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� <br />PERMIT <br />� <br />APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/S!GN/SPRI�IKLER/DEMOLITiOf�y <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 <br />ADDRESS: <br />RTV TA% d <br />�vww.everettwa.org <br />/� O6-/ �/ <br />tt <br />br nev� constmchon: ShoA PIaUSubdrvision Lot No._ (attath copy ol long legal descriplion) <br />PhonelE�mail <br />r�%iT:_�WpBf _OWOC'SAfj2n1 _COOIf�t�Of _COO�fBC�Of'S/19Bn1 _TCnd0l�mv:lproreeallllCrpl�an:enUremlEonxne/IOoaaahmNespactl� <br />��c tt <br />Se,s o�.t a.{-a� K°e.��i c-:,r .� <br />BUILDING PERMIT APPLICATION <br />Use o( Bwlding <br />�r�ar.�fiv`'��s. uc � <br />�/Email ZO �'^u /�— 7�%� � <br />RMIT �cicf �G. `� Cr% <br />yzs-y��-3yzy <br />PRICE OF WORK <br />Proposed Use of Bmlding � <br />Building type: _$ingle Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />T <br />T <br />HEATSOURCE <br />Other <br />of Use <br />DESCRIPTION OF WORK �aec�nona� space provided on tne DacN/ <br />Pu,�' �� S�r�,k� (� er S tv u c.a l�c� �.��,-� movfi ��� ,��o�� P� C.o r r� P°PGQ-r <br />P.� � n ��o p S; n k c�v^/� 6I�,,.i w ao � s�. � k rJ N s r�G C-o h%ea,l7Z� l� -z�p T <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />ol Project: _New _Atldn _Allcr. tion _Repair <br />umts <br />Gas <br />� O�her <br />SPRINKLER / S(i,PPRESS <br />Number of Heads <br />Typc ol Project: _New _Addn _Altcretion _Repair <br />Show NumOrr (N) o/ lixfures <br />Clothes washer <br />Medical Gas <br />Other <br />Other: <br />I �crc0y cenity Ihal I �ave read anE esamined Ihis appliwlion antl Anow �hrs same lo Ce Ime and mrrecl. All prmisions c' L.vs and ordinances qoveming Ihis type cf vm�k w�ll Ce comp'ied <br />wilh wnel0er spealiea herein or no1 Tne gran�mg ol d permil Eoez not presume lo give aul�only lo violate or Wncellne praviLon a� any olher sla:e or lacal law �egulaling cans�mclian <br />Thai I am awhonutl oy ine owner ot iMs pmpeny lo peAorm ��e wo�k lor x0icn app4canon is maae and I comp;y wnn Ihe State Convaaors Ww 1827 HC W antl 29G 200A lM1'AC <br />L� ��2' `.z�- ��i `�v <br />wnedAuthorized Agenl Signalcre Dale (Re��sed 3/2073J <br />