 WAC <br />6io,s7q <br />�Revised 71?Ou) <br />�l, <br />